N.J. Admin. Code § 10:37A-6.3

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:37A-6.3 - Other services

(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.

N.J. Admin. Code § 10:37A-6.3

Amended and recodified from 10:37A-4.3 by 48 N.J.R. 1636(a), effective 8/15/2016

Amended by 56 N.J.R. 901(a) effective 5/20/2024