Supportive services: Domestic Violence, Mental Health, Substance Abuse

DESCRIPTION

Supportive services are provided to assist GROW participants to overcome barriers to employment. These barriers may include substance abuse, mental disorders or being a victim of Domestic Violence (DV). Eligibility staff is responsible for referrals to treatment programs for substance abuse problems. Mental health services (MHS) include clinical assessment, and if needed mental health treatment services. DV services include individual and group counseling, legal services, resident/non-residential treatment.

KEY POINTS
  • An evaluation of the need for substance abuse services is initially made at intake by eligibility staff. Because cooperation with substance abuse pre-screening, assessment, and treatment services is a condition of receiving General Relief all substance abuse-related services are generated/ tracked/monitored by eligibility staff.

  • If the participant requests substance abuse services or it is determined that an evaluation is needed after the case has been approved, the participant is to be referred to eligibility staff for pre-screening.

  • An evaluation of a participant's need for DV and mental health services is made during Orientation/Job Skills Assessment and Vocational Assessment. In addition, a participant can request supportive services at any time while participating in the GROW Program. The evaluation may include:
    • A mental health screening; and
    • Self-declaration/request for services.
  • DV and mental health supportive services are not mandatory. The participant may choose to accept or decline them when offered. If the participant agrees to accept supportive services, he/she will be required to sign the ABP 1463, Welfare-to-Work Plan Activity Assignment. A participant may request to be reassigned to another GROW activity, at any time.

  • Participation in supportive services counts towards the weekly participation requirement. Concurrent participation in supportive services combined with another activity, must be at least 20 hours per week.

  • All GROW participants are eligible to receive supportive services at any time they need them.

  • Referrals for DV services are made via the ABP 1467 DVS, General Relief Domestic Violence Services Referral.

  • A provider or contractor can initiate a reverse referral for a participant who requests services directly from the provider.

  • Referrals for mental health clinical assessments are made via the ABP 1466, General Relief Opportunities for Work Clinical Assessment Provider Referral and Service Results Report.

  • Referrals for mental health treatment services are made via the ABP 1467 MHS, General Relief Opportunities for Work Supportive Services Referral Mental Health Services.

  • The ABP 1469 DVS, General Relief Opportunities for Work Progress Report and ABP 1469 MHS, General Relief Opportunities for Work Progress Report are automatically sent to the supportive service provider, when a DVS or MHS component has been assigned.

  • A weekly Progress Report listing is available on MAPPER, as a tool to track receipt of Progress Reports from the providers.

  • Administrative Directive 4772, dated April 13, 2009, contains detailed information on this subject.


CASE MANAGER DUTIES

Substance Abuse

If at anytime during GROW eligibility, it is determined that a participant is in need of substance abuse treatment, the GROW Case Manager (GCM) must initiate a request for a referral from eligibility staff, via the ABP 296, General Relief Notification of Change form. The GCM may assign the participant to Intensive Case Management (ICM), while waiting for the results of the Substance Abuse appointment. Once the results of the appointment are received, and if the participant is receiving 20 hours of treatment a week, no further action is required. If the participant is not receiving 20 hours of treatment a week, he/she must be assigned to another GROW activity, which concurrent with the number of hours in treatment, equals 20 hours per week.

Mental Health

The GCM must initiate a mental health referral at any time a participant indicates a need for this service.

Clinical Assessment Referrals

Prior to receiving MHS, GROW participants must be referred for a Clinical Assessment Appointment (CLA). The GCM must follow the steps below to make a CLA referral.
  • Call the Department of Mental Health (DMH), Central Appointment Center, at (213) 639-6777.

  • Prepare and print two copies of the ABP 1463, General Relief Opportunities for Work Welfare-to-Work Plan Activity Assignment from MAPPER, then:
    1. Explain the Activity Assignment to the participant;
    2. Have the participant sign the form;
    3. Enter own signature (GCM's) on the form;
    4. File the original in the GROW Case Record; and
    5. Provide a copy to the participant.
  • Print copies of the ABP 1466, General Relief Opportunities for Work Clinical Assessment Provider Referral and Service Results Report, for distribution, as follows:

    1. Original to the participant. (Explain form to the participant, and instruct him/her to take it to the clinical assessor on the date of his/her appointment.)

    2. Hand deliver a copy to the collocated clinical assessor.

    3. File one copy in the GROW Case Record.

  • Authorize transportation, as needed.

  • Open a CLA component on MAPPER.

