Threshold Rehabilitation Services Inc

OFFERS SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES AND MENTAL HEALTH CHALLENGES

INTELLECTUAL OR DEVELOPMENTAL DISABILITY SERVICESTHE COMMUNITY SUPPORT SERVICES OFFERS SUPPORTS TO INDIVIDUALS WITH THE DIAGNOSIS OF INTELLECTUAL DISABILITY. INDIVIDUALS ARE PROVIDED ASSISTANCE TO RESIDE IN HOUSES AND APARTMENTS THROUGHOUT BERKS COUNTY AS THEY ARE SUPPORTED TO LIVE AS INDEPENDENTLY AS POSSIBLE WITHIN THE COMMUNITY. THRESHOLD HAS THREE DIFFERENT TYPES OF SERVICES THAT FALL WITHIN THE COMMUNITY SUPPORT SERVICES.COMMUNITY LIVING ARRANGEMENTS (CLAS):THE COMMUNITY RESIDENCES PROVIDE CLOSE SUPERVISION AND SUPPORT TO BUILD ON SKILLS WITH THE GOAL TO GUIDE INDIVIDUALS TO A MORE INDEPENDENT SITUATION. THERE ARE DIFFERENCES WITHIN THEIR NEEDS FOR SUPERVISION, SOME REQUIRE 24 HOUR SUPERVISION, WHEREAS, OTHERS HAVE MORE FLEXIBILITY IN SPENDING TIME ALONE. EIGHTEEN COMMUNITY RESIDENCES SUPPORT UP TO 60 INDIVIDUALS THAT RECEIVE SUPPORT WITH A VARIETY OF MEDICAL AND/OR BEHAVIORAL ISSUES WITH REGARD TO INDEPENDENT LIVING SKILLS, I.E., MEDICATION, NUTRITION, MEAL PLANNING AND PREPARATION, COMPARATIVE SHOPPING, HOUSEKEEPING, HOME SAFETY, BUDGETING, PERSONAL HYGIENE, PHYSICAL HEALTH, COMMUNITY ORIENTATION, SOCIALIZATION, AND USE OF LEISURE TIME. THE GOALS AND OBJECTIVES OF THIS SERVICE ARE FOR PEOPLE TO DEVELOP OR INCREASE THEIR SELF-CARE SKILLS AND INDEPENDENCE.ALL RESIDENCES ARE STAFFED WITH A VARIETY OF SCHEDULES; EVERY RESIDENCE HAS FULL-TIME AND PART-TIME DIRECT SUPPORT PROFESSIONALS THAT WORK DAYTIME, EVENING, NIGHTTIME, AND WEEKENDS SHIFT. THE SUPERVISORY RESPONSIBILITIES FOR THE RESIDENCES ARE SHARED AMONG SIX PROGRAM SPECIALISTS.LIFESHARING:INDIVIDUALS WITH DISABILITIES ARE MATCHED FOR COMPATIBLY WITH THE PROVIDER FAMILY (ONE OR TWO INDIVIDUALS PER FAMILY). PRESENTLY THERE ARE 10 HOST FAMILIES THAT SUPPORT UP TO 14 INDIVIDUALS. THE INDIVIDUALS OF LIFESHARING MAY HAVE A VARIETY OF MEDICAL AND/OR BEHAVIORAL ISSUES. THE GOALS AND OBJECTIVES ARE TO PROMOTE INDEPENDENCE BY INCREASING SELF-CARE SKILLS, INCORPORATING THE INDIVIDUAL INTO THE PROVIDER'S FAMILY AND INTEGRATING THE INDIVIDUAL INTO THE COMMUNITY. SUPPORTIVE LIVING:SUPPORTIVE LIVING SERVICES SUPPORTS APPROXIMATELY 35 INDIVIDUALS RESIDING IN THEIR OWN HOMES OR APARTMENTS. THE MAIN FOCUS OF THIS SERVICE IS TO ASSIST INDIVIDUALS WITH INTELLECTUAL DISABILITIES IN SECURING AND MAINTAINING SAFE, AFFORDABLE HOUSING IN THE COMMUNITY. THE ARRAY OF SUPPORT SERVICES OFFERED ARE INDIVIDUALLY DESIGNED AND DRIVEN BY THOSE WHO RECEIVE SERVICES. THE DESIGNATED TIMES AND FREQUENCY OF SUPPORTS ARE DEVELOPED AROUND THEIR NEED AND PREFERENCES AND ARE FLEXIBLE ENOUGH TO CHANGE AS THE INDIVIDUAL'S NEEDS AND SITUATIONS CHANGE. THE OVERALL GOAL IS TO DECREASE THE NUMBER OF SUPPORT HOURS THAT PEOPLE REQUIRE AS THEIR SKILLS ENHANCE. SUPPORTIVE LIVING SERVICES ARE SUPERVISED BY ONE FULL TIME SUPPORTIVE LIVING COORDINATOR.

