PSR

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PSYCHOSOCIAL REHAB SERVICES

Also offered are Psychosocial rehabilitation (PSR) services (reimbursed by all Medicaid Plans) for clients to address independent living needs or skills, such as social skills, money management, budgeting, and other interpersonal activities that the individual lacks due to an emotional or behavioral problem/disability. 

PSR can be done individually or in groups.

Must Check all 3 in order for PSR to be medically necessary:

1. Client's meets criteria for PSR (the goal of PSR is to restore the client’s skills and abilities essential for independent living).
2. Client’s diagnosis is NOT Adjustment Disorder.
3. Client is age 12+, and needs rehabilitation in TWO or more of the following:

• Pre-vocational, job training, matching, and/or support
• Budgeting and money management
• Maintenance of the living environment
• Training in appropriate use of community services
• Structured activities
• Social skills training
• Symptom management, medication management, and treatment options
• Food planning and preparation
• Transportation
• Daily living skills
• Establishing social supports
• Reducing isolation and withdrawal tendencies

If you go to SUBMIT DOCS, therapists, and then Progress Notes. You will see that you can select PSR from the drop-down menu for service. Once that's done, the note will auto-populate the fields required for PSR in each note.

Clients are limited to a max of 20 units (or 5 hours) per week of PSR. Not every single client should have 20 hours. Every treatment should be individualized, otherwise it raises red-flags.

PSR pays $20.00 per hour (or $22.00 per hour for existing Targeted Case Managers). 

If you do a PSR group, you we limited to 10 participants, and you get paid that amount per client.

Some plans, like Simply or Humana, require a prior-authorization, so please plan ahead.

Every client that gets PSR, needs an assessment and treatment plan done (this is NOT the same as a TCM assessment or service plan), 

For clients who are also getting therapy with us, the assigned therapist will add PSR objectives to the current treatment plan.

If the client is NOT currently getting therapy with us, then let Max know about it, so that we can arrange for an assessment and master treatment plan to be done before you provide any services. After the initial assessment and treatment plan, you'll be responsible for doing a Treatment Plan Review every 3-6 months to re-authorize the service.

When you do a MTP/TPR, you must put 20 units of PSR, and that will auto-populate a PSR checklist on the treatment plan. This must be completed when you do an MTP or TPR.

These are sample PSR goals/objectives:

(___) Pre-vocational, job training, matching, and/or support

• Client will learn and utilize at least 10 vocational/job related skills such as resume writing, job searching skills, and interviewing skills within 5 
• months.
• Client will explore 20 techniques to improve and regain his interviewing skills, within 5 months, as reported by the client during PSR sessions.
• Client will learn and utilize at least 7 ways to improve her current condition to feel more confident about herself in gaining employment, within 5 
• months, as reported by the client during PSR sessions.
• Client will identify 17 ways to regain and redevelop his vocational abilities to be able to live more independently, within 5 months, as reported by 
• the client during PSR sessions.
• Client will learn and utilize at least 5 time and money management skills that will help the client successfully cope with a full time job, including 
• writing checks, opening a saving or checking account, creating a monthly budget, paying bills, balancing check register, etc. within 5 months.

(___) Budgeting and money management

• Client will learn and utilize at least 10 money management skills including writing checks, opening a saving or checking account, creating a monthly 
• budget, paying bills, balancing check register, etc. within 5 months.
• Client will identify 22 techniques to redevelop her skills creating a budget, to be able to live more independently, within 5 months, as reported by 
• the client during PSR sessions.
• Client will explore at least 18 techniques to redevelop her skills in paying her monthly bills, to be able to live more independently, within 5 months, 
• as reported by the client during PSR sessions.
• Client will explore at least 23 ways to redevelop her skills in budgeting and time management, to be able to live more independently, within 5 
• months, as reported by the client during PSR sessions.
• Client will identify 17 ways to regain and redevelop his vocational abilities to be able to live more independently, within 5 months, as reported by 
• the client during PSR sessions.

(___) Maintenance of the living environment

• Client will explore 14 ways to clean her home in order to cope better with her mood, within 5 months, as reported by the client during PSR 
• sessions.
• Client will identify 10-12 techniques to keeping her home in a clean and organized way, within 5 months, as reported by the client during PSR 
• sessions.
• Client shall explore 20 ways to organize her home to become a more effective person, within 5 months, as reported by the client during PSR 
• sessions.
• Client will describe and explore 15 techniques to be able to keep her living environment in a way that complements her mood, within 5 months, as 
• reported by the client during PSR sessions.

(___) Training in appropriate use of community services

• Client will identify and learn how to use at least 2 mental health resources in the community, over a period of 5 months as self-reported during 
• sessions.
• Client will identify and learn how to use at least 5 medical resources in the community, over a period of 5 months as self-reported during PSR 
• sessions.
• Client will identify and learn how to use 8-9 community resources that client can use in case of emergencies, over a period of 5 months as self￾reported during sessions.
• lient will explore 20 techniques to improve and regain her ability to navigate local community resources, within 5 months, as reported by the 
• client during PSR sessions.

