Psychosocial Rehabilitation

The NHSS Psychosocial Rehabilitation program consists of individualized and group activities designed to:

• educate individuals with mental, behaviorial, or emotional illness about mental illness
• educate individuals about appropriate treatment to aviod complications and relapse.
• provide opportunities to learn and use independent living skills, and
• enhance social and interpersonal skills within a supportive and normalizing program structure and environment

Areas of focus for the program include:

• Rehabilitative Interventions
• Interpersonal Skills
• Daily Living Skills
• Independent Living Skills

Program Hours:

• The program operates from 9 am to 4 pm, Monday through Friday.

Service Limits:A maximum of 936 units of Psychosocial Rehabilitation is allowable annually.

Services and schedules are tailored to meet the needs of the individual between the hours of 9 am and 4 pm, Monday through Friday.

Eligibility Criteria:

Individuals must demonstrate a clinical necessity for the service arising from a condition due to mental, behavioral, or emotional illness that results in significant functional impairments in major life activities. Individuals must meet at least two of the following on a continuing or intermittent basis:

1. Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or homelessness because of conflicts with family or community.
2. Require help in basic living skills, such as maintaining personal hygiene, preparing food and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized.
3. Exhibit such inappropriate behavior that repeated interventions by the mental health, social services, or judicial system are necessary.
4. Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior.

To receive Psychosocial Rehabilitative services, the individual must meet one of the criteria listed below.

1. Have experienced long-term or repeated psychiatric hospitalizations; or
2. Lack daily living skills and interpersonal skills; or
3. Have a limited or non-existent support system; or
4. Be unable to function in the community without intensive intervention; or
5. Require long-term services to be maintained in the community.

If an individual has co-occurring mental health and substance use disorders, integrated treatment for both disorders is allowed within Psychosocial rehabilitation services as long as the treatment for the substance abuse condition is intended to positively impact the mental health condition. The impact of the substance abuse condition on the mental health condition must be documented in the service specific provider assessment, the ISP, and the progress notes.

Fee: Approved Medicaid Funding

Referral Form (download)