Behavioral Health Rehabilitation Services

Wraparound Services

Overview

Behavioral Health Rehabilitation Services (BHRS) are also called “wraparound” services. These services are individualized mental health services provided in the home, school, or community. The services are provided by trained staff working one‐on‐one with your child to help with emotional or behavioral problems such as anger management or getting along with other children. The BHRS staff also teaches children, their parents, and others new ways of dealing with problem behaviors.

Focus of BHRS

  • Review the child’s strengths and weaknesses through a variety of assessments
  • Set clear, measurable behavioral goals for the child
  • Create a behavioral treatment plan for the child based on the assessments and focusing on the set behavioral goals
  • Monitor the progress of the treatment plan through data collection and update the plan as needed
  •  Provide clear expectations about the outcome of the service and what discharge criteria will be
  • Eventually transfer behavior management skills from BHRS clinicians to family and caregivers

How do I get BHRS for my child?

Call Member Services for your child’s Behavioral Health Managed Care Organization and ask for a list of approved BHRS Providers in their network. The Managed Care Organization must offer you a choice of at least two providers. Providers must be within 30 minutes of travel from your home if you live in an urban area or within 60 minutes of travel if you live in a rural area. Call the provider of your choice to schedule an appointment for an evaluation for your child.

How does BHRS get started?

A psychologist or a psychiatrist will evaluate your child and consider what services are appropriate. Not all children will require Behavior Specialist Consultant, Mobile Therapist, and Therapeutic Support Staff services. Your psychologist or psychiatrist will talk to you about what services your child may need. Remember you cannot get more services than your psychologist recommends.

Next, an interagency team meeting is held. This is when you, your child, and the agencies that are working with your child will meet as a team. The team needs your help to develop a good treatment plan. You may ask anyone you want to be part of your child’s team.

Lastly, on a regular basis, your provider will review your child’s treatment plan and talk with you about how well the plan is working. Your child will need a re-evaluation at least once a year while receiving BHRS.

What happens once approved?

Services should begin 60 days from the date when services were requested from your Managed Care Organization. If services do not begin contact your Managed Care Organization.

Who is a part of the BHRS team?

Psychologist:  A clinical licensed psychologist will be part of the team to conduct an evaluation to assess the needs of the child.

Behavioral Specialist Consultant (BSC): Has a master’s degree and works with the child, family, school, and any other care provider, including County Mental Health/Intellectual Disability case managers. He/she writes the treatment plan that the other members of the team carry out. He/she supervises the TSS to ensure the treatment plan is followed.

Mobile Therapist (MT): Has a master’s degree and provides individual therapy

Therapeutic Support Staff (TSS): Has a bachelor’s degree, associates degree, RN or LPN and works with child or adolescent on a regular basis. The role of the TSS is to make sure all parts of the treatment plan are being followed. The TSS works with the child at home, in school, and in the community. For more information about qualifications of TSS workers click here

What are the responsibilities of the BHRS team?

  • To be respectful
  • To work with you to develop a treatment plan that is right for your child and you
  • To always involve you in your child’s treatment
  • To provide you with all authorized hours
  • To transfer skills to you in order to eventually discharge your child

What can BHRS not do?

  • Replace school staff
  • Help with homework
  • Provide child care
  • Provide parenting relief or respite
  • Provide transportation for a child or family
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This information was developed by the Autism Services, Education, Resources, and Training Collaborative (ASERT). For more information, please contact ASERT at 877-231-4244 or info@PAautism.org. ASERT is funded by the Bureau of Supports for Autism and Special Populations, PA Department of Human Services.