DAY PROGRAM SERVICES -PARTIAL HOSPITALIZATION PROGRAM (PHP): INTENSIVE TREATMENT-THE PARTIAL HOSPITALIZATION PROGRAM OFFERS INTENSIVE TREATMENT FOR PROGRAM PARTICIPANTS. INTENSIVE TREATMENT IS USUALLY FULL TIME PARTICIPATION IN THE PROGRAM (30 HOURS PER WEEK). AS INDIVIDUALS BECOME STABLE AND ACHIEVE TREATMENT GOALS, THEY REQUIRE LESS INTENSIVE SERVICE FROM THE PROGRAM, AND TREATMENT HOURS ARE REDUCED TO AS FEW AS TWELVE HOURS PER WEEK. THE PHP STAFF MAINTAINS CONTINUITY OF CARE UNTIL THE INDIVIDUAL NO LONGER REQUIRES PARTIAL HOSPITALIZATION SERVICES AND MOVES TO OUTPATIENT PSYCHIATRIC SERVICES. MANY INDIVIDUALS TRANSITION INTO THE PSYCHIATRIC REHABILITATION CLUBHOUSE PROGRAM AT MOSAIC HOUSE, EMPLOYMENT, VOLUNTEER WORK OR ACTIVITIES IN THE COMMUNITY.ASSESSMENT SERVICES-WE BELIEVE THAT INDIVIDUALS WITH A GENUINE DESIRE FOR TREATMENT SHOULD BE GIVEN THE OPPORTUNITY TO RECEIVE TREATMENT. TO THAT END, TREATMENT IS PROVIDED WITHOUT LIMITING SERVICE BASED ON DIAGNOSIS OR DURATION OF TREATMENT. WE HAVE TREATED INDIVIDUALS NEEDING ACUTE CARE AND THOSE WHO NEED LONGER TREATMENT. THERAPY SERVICES-THE PHP PROVIDES TREATMENT THROUGH TRADITIONAL GROUP THERAPY, MEDICATION MONITORING AND CONSULTATION WITH THE PROGRAM PSYCHIATRIST. GROUPS THAT HAVE BEEN USED THROUGH THE YEARS INCLUDE SUCH TOPICS AS: ANGER MANAGEMENT, LIFE SKILLS, FEELING IDENTIFICATION, FAMILY SKILLS, RELATIONSHIPS, SEXUALITY, PROBLEM SOLVING, HUMOR AND HEALTH, SUBSTANCE ABUSE, SOCIAL SKILLS, MOTIVATION, AND SELF-CONFIDENCE. WE HAVE ADDED GROUPS WHICH CENTER ON FORENSIC ISSUES IN RESPONSE TO REFERRALS FROM THE LOCAL ADULT PROBATION OFFICE FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS WHO HAVE HAD INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM. THE PRIMARY THERAPIST AND TEAM REVIEW TREATMENT PLANS EVERY FIFTEEN (15)-TREATMENT DAYS.THE PHP CONTINUES TO IMPLEMENT BEST PRACTICE TECHNIQUES IN GROUPS AND HAVE ADOPTED THE RECOVERY PHILOSOPHY IN ITS DAILY SERVICE TO THE CONSUMERS. PEER SUPPORT SERVICES:PEER SUPPORT SERVICES ARE BASED ON THE FUNDAMENTAL PRINCIPLES OF RECOVERY. PEER SUPPORT SERVICES ARE SPECIALIZED THERAPEUTIC INTERACTIONS CONDUCTED BY SELF-IDENTIFIED CURRENT OR FORMER CONSUMERS OF BEHAVIORAL HEALTH SERVICES WHO ARE TRAINED AND CERTIFIED TO OFFER SUPPORT AND ASSISTANCE IN HELPING OTHERS IN THEIR RECOVERY AND COMMUNITY-INTEGRATION PROCESS. THE SERVICES PROMOTE EMPOWERMENT, SELF-DETERMINATION, UNDERSTANDING, COPING SKILLS, AND RESILIENCE THROUGH MENTORING AND SERVICE COORDINATION SUPPORTS. THIS SERVICE ALLOWS INDIVIDUALS WITH SEVERE AND PERSISTENT MENTAL ILLNESS AND CO-OCCURRING