  • Set a five business day control for the return of the ABP 1466 by the Clinical Assessor.

  • If the form is not received within five business days, contact the Clinical Assessor and request the ABP 1466 be returned by the next business day.

  • Upon receipt of the ABP 1466, update the CLA component screen on MAPPER, with the appropriate Disposition Code (DC) and file this form in the GROW Case Record. The Disposition Codes are, CO=Complete, NS=No Show, CN=Cancel, RN=Unemployable, and RC=Resolved Non-Compliance.

    1. If treatment is recommended, follow steps below.

    2. If no treatment is needed, no other action is necessary.

  • Complete/Update the ABP 821, GROW Case Manager Checklist.

Clinical Assessment Referral Result/Outcomes

  • ABP 1466 recommends no further treatment necessary. When the clinician recommends no further treatment is necessary, the GCM updates the CLA DC, as complete.

  • ABP 1466 indicates the participant is scheduled for a mental health treatment services (MHS) appointment. The GCM assigns a MHS component on MAPPER by following the procedures listed in the next Section

  • ABP 1466 indicates participant's employability status should be changed to NSA, the GCM follows existing GROW procedures for changes in employability status.

  • ABP 1469 MHS indicates that the participant's employability status is now NSA, the GCM follows established GROW procedures for changes in employability status.

  • ABP 1469 MHS indicates that the participant has been referred to the DMH Cooperative Liaison for an intake interview.

  • ABP 1469 MHS indicates that the participant has been referred to the Department of Rehabilitation (DOR) for rehabilitative employment related Services.

Mental Health Service Referrals

When the clinical assessor recommends mental health treatment services, the GCM must:
  • Prepare and print two copies of the ABP 1467 MHS, General Relief Opportunities for Work Supportive Services Referral MHS, from MAPPER, and:
    1. Explain the purpose of the referral, and give a copy of the form to the participant to take to the Mental Health service provider.

    2. Fax the second copy to the service provider, highlighting in Section B, the sentence "Complete and return to the GCM within five-business days," and file this copy in the GROW Case Record.
      • Set a five-business-day control for the return of the ABP 1467. If the form is not received timely, contact the provider, and request that the completed form be returned by the next business day.

      • Upon receipt of the ABP 1467 MHS, update the MHS component screen with the appropriate DC.

      • When the GCM opens an MHS component in MAPPER, the system will automatically generate and send the provider the ABP 1469 MHS, General Relief Opportunities for Work Progress Report.

      • Upon receipt of the ABP 1469 MHS, update the MHS component screen on MAPPER, per existing procedures, and update the MHS component with the appropriate Disposition Code (DC).

      • Use the Weekly Progress Report Listing to track the due date of the ABP 1469 MHS.

      • Use the ABP 1469 MHS to track the participant's activities received from the DOR.

      • Update the ABP 821, GROW Case Manager Checklist

Mental Health Service Referral Result/Outcomes

  • ABP 1467 MHS indicates further mental health treatment is not required when the clinician recommends no further treatment is necessary, the GCM updates the CLA DC, as complete.

  • ABP 1467 MHS indicates continued mental health treatment is required, which would not prevent him/her from participating in GROW activities. The GCM updates the MHS component with the expected end date of the treatment and the number of hours.

  • ABP 1467 MHS indicates the participant cannot currently engage in Welfare- to-Work activities and recommends changing employability status to NSA. The GCM follows existing GROW procedures for a change in the participant's employability status.

Domestic Violence

The GCM must initiate a DVS referral at any time a participant indicates the need for this service.

Domestic Violence Service (DVS) Direct Referrals

A referral initiated by the GCM is considered a Direct Referral. In order to initiate a Direct Referral, the GCM must:
  • Refer to the Domestic Violence Service Provider Listing on MAPPER to schedule an appointment with the nearest DV service provider in the participant's area, unless the participant prefers a provider in another area. Call the DVS provider to schedule an appointment.

  • If there is no GROW DVS provider that serves the GROW site's area, then refer the participant to the nearest non-GROW DVS provider (this does not require any referral forms).

  • Complete and print forms ABP 1463 DVS, General Relief Opportunities for Work Welfare-to-Work Plan Activity Assignment DVS, and ABP 1467 DVS, General Relief Domestic Violence Services Referral, from MAPPER. Explain the forms to the participant, obtain signature from the participant, and enter own signature.

