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To be eligible for case management services, children/adolescents must be Seriously Emotionally Disturbed (SED) with a defined serious mental illness, such as bipolar disorder or attention deficit/hyperactivity disorder, and must exhibit at least one of the following:
Children under age 7 who are at-risk of SED must meet at least one of the following criteria:
For more information contact Scott Britton, Mental Health Care Coordinator, at 804-758-4035.
Medicaid, Comprehensive Services Act (CSA) funds secured through Family Assessment and Planning Teams (FAPT) in your county or private pay based on a sliding scale pay for the service. For more information contact Scott Britton, Mental Health Care Coordinator, at 804-758-4035.
Yes. Any of the following may provide a referral to Intensive Outpatient Family Therapy Services:
For more information, call Rachel Teagle at 804-758-4035.
Three Rivers Healthy Families invites all expectant families to participate in a prenatal interview. Our staff highlights each available community resource for parenting support. Interview outcomes often result in referrals for services of identified needs. Participants also get an overview of what to expect from a particular service. For more information email Early Intervention Services.
The schedule is available on the Intranet Main Menu. Contact Deanna via email or phone 804-758-5314.
Intensive care coordination (ICC) is a state-funded Comprehensive Services Act (CSA) program focused on reducing the time that children spend in residential treatment facilities. The intensive care coordinator works closely with the child in various residential facilities on becoming a viable candidate for discharge. At the same time, the intensive care coordinator also works closely with the family and community to help prepare for the child's return. ICC can also work with families and community partners to prevent residential placement.
For more information contact Scott Britton at 804-758-4035.
If the child is placed in a residential facility, the coordinator visits the child at least twice monthly, helping the child to meet appropriate goals to ensure discharge from the facility.
The coordinator also works closely with the child’s natural supports and agencies (for example, family members, clergy, and others) within the community. A wrap-around treatment plan is established to bolster the child’s natural support network and to provide for a successful transition into the community. The coordinator also works closely with the Family Assessment and Planning Team (FAPT), as well as the case manager, to foster coordination between all agencies involved.
Third party payers (health insurance), CSA funds, or client pay based on a sliding scale fund the service.
The coordinator also works closely with the child's natural supports and agencies (for example, family members, clergy, and others) within the community. A wrap-around treatment plan is established to bolster the child's natural support network and to provide for a successful transition into the community. The coordinator also works closely with the Family Assessment and Planning Team (FAPT), as well as the case manager, to foster coordination between all agencies involved.
Any child currently in a residential treatment facility or deemed at risk of entering a residential treatment facility may, upon referral, be eligible for this service. The child must be "mandated" (that is, s/he must have an Individual Education Plan (IEP), or be in foster care or at risk of out-of-home placement) and referred through local Family Assistant Planning Teams (FAPT) and Community Policy and Management Teams (CPMTs) with approved Comprehensive Services Act (CSA) funds.
For more information, contact Scott Britton at 804-758-4035.
Intensive in-home services consist of home-based and family-centered counseling for children/adolescents who are at risk of out-of-home placement due to their behaviors.
Services are intense and are provided from 3 to 10 hours per week to the child and family in their homes, schools, and sometimes at Middle Peninsula-Northern Neck Community Services Board (MPNNCSB) outpatient clinics or agencies in the community where the child and family are involved.
The child's residence, as the setting for the services, is more likely to be successful than a clinical setting.
Email Karen Grabowski or call at 804-694-9154 for more information.
Children who have mental, behavioral, or emotional illness, are at risk of out-of-home placement due to their clinical needs, and need services more intensive than outpatient clinic care are eligible if they also meet at least two of the following criteria:
Medicaid and Comprehensive Services Act (CSA) funds that are approved by the Family Assessment and Planning Team (FAPT) and Community Policy and Management Team (CPMT) pay for these services. For more information email Karen Grabowski or call at 804-694-9154.
Children with Serious Emotional Disturbance may need to be hospitalized. We work closely with the family to manage the child's symptomatic behavior without hospitalization, if possible, by implementing a structured plan to avoid a hospital stay. Therapists and supervisors are available 24/7 to monitor and assist. However, if a structured plan cannot be implemented with the parents and family, therapists arrange for prescreening with Middle Peninsula Northern Neck Community Services Board (MPNNCSB) staff and admission to a hospital.
For more information, email Karen Grabowski or call at 804-694-9154.
Family and/or caretakers are often in the best position to identify triggers of crises within the home environment. Middle Peninsula Northern Neck Community Services Board (MPNNCSB) staff can often guide them to change patterns that may contribute to emergency situations. Parents or caretakers, assisted by MPNNCSB staff, can then make a significant systemic change that may ultimately reduce or potentially even eliminate the child's serious emotional and behavioral problems.
No, not directly. The following community members must provide referrals:
Children who need more frequent and intense therapy than outpatient treatment may be referred for these services, which are outpatient, clinic-based individual and family therapy.
