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a handbook for parents of children with autism spectrum disorders

a handbook for parents of children with autism spectrum disorders

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APPENDIX E:<br />

LEVELS OF CARE/<br />

TREATMENT AVAILABLE<br />

and returns to his or her primary residence daily.<br />

School-Based Partial Hospital Programs (SBPH) — SBPH provides licensed mental health partial<br />

hospital services <strong>for</strong> select <strong>children</strong> and adolescents <strong>with</strong> serious emotional and mental health needs.<br />

These programs can take place in an approved private school and/or an alternative setting such as an<br />

outpatient provider. Placement in such settings is normally initiated by the student’s home school district<br />

when the district can no longer effectively meet the student’s education needs <strong>with</strong>in its programs.<br />

Students in SBPH programs have Individualized Educational Plans as well as <strong>for</strong>mal mental health<br />

treatment plans covering the range <strong>of</strong> strengths, needs, and goals <strong>of</strong> the programs.<br />

Outpatient Services — These types <strong>of</strong> services include a range <strong>of</strong> short-term and long-term treatments<br />

which vary <strong>with</strong> the child’s diagnosis, severity <strong>of</strong> illness, coping skills, and available support systems.<br />

Outpatient treatment may include medication evaluations, medication management, individual therapy,<br />

family therapy, and group therapy, and may include treatments such as positive behavior support, social<br />

skills, cognitive based interventions, and communication. Group therapy may be particularly beneficial<br />

<strong>for</strong> <strong>children</strong> and adolescents <strong>with</strong> ASD when the focus <strong>of</strong> the group is to enhance communication<br />

and social skill development. While the range <strong>of</strong> Autism-specific outpatient programs differs widely<br />

in different geographic areas, the development <strong>of</strong> such programs continues to be a focus <strong>of</strong> many<br />

providers statewide.<br />

Resource Coordinator (RC) — This individual helps to link families to services, identifies appropriate<br />

supports/resources including both mental health and educational settings, aids in transportation to and<br />

from medical/psychiatric appointments, and identifies community supports.<br />

Intensive Case Manager (ICM) — An ICM is very similar to an RC and can link families to services,<br />

identify appropriate supports/resources including both mental health and educational settings, aid<br />

in transportation to and from medical/psychiatric appointments, identify community supports, and<br />

monitor medication compliance. Children involved <strong>with</strong> an ICM have access to 24-hour on-call ICMs <strong>for</strong><br />

assistance in a mental health crisis.<br />

Crisis Services — These services may be accessed through a medical or psychiatric hospital<br />

emergency room or crisis center or via a mobile crisis team. A mobile crisis team provides individual or<br />

team-delivered intervention in the member’s home, school, work, or community to address the crisis<br />

situation. Regardless <strong>of</strong> the method <strong>of</strong> crisis intervention, the main goal <strong>of</strong> crisis services is to establish<br />

safety, provide stabilization, and divert hospitalization when possible.<br />

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