New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 4 - SERVICES › Section 10:37B-4.4 - Other services

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Consumers shall have access to on-call staff 24 hours per day, seven days per
				week for times of stress and crisis.
(b) At a minimum, the PA shall offer and make
				available or arrange for the following services when they are included in the
				consumer's individualized rehabilitation plan:
1. Housing search assistance, including
				assisting the consumer in: locating housing opportunities, taking into
				consideration the consumer's housing preferences, experiences, household
				management strengths and weaknesses, financial responsibilities and long-term
				housing goals; meeting housing eligibility requirements and requesting
				reasonable accommodations, lease negotiations, saving for or obtaining security
				deposits, furnishing the home, and/or accessing household supplies;
2. Assist the consumer in setting up utility
				accounts and identifying natural supports to develop and carry out a move-in
				plan;
3. Assist the consumer and
				natural supports to set up and decorate their new home, help the consumer to
				become familiar with the local community resources, accessing transportation
				services, and locating resources, such as the supermarket, bank, library, post
				office, and pharmacy;
4. Establish
				relationships with landlords, provide contact information, assist consumers in
				developing skills to identify tenancy issues and resolve them where possible,
				and encourage landlords and consumers to bring unresolved problems to the
				attention of the PA for resolution before considering termination or
				eviction;
5. Develop a plan to help
				the consumer manage their mental health and healthcare, monitor their symptoms,
				track early warning signs, develop coping skills, and prepare a plan to prevent
				or minimize a relapse or worsening of health conditions;
6. 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;
7. Assist consumers in advocating for
				themselves regarding health care and medication concerns and act as a liaison
				to clinical service providers;
8.
				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;
9. When a
				substance use 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 abuse treatment and substance use disorder
				treatment services and recovery support resources, including medication
				assisted treatment as appropriate;
10. Educate the consumer on the interactive
				effects of substance use on psychiatric symptoms, psychiatric and other
				medications, and social behavior;
11. Share self-help recovery and local
				co-occurring recovery group meeting lists with consumers and accompany to local
				groups and/or meetings in order to encourage attendance;
12. Encourage an alcohol and substance
				free-living environment in shared living arrangements;
13. Provide coaching in the use of Medicaid
				taxi service, carpools, buses, trains, etc., and help consumers obtain access
				to low-cost transportation resources, if available;
14. Assist with reading maps, reading
				bus/train schedules, locating bus stops/train stations, etc.;
15. Assist consumers to identify and access
				low-cost methods of transportation, for example, saving for a
				bicycle;
16. Where all other
				transportation options have been exhausted, provide direct transportation in an
				agency vehicle for appointments, shopping, and education courses;
17. Assist consumers to develop a support
				network other than of professionals, which may include neighbors, family,
				friends, co-workers, clergy or members of religious institutions, spiritual
				advisors, shopkeepers, etc.;
18.
				Explore with the consumer opportunities for social networks (including
				exploring social organizations, recreational groups, or places of worship or
				spiritual practice) and coach the consumer to strengthen these
				connections;
19. Education and
				training on relapse identification, prevention, and the promotion of
				recovery;
20. Development of a
				comprehensive relapse prevention plan that offers skills training and
				individualized support focused on self-management of mental illness and other
				aspects of recovery;
21.
				Co-occurring disorder education, which provides basic information to consumers,
				family members, or other significant individuals on the nature and impact of
				substance usage and how it relates to the symptoms, experiences, and treatment
				of consumers with co-occurring disorders;
22. Medication assistance, in accordance with
				the following:
i. Consumers shall be provided
				with pertinent information regarding medication effectiveness, medication
				side-effects, and safety in order to make informed decisions regarding
				medication issues;
ii. PA staff
				shall assist and support consumers in adhering to their medication regimes, and
				where appropriate, shall implement interventions, such as those described in
				(a)9 through 12 above; and
iii.
				Consumer family members shall be invited to participate in consumer medication
				efforts where appropriate, and in accordance with State and Federal
				confidentiality laws;
23. Linkages to legal assistance;
24. 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; and
25. Provide guidance regarding accessing
				emergency response services.