Adult Mental Health (AMH)
The System of Services and Support
Rehabilitation is the process of helping individuals minimize the effects of mental illnesses on major role skills and develop greater competencies in employment, activities of daily living, social performance. They promote recovery.
Florida considers the following services as rehabilitation options:
These services include but are not limited to relapse prevention, and are a vital part of recovery in every service level. Aftercare activities include customer participation in daily activity functions that were adversely affected by mental illness and/or substance abuse impairments. New directional goals such as vocational education or re-building relationships are often priorities. Relapse prevention education is essential in assisting the customer's recognition of triggers and warning signs of regression. Aftercare services help families and pro-social support systems reinforce a healthy living environment.
Comprehensive Community Service Team - Individual or Group
Comprehensive Community Service Team (CCST) services render assistance in identifying goals and making choices to promote resiliency and facilitate recovery for adults and children with mental illnesses. The services take place in either an outpatient or community setting. For individuals with mental health problems, recovery is the personal process of overcoming the negative impact of psychiatric illness despite its continued presence. CCST services are intended to restore the individual's function and participation in the community. The services are designed to assist and guide individuals in reconnecting with society and rebuilding skills in identified roles in his/her environment. The focus is on the individual strengths and resources as well as their readiness and phase of recovery. A team approach of services will be used to guide and support the adults and children served with development of a recovery plan focusing on the areas of individual and family living, learning, working and socialization activities. Any therapy is brief and oriented toward skill building. Services provided include Assessment, Case Management, Intensive Case Management, Supported Housing, Aftercare, Supported Employment, Outreach, Outpatient, In-home/On-site, Intervention, Information and Referral, Prevention, Prevention/Intervention and other transition and non-traditional support services as negotiated by the Department and the provider.
These services provide a structured schedule of non-residential services for three (when Medicaid funded) or four or more consecutive hours per day. This may include delivery of services during evening hours. Activities for children and adult mental health programs are designed to assist individuals to attain the skills and behaviors needed to function successfully in the living, learning, work, and social environments of their community. Generally, a person receives three or more services a week. Activities for substance abuse programs emphasize rehabilitation, treatment, and education services, using multidisciplinary teams to provide integrated programs of academic, therapeutic, and family services.
Educational activities are provided in a variety of service settings. These include providing educational assessments; day treatment; case management; drop-in, self-help centers; and the Florida Assertive Community Treatment Team (FACT) program's specific educational service entitled Education, Support and Consultation to Family, and Other Major Supports. With the exception of the FACT-specific service for education, most educational services may be provided on-site of providers, with instructors funded through local school boards.
Florida Self-Directed Care
Florida Self-Directed Care is available in two parts of the state - the Jacksonville area and Southwest Florida. People eligible for public mental health services are given a budget and can choose the services and supports they want to buy, and from whom they will buy them. Their purchases have to be linked to a personal recovery plan, and some of the services have to be clinical. This program has served as a national model for similar efforts in other states.
Supported housing/living services are designed to help people with substance abuse or psychiatric disabilities find and keep living arrangements of their choice. They also provide services and supports to ensure continued successful living in the community. The goal of Supportive Housing is to ensure that everyone has the opportunity to live as independently as possible.
Supported Employment programs help people get or get back to productive employment. These services are community-based and take place in an integrated work setting, which provides regular contact with non-disabled co-workers or the public. A job coach provides long-term ongoing support as needed to give an individual every opportunity to maintain employment.
Mental Health Clubhouse
Clubhouses are structured, community-based interventions where members can strengthen and/or regain interpersonal skills, get psycho-social therapy toward rehabilitation, develop the environmental supports necessary to thrive in the community, meet employment and other life goals, and recover from the bad effects of a mental illness. Services are typically provided in a community-based program with trained staff and members working as teams to address the person's life goals and to perform the tasks necessary for the operations of the program. Clubhouses use a holistic approach focusing on a person's strengths and abilities while challenging that individual to pursue chosen life goals. Florida is invested in the International Center for Clubhouse Development (ICCD) model. Though there are other programs promoting employment across the system, Florida strongly encourages the ICCD approach and certification.
Residential Level 3
These are licensed facilities, structured to provide 24-hour a day, seven days per week supervised residential alternatives to persons who have developed a moderate functional capacity for independent living. For adults with serious mental illnesses, these are supervised apartments.