DISORDERS TO ACHIEVE PERSONAL WELLNESS. THE CERTIFIED PEER SPECIALIST (CPS) HELPS THEM COPE WITH STRESSORS AND BARRIERS WHEN RECOVERING FROM THEIR DISABILITIES. SERVICES ARE MULTI-FACETED AND INCLUDE, BUT ARE NOT LIMITED TO, INDIVIDUAL ADVOCACY, EDUCATION, DEVELOPMENT OF NATURAL SUPPORTS, SUPPORT OF WORK OR OTHER MEANINGFUL ACTIVITIES THE INDIVIDUAL CHOOSES, CRISIS MANAGEMENT SUPPORT, SKILLS TRAINING, EFFECTIVE UTILIZATION OF THE SERVICES SYSTEM, AND COORDINATION OF LINKAGE TO OTHER SERVICE PROVIDERS. OUR CPSS HAVE RECEIVED ADDITIONAL CERTIFICATIONS TO WORK WITH OLDER ADULTS, THE FORENSIC POPULATION, VETERANS, YOUTH & TRANSITIONAL AGE YOUNG ADULTS. PRE-VOCATIONAL SERVICES:COMMUNITY PARTICIPATION SUPPORT SERVICES:SUPPORT AND TRAINING OF APPROXIMATELY 65 INDIVIDUALS IS PROVIDED BOTH AT A FACILITY AND IN INCLUSIVE COMMUNITY SETTINGS TO BUILD WORK INTEREST AND DEVELOP SKILLS TO LEAD TOWARD COMPETITIVE INTEGRATED EMPLOYMENT. WHILE TRAINING IS PROVIDED AT A SPECIFIC SITE, WEEKLY OPPORTUNITIES EXIST FOR COMMUNITY INTEGRATION. COMMUNITY OPPORTUNITIES INCLUDE STRUCTURED VOLUNTEER ACTIVITIES AS WELL AS ACTIVITIES TO PROMOTE WORK SKILLS AND RECREATIONAL AND COMMUNITY INCLUSION. VOCATIONAL- BERKS PERSONNEL NETWORKBERKS PERSONNEL NETWORK (BPN) PROVIDES COMPREHENSIVE EMPLOYMENT SERVICES DESIGNED TO SUPPORT AND EMPOWER PEOPLE WITH VARYING DISABILITIES TO OBTAIN AND MAINTAIN COMPETITIVE EMPLOYMENT IN THE COMMUNITY. THE SERVICES ARE INDIVIDUALLY TAILORED TO MEET EACH PERSON'S AREAS OF NEED AND MAY INCLUDE CAREER EXPLORATION, RESUME AND EMPLOYMENT APPLICATION SUPPORT, JOB INTERVIEW SUPPORT, ADVOCACY, TRANSPORTATION TRAINING, JOB DEVELOPMENT AND PLACEMENT, ON-THE-JOB TRAINING, SERVICE COORDINATION, AND JOB RETENTION SUPPORTS. IN ACCORDANCE WITH THRESHOLD'S PERSONAL OUTCOME PHILOSOPHY, BPN SUPPORTS EACH PERSON IN CHOOSING MEANINGFUL EMPLOYMENT WHICH MEETS HIS/HER NEEDS, INTERESTS, PREFERENCES, AND GOALS. BPN PROVIDES SERVICES TO APPROXIMATELY 45 PEOPLE EACH MONTH AND WAS SUCCESSFUL IN SUPPORTING 24 PEOPLE IN ACHIEVING THEIR GOALS OF COMMUNITY INTEGRATED EMPLOYMENT IN THE PAST YEAR. ADDITIONALLY, 7 PEOPLE EXPLORED CAREERS THROUGH SHORT TERM COMMUNITY-BASED WORK ASSESSMENTS AND 1 PERSON COMPLETED JOB SHADOWS IN CAREERS OF INTEREST. BPN PROVIDED SERVICES TO ROUGHLY 100 INDIVIDUALS IN THE PAST YEAR. THROUGH BPN, THRESHOLD CONTINUES TO CONTRACT WITH UNIQUESOURCE PRODUCTS & SERVICES, INC. TO MANAGE PHOTO LICENSE TECHNICIANS AND GREETERS AT NINE PHOTO LICENSE CENTERS IN SIX COUNTIES. THRESHOLD UTILIZES THIS CONTRACT OPPORTUNITY TO DIRECTLY EMPLOY OVER 75 PEOPLE WHO HAVE DISABILITIES.

