The Agency’s Mission

To provide rehabilitative services to individuals in a conducive atmosphere/arrangement and an opportunity to collaborate with affiliated government agencies working with individuals with varying degrees of emotional disturbances and behavioral disorders, such that these populations are served, assisted, and rehabilitated fully functional, productive and integrated back into the community.

Step By Step of MD’s Goals

Recognizing the behavioral issues with our clients

Identifying the facts based around the treatment required for a successful rehabilitation plan

Building goals that are specific to the client

Assisting with the client establishing a new outlook on life challenges

Employing experienced Direct Care Counselors and Therapeutic Behavioral Aides

The agency will carry out all functions ethically and professionally

Eligibility Requirements for the PRP Program

Consumers must be covered under the Maryland Medical Assistance Program

Consumers must be referred by a MD, PhD, LCSW-C, LCPC, or LGSW LGSW providers must have a licensed clinician sign off on the referral Consumers must be in on-going therapy All demographic information (name of consumer, address, tele #, DOB,

MA#, SS#, gender, race, age, grade (minors), and guardian’s information must be completed on the referral

The living situation for adults must be checked off The need for services must be outlined on the referral up to and

including the consumers background information, reason for referral, risk behaviors, psychiatric/psychological history, medical history including somatic and psychiatric drugs, name of psychiatrist and therapist, diagnostic information (Axis I-V), and any additional psychiatric/psychological notes, including educational records that could assist with the case

The therapist must sign and date the referral with a current date and fax to Step By Step of MD

PRP Program OutlineThe PRP program is structured to assist individuals with wrap

around services to further enable them to meet rehabilitation needs regarding mental and behavioral health disabilities.

Minor ages are 6-17; Adult ages 18 & upServices are completed in the home, or in the communityAn assessment and an Individual Rehabilitation Plan will be

developed in accordance with the consumer’s needs.Long and short term goals will be established, which are

individualized, specific to the consumer, measurable, and they will include achievable timeframes.

Minors will receive four encounters per month (one of the encounters being at the office in a group setting) and adults will receive six encounters per month (one encounter being at the office in a group setting).

Group topics are all related to the consumer’s needs and are all age appropriate.

PRP Minor Group Session

A Direct Care Counselor and client are interacting regarding utilizing conflict resolution skills.

Minor Rehabilitation Skills Personal Hygiene Grooming Nutrition Dietary Planning Food Preparation Self Administration of

Medicines Assessing the Living

Environment Community Awareness Mobility Skills Money Management Accessing Available

Entitlements Community Activities Employment Preparedness

Conflict Resolution Skills Anger Management

Techniques Interactive Skills with Peers

and Authority Figures Maintaining Personal Living

Space Maintaining Age Appropriate

Boundaries Personal Safety in a Social

Environment Time Management Coordinated Transportation Assisting with Tutoring Prevention of Illness Social Skills

Adult Rehabilitation Skills Education on Mental Health

Disorders Promotion of Individual

Wellness and Self Management and Recovery

Assistance with Supported Housing

Personal Hygiene Dietary Planning Food Preparation Self Administration of

Medicines Assessing the Living

Environment Community Awareness Mobility Skills Money Management Accessing Available

Entitlements

Community Activities Maintaining Personal Living

Space Personal Safety in a Social

Environment Time Management Skills Coordinated Transportation Employment Preparedness Prevention of Illness Social Skills Crisis Intervention Assistance Educational/Vocational Skills Conflict Resolution Skills Substance Abuse Problems Legal Issues

Therapeutic Behavioral Services (TBS)

TBS services are geared for consumers that exhibit very aggressive behaviors that result in a consumers being at risk of being removed from the home environment. The age ranges for this program are 6-21.

What is an aggressive behavior?? A persistent pattern of behavior that causes or threatens harm to other

people. Violates the basic rights of others; Violates major age-appropriate societal norms or rules; or Causes impairment in social or academic functioning.

Elements of Aggressive Behavior Verbal – taunts, threats Physical – tantrums, throwing, fights Instrumental – goal directed Reactive – unplanned retaliation Proactive – bullying, provocation Overt – externalized Covert – lying, stealing, cheating, drug use Indirect or Relational – social manipulation

TBS EligibilityThe agency must receive a fully completed TBS

referral (four pages)The therapist must attach a psychosocial or updated

psych notes with the referralThe agency must submit the referral along with the

psych notes to the state for the approval to complete an assessment

Once the approval is granted to complete the assessment, the Rehabilitation Specialist completes the assessment/behavioral plan.

The plan is submitted to the state and based from the plan, the state will approve from 10-30 hours per week for treatment.

TBS services are closely monitored and all interventions are completed in-home with the parent/guardian involved during each session.

Parenting ClassesJob readiness six week courseAnger Management ClassesUtilizes a consulting group on a quarterly basis

to ensure that the agency is continuing to stay in compliance with COMAR regulations

Members of Community Behavioral Health (CBH)Members of the National Council for Community

Behavioral HealthHolds yearly Back-To-School eventsProvides Thanksgiving baskets to familiesImplemented a birthday club for clientsQuarterly outings for all clients (outside of

group session)

We appreciate your time regarding these very rewarding programs…