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
Universal Citation: NJ Admin Code 10:37B-4.4
Current through Register Vol. 56, No. 18, September 16, 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.
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