New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 6 - SERVICES › Section 10:37A-6.3 - Other services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) At a minimum, and in addition to the
				services required to be provided pursuant to N.J.A.C. 10:37A-6.2, the PA shall
				offer or arrange for the following services to be made available, where they
				are appropriate to the needs of the consumer as identified in the comprehensive
				rehabilitation needs assessment:
1. Housing
				skills. Assist the consumer in identifying natural supports to successfully
				live in an unsupervised setting. Assist the consumer to set up and decorate
				their residence, help them to become familiar with the local community
				resources, access transportation services, and locate resources, such as the
				supermarket, bank, library, post office, and pharmacy;
2. Mental health medication and illness
				self-management. Develop a plan to help the consumer monitor their symptoms,
				track early warning signs, develop coping skills, and prepare a plan to prevent
				or minimize a relapse. Observe the consumer's symptoms, help the consumer
				manage symptoms not reduced with medication, and assist the consumer to adapt
				and cope with internal and external stresses. Assist consumers in advocating
				for themselves regarding medication concerns and act as a liaison to clinical
				service providers.
3. Finances,
				budgeting, and banking. Provide training and support in all areas concerned
				with the consumer's finances, including weekly/monthly budgeting, establishing
				bank accounts, balancing checkbooks, looking for sales, using coupons and
				rebate offers, avoiding impulse buys, responding to telemarketing or mail
				"schemes," establishing a savings plan designed for emergencies, and enhancing
				self-sufficiency;
4. Co-occurring
				mental health and substance use disorder services linkages. Inquire about
				substance use history and, when a problem is identified, help consumers
				identify triggers for relapse and focus on a lifestyle centered on recovery.
				Refer to co-occurring mental health and substance use disorder treatment, if
				necessary. Educate the consumer on the interactive effects of substance use on
				psychiatric symptoms, psychiatric and other medications, and social behavior.
				Share Twelve-Step recovery and local co-occurring group meeting lists with
				consumers and accompany to local groups and/or meetings in order to encourage
				attendance. Encourage an alcohol and substance free-living environment in
				shared living arrangements. If necessary, assist consumers in accessing
				in-patient rehabilitation facilities;
5. Transportation services. Provide coaching
				in the use of Medicaid taxi service, carpools, buses, trains, etc., and help
				consumers access low-cost transportation resources, if available. Assist with
				reading maps, reading bus/train schedules, locating bus stops/train stations,
				etc. Assist consumers to save for bicycles or other low-cost methods of
				transportation. Provide instruction on and assistance with all transportation
				options;
6. Access to natural
				supports. Assist consumers to develop a support network other than
				professionals, which may include neighbors, family, friends, co-workers, clergy
				or lay religious or spiritual guides, shopkeepers, etc. Explore with the
				consumer opportunities for social networks and coach the consumer to strengthen
				these connections. Explore/encourage joining or rejoining a social
				organization, recreational group, or religious or spiritual organization to
				enhance quality of life and promote community integration;
7. Crisis intervention, consisting of
				face-to-face, short-term interventions with a consumer who is experiencing
				increased distress and/or an active state of crisis. Interventions and
				strategies include:
i. Contributing to the
				development and implementation of the consumer's crisis contingency plan and
				psychiatric advance directive;
ii.
				Brief, situational assessment;
iii.
				Verbal interventions to de-escalate the crisis;
iv. Assistance in immediate crisis
				resolution;
v. Mobilization of
				support systems; and
vi. Referral
				to alternative services at the appropriate level;
8. Residential counseling; and
9. Emergency response services.