(___) Structured activities

• Client will learn and utilize at least 10 ways to use the time in her day in a productive way, within 5 months, as reported by the client during PSR 
• sessions.
• Client will learn and utilize at least 4 skills to cut down on irrelevant things that she engages in everyday, within 5 months, as reported by the client 
• during PSR sessions.
• Client will explore 8-12 techniques to use her time in a more productive manner on a daily basis when she interacts with anyone outside her home, 
• within 5 months, as reported by the client during PSR sessions.
• Client will learn and explore at least 4 ways to feel less stressed about her life and her reported lack of time, within 5 months, as reported by the 
• client during PSR sessions.

(___) Social skills training

• Client will learn and utilize at least 20 social skills/independent living skills including laundry, household management skills, learn to access and 
• utilize public transportation, accessing and utilizing community services such as 211 within 5 months.
• Client will learn and role play at least 10 communication skills and techniques, over a period of 5 months as self-reported during sessions or 
• observed by clinician during meetings.
• Client will learn at least 15 communication skill strategies to positively interact with others, over a period of 5 months as self-reported during 
• sessions.
• Client will identify and verbalize 5 fears about interacting with other peers or adults, over a period of 5 months as self-reported during sessions.
• Client will verbalize and explore at least 20 pro-social behaviors, over a period of 5 months as self-reported during sessions or observed by clinician 
• during meetings.

(___) Symptom management, medication management, treatment options

• Client will learn and utilize at least 12 medication management skills including learning what medications they are taking, when they are scheduled, 
• how much to take, why they are prescribed, filling up pill minder, and learning about over the counter medications within 5 months.
• Client will learn and describe at least 6 side effects of her medications, within 5 months, as reported by the client during PSR sessions.
• Client shall explore and discuss at least 10 ways in which her medications will help alleviate her symptoms, within 5 months, as reported by the 
• client during PSR sessions.
• Client will identify and explore 14+ ways to redevelop her trust and coping skills regarding symptoms, within 5 months, as reported by the client 
• during PSR sessions.
• Client will identify 12 techniques to be able to control and monitor her medication management, within 5 months, as reported by the client during 
• PSR sessions.
• Client will learn how to ask at least 4 meaningful questions to her psychiatrist regarding her symptoms and prognosis, within 5 months, as reported 
• by the client during PSR sessions.

(___) Food planning and preparation

• Client will learn and utilize at least 15 food and nutrition skills including meal planning, shopping, nutritional assertiveness, etc. within 5 months.
• Client shall explore and learn 17 techniques to be more effective in her grocery shopping skills, within 5 months, as reported by the client during 
• PSR sessions.
• Client will learn, describe, and master 20 food preparation skills designed to improve her overall living skills, within 5 months, as reported by the 
• client during PSR sessions.
• Client will learn 10 nutritional-rich activities and skills, within 5 months, as reported by the client during PSR sessions.

(___) Transportation

• Client will explore and master 10-15 specific techniques that she can use to learn about transportation, as self-reported during PSR sessions, over 
• the next 5 months.
• Client shall learn at least 4 skills from transportation support from her PSR-specialist, to be able to use those skills in the future to travel to psych 
• and medical appointments, as documented in PSR sessions, over the next 5 months.
• Client will learn and explore at least 18 ways in which she can use local transportation to meet her needs and regain her independence, as 
• documented in PSR sessions, over the next 5 months.

(___) Daily living skills

• Client will learn and practice at least 5 ways in which client could help his mother in taking care of his basic needs when he wakes up, over a period 
• of 5 months, as self-reported during sessions and observed by clinician.
• Client will focus on understanding 5 specific techniques that he can use to improve toileting and self-care, as self-reported during PSR sessions, 
• over the next 5 months.
• Client and parent will verbalize and identify 3-4 hygiene or self-care behaviors that the family wants the client to improve on, over a period of 5 
• months, as self-reported during sessions and observed by clinician.

(___) Establishing social supports

• Client will reduce the number of times she feels overwhelmed due to taking care of her five children down to 0 times per week over a period of 5 
• months as reported to clinician during sessions.
• Client’s mother will role play and role model positive interactions amongst family members at least 1 time per week, over a period of 5 months as 
• reported to clinician during sessions or observed during sessions.
• Client will identify and fully explore at least 15 positive long-term parenting skills over a period of 5 months as self-reported to clinician during 
• sessions.

(___) Reducing isolation and withdrawal tendencies

• Client will identify at least 6 ways to reduce negative feelings, such as worries, by learning at least 9 advanced strategies to keep her children on 
• tasks and compliant with school chores and tasks, over the next 5 months, as self-reported by the client
• Client will learn 15 ways to keep herself busy and surrounded by positive influences, within 5 months, as reported by the client during PSR sessions.
• Client shall explore and verbalize 20 ways how to improve her coping skills and reduce isolation and withdrawal in her life, within 5 months, as 
• reported by the client during PSR sessions.
• Client shall explore and list 8+ skills necessary in her life in order to reduce isolation and self-withdrawal, within 5 months, as reported by the client 
• during PSR sessions.