MENTAL HEALTH RESIDENTIAL MENTAL HEALTH RESIDENTIAL SERVICES:GROUP LIVING ARRANGEMENTS WITH VARYING LEVELS OF SUPERVISION IN GROUP HOMES, APARTMENTS, AND SUPPORT SERVICES IN A PERSON'S OWN HOME ARE AVAILABLE FOR PEOPLE WITH MENTAL HEALTH CHALLENGES. A FULL ARRAY OF INDEPENDENT LIVING SKILLS TRAINING IS EMPHASIZED FOR PEOPLE TO ACHIEVE THEIR MAXIMUM INDEPENDENCE.COMMUNITY RESIDENTIAL REHABILITATION (CRR) GROUP HOME:THIS IS A "FULL-CARE MAXIMUM SUPERVISION" CRR GROUP HOME FOR UP TO 9 ADULTS WHO HAVE A PRIMARY MENTAL HEALTH DISABILITY/DIAGNOSIS. THIS "TRANSITIONAL RESIDENCE" IS DESIGNED TO WORK WITH BOTH MALES AND FEMALES WHO REQUIRE TRAINING AND SUPPORT WITH REGARD TO INDEPENDENT LIVING SKILLS (I.E., MEDICATION, NUTRITION, MEAL PREPARATION, COMPARATIVE SHOPPING, HOUSEKEEPING, HOME SAFETY, BUDGETING, PERSONAL HYGIENE, PHYSICAL HEALTH, COMMUNITY ORIENTATION, SOCIALIZATION, AND USE OF LEISURE TIME). THE GOALS AND OBJECTIVES ARE: TO EXPAND INDIVIDUAL'S SELF-CARE SKILLS; PROMOTE INDEPENDENCE; AND REDUCE THE NEED FOR AND FREQUENCY OF INPATIENT PSYCHIATRIC HOSPITALIZATION. COMMUNITY RESIDENTIAL REHABILITATION (CRR) CLUSTERED APARTMENT:THIS IS A "PARTIAL CARE SUPERVISION" CRR CLUSTERED APARTMENT SETTING FOR UP TO 3 INDIVIDUALS WHO HAVE A PRIMARY MENTAL HEALTH DISABILITY/DIAGNOSIS. THE INDIVIDUALS SERVED FUNCTION AT A MORE INDEPENDENT LEVEL WITH REGARD TO USING PUBLIC TRANSPORTATION; SELF-MEDICATION; HAVING SELF-CARE SKILLS; AND HAVING BASIC COOKING, NUTRITIONAL AND SHOPPING SKILLS. THE GOALS AND OBJECTIVES ARE TO PROMOTE INDEPENDENCE BY INCREASING THE INDIVIDUAL'S SELF-CARE SKILLS, TO REDUCE THE NEED FOR AND FREQUENCY OF INPATIENT PSYCHIATRIC HOSPITALIZATION, AND TO PREPARE INDIVIDUALS FOR A MORE INDEPENDENT LIVING ARRANGEMENT. SUPPORTED LIVING:SUPPORTED LIVING SERVICES ARE PROVIDED FOR ADULTS WITH MENTAL HEALTH CHALLENGES. MANY INDIVIDUALS HAVE A STRONG PREFERENCE TO BE IN CONTROL OF THEIR LIVING ENVIRONMENT AND TO CHOOSE WHERE THEY LIVE AND WITH WHOM. ADDITIONALLY, WE BELIEVE THAT INDIVIDUALS COULD BE MORE EFFECTIVELY RECEIVING SUPPORT SERVICES IN THEIR OWN APARTMENTS WHILE INCREASING THEIR SELF-ESTEEM, INTEGRITY AND EMPOWERMENT. THE SERVICE CURRENTLY SERVES OVER 60 INDIVIDUALS. THE GOALS AND OBJECTIVES ARE TO ASSIST INDIVIDUALS IN FINDING SAFE AND AFFORDABLE HOUSING IN THE COMMUNITY WHICH MAXIMIZES OPPORTUNITIES FOR INTEGRATION AND OFFER COMPREHENSIVE SUPPORTS AS INTENSIVELY AS NEEDED AND DESIRED BY SERVICE USERS IN ORDER TO MAINTAIN COMMUNITY LIVING. THE KEY SUPPORT ELEMENTS INCLUDE THE USE OF COMMUNITY RESOURCES, DEVELOPMENT OF DAILY LIVING SKILLS, FINANCIAL PLANNING; BUDGETING; SERVICE LINKAGES AND COORDINATION, RESPONSE AND SUPPORT RELATED TO HOUSING AND PSYCHIATRIC ISSUES AND EMERGENCIES. INDIVIDUALS CHOOSE, TO THE GREATEST EXTENT POSSIBLE, THEIR SUPPORT PERSON AND THE AREAS IN WHICH THEY DESIRE SUPPORT. THE DESIGNATED TIMES AND FREQUENCY OF SUPPORTS ARE DEVELOPED AROUND INDIVIDUAL NEEDS AND PREFERENCES. THEORETICALLY, SUPPORT SERVICES CAN BE PROVIDED ANYTIME, DAY OR NIGHT, DURING THE WEEK OR ON WEEKENDS AND ARE FLEXIBLE ENOUGH TO CHANGE AS THE INDIVIDUALS' NEEDS AND SITUATIONS CHANGE.