    Distribute forms as follows for GROW DVS providers:
    1. Provide one copy of each form to the participant, and give an additional copy of the ABP 1467 DVS to the participant to take to the DVS provider.

    2. Mail another copy of the ABP 1467 DVS directly to the DVS provider, and file one copy of each form (ABP 1463 DVS and ABP 1467 DVS) in the GROW Case Record.
  • Open a DVS component on MAPPER, and authorize transportation as needed.

  • Set a five-business-day control for the return of the ABP 1467 DVS. If the form is not returned by the end of the fifth business day, contact the DV service provider, and request the form be returned within three business days, setting up a control to follow up on the response.

  • Upon receipt of the ABP 1467 DVS, update the DVS Component screen on MAPPER with the appropriate DC.

  • If the ABP 1467 DVS recommends continued DVS, update MAPPER with the treatment start date, expected duration, service received and required weekly hours. MAPPER will automatically generate and send the GROW provider the ABP 1469 DVS, General Relief Opportunities for Work Progress Report.

  • Upon receipt of the 1469 DVS, update the DVS component screen on MAPPER, per existing procedures.

  • Use the Weekly Progress Report Listing, to track the due date of the ABP 1469 DVS.

  • Update the ABP 821, GROW Case Manager Checklist.

Domestic Violence Service Referral Result/Outcomes

  • ABP 1467 DVS indicates further mental health treatment is not required when the clinician recommends no further treatment is necessary, the GCM updates the DVS DC, as complete.

  • If the ABP 1467 DVS indicates the participant requires further Domestic Violence services, which would not prevent him/her from participating in GROW activities. Participant may be assigned to another GROW activity, which concurrent with DVS equals 20 hours a week.

Domestic Violence Service (DVS) Reverse Referrals

A Reverse Referral occurs when a GROW participant seeks services directly from one of the contracted DVS providers, without a GCM referral. In this case, the DVS provider must initiate the process to establish the DV component for the participant. The steps to initiate this process are, as follows:
  • The DVS provider must initiate the ABP 127 DVS, General Relief Domestic Violence Services Verification form, completing all pertinent sections. The form is then forwarded by US mail to GROW Program Section (GPS), for verification of eligibility to GROW DVS.

  • When GROW eligibility is determined, GPS returns the validated ABP 127, and a ABP 1467 DVS to the provider with processing instructions, which includes completing the form, and sending it to the GROW Supportive Service Liaison, for completion of the referral.

  • When GROW ineligibility is determined, GPS returns the ABP 127 indicating this, and no further action is necessary.

Domestic Violence Service Referral Result/Outcomes

Please see Referral Result/Outcomes for Direct DVS referrals above.

Supportive Services Liaison (SSL) Responsibilities

Each GROW site must assign one Case Manager or GROW Services Supervisor to act as the Supportive Services Liaison (SSL).

The SSL is responsible for communicating with supportive services providers and GPS, as needed, to resolve any issues involving mental health and/or domestic violence supportive services for GROW participants.

Supportive services providers have been instructed to contact the SSL in order to resolve any such issues, which will mainly include questions regarding eligibility to services on specific cases.

Additionally, the SSL will be responsible for the following activities regarding DVS reverse referrals:
  1. Upon receipt of the ABP 1467 DVS, the SSL must request that the case carrying GCM open a DVS component on MAPPER.

  2. Set up a two-business-day control to verify that the DVS component has been established on MAPPER.

  3. Contact GPS and/or the DVS provider, as needed to resolve any discrepancies.

Progress Report Listing

  • An automated weekly Progress Report Listing has been created in MAPPER, for GROW staff to track the due date of the progress reports.

  • This report is available every Wednesday from the MAPPER print menu. A new report is posted every Wednesday; the report is available for one week, from Wednesday to Tuesday. Additional details are provided in GROW Memo #73, released by ESD on 12/08/08.

  • GCM's and GSS's must use this listing to ensure proper and timely reporting by the providers of participants' progress in their assigned supportive services activities.

GROW Services Supervisor (GSS) Responsibilities

  • The GSS must monitor his/her staff, including the SSL (unless the GSS is also SSL for the office), to ensure compliance with the above procedures.

  • The GSS must review the Progress Report Listing at least monthly, to ensure progress reports are received from the providers, and entered into MAPPER.

  • The GSS must contact the providers to resolve any discrepancies and other issues. Any situations that cannot be resolved at this level must be referred to the site's administrator, who in turn, may contact GPS as needed for assistance with resolution of these issues.
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