Eligibility

• Participants are at least 18 years of age.
• The participant has a PBHS specialty mental health DSM 5 diagnosis which requires, and is likely to respond to, therapeutic intervention, and either:
  • The participant is at-risk of or needs continued community treatment to prevent inpatient psychiatric treatment Or
  • The participant is at-risk of or needs community treatment to prevent being homeless Or
  • The participant is at-risk of incarceration or will be released from a detention center or prison.

Services

Targeted Case Management Participants receive an initial assessment, and reassessment every 6 months. A collaborative care plan is developed to address participants’ specific needs. Participants are designated to be either Level 1 (general) or Level 2 (intensive). Level 1 participants receive 2 hours of service per month; level 2 receive 5 hours of service per month. Hours are a combination of face-to-face or indirect contact, dependent on the specific needs of the participant.

Service time includes:

• Referral and follow-up
• Linkage to supports
• Coordination of care
• Advocacy