These services involve:
Children who demonstrate any one of the following are eligible for services:
Medicaid, third party payers (health insurance), CSA (Children's Services Act) funds, or client pay based on a sliding scale fund the service. For more information, call Emily Eanes at 804-758-4035.
For more information you can contact Rachel Teagle, M.S. at 804-758-4035.
Children, youth, families, schools, and a wide-range of other community groups and organizations throughout the ten counties served by the Middle Peninsula-Northern Neck Community Services Board (MPNNCSB) can benefit from Prevention Services programs. To learn more, email Prevention Services or call 804-642-5402
Parents who are interested in learning new or different approaches can register for one of the many parenting classes that we offer.
Educators might want to learn about the many school-based prevention programs that we offer to children and youth. Principals, teachers, or guidance counselors could explore topics such as:
Parent-teacher associations (PTA) can bring these prevention programs to their school communities.
These are a sampling of the topics that we can address in a training or workshop forum. We can also tailor a program to meet your specific organization's needs.
The Prevention, Health and Wellness Division's local phone number is 804-642-5402. Our toll free number is 1-888-PREV-550 and our fax number is 804-642-8765. You can also email Prevention Health and Wellness.
When you call our office, program staff will help you identify the service or program that you seeking.
In general referrals are not required to take part in our programs, classes and trainings. Referrals are involved in some of our parenting programs.
We recommend that you please call our office to discuss which program, class or training you are exploring so we can provide you with additional information.
Once RISP gets a referral, your child receives one or more of the following services, as needed, based on his or her individualized plan. Note that every child may not need all of these services.
Email Early Intervention Services for more information.
Many children seem to learn everyday skills easily, including crawling, walking, talking, playing, and eating. Some children, however, need special help to learn these skills, and the RISP staff can help parents give their children that extra help. Working with children early in their lives is the best way to help reduce developmental delays and can sometimes prevent developmental problems. For young children with special needs, early intervention services are a very worthwhile investment in the future, offering many benefits as the child gets older.
We help children from birth to three years old, including those born prematurely or with a medical problem that may cause developmental delays. All children will grow and learn - some quickly, some more slowly. Their families are central to fostering their development. We also help children who have a disability or who are having problems learning to:
Our services aim to help families address areas of concern about their children. Each time we visit, we share information about how parents can help their child. We depend on parents to let us know how their child is doing and what is working best for both parent and child. Email Early Intervention Services for more information.
Since a child in day care typically responds best to familiar people in any setting, it would be most helpful for a day care provider to be actively involved in the RISP visits. This way, RISP staff and the child's care provider can work together to address the family's concerns, as well as any issues that have been noted in the day care setting. RISP visits are also a good time to try out different suggestions and to find out what works best for the child.
Childcare is busy enough, so RISP staff members do not want to add to it by asking providers to create "therapy" time each day. Instead, RISP staff will show how to adapt some of the existing routines and activities using materials that are already in the day care setting to help encourage child development. Before beginning services in the day care setting, RISP staff will ask to meet with the care provider to make sure that our services will be helpful and feasible.
Our referrals generally come from doctors, families, and from many agencies and programs in the community that work closely with us, such as:
Anyone who refers a child to RISP should obtain parental permission before making a referral.
Young children learn best in their "natural environment," which is usually in their home or day care setting. RISP staff usually visits a child at home, and can also provide some services in the day care setting, if the parent and childcare provider are interested. Email Early Intervention Services for more information.
RISP receives funding from a variety of sources, including state and local dollars through the Community Services Board. RISP also receives funding from other state and local agencies, civic groups, individuals, and organizations.
Additional funding comes from Part C of the Individuals with Disabilities Education Act (IDEA), so there is never a charge to a family for some services, such as a child's developmental screening, evaluation, plan development, or service coordination.
RISP is licensed as an outpatient rehabilitation program and charges a fee for direct physical therapy, occupational therapy, and speech therapy. Most health insurance will cover part or all of the cost of these services.
If the cost of RISP services would be a hardship to any family, our agency can use a statewide sliding fee scale to reduce the charges to the family based on its income and need. No family is ever denied services because of inability to pay.
Statistics are important, but they do not tell the whole story. They cannot measure the impact of a young child achieving a goal that his or her family did not even dare to dream would be possible: a toddler with cerebral palsy taking her first steps, a child with hearing impairment using sign language for the first time, or the smile of a baby who is blind when he recognizes his grandmother's face by touch. In addition to identifying specific goals for each child and measuring progress toward those goals, RISP continues to measure parent satisfaction with program components.
Here is the impact that some families have told us about:
School-based mental health services are available to help children with Serious Emotional Disturbances (SED) to reach their full positive-behavior potential in the least restrictive environment. The program helps to increase functional life skills of children whose emotional and behavioral disorders place them at risk for out-of-school and/or out-of-home placement.
Behavioral specialists provide individual and group counseling at school each day and family counseling each week.
Services also include crisis intervention and ongoing collaboration and consultation with school staff.
For more information contact Coordinator Emily Eanes at 804-758-4035.
The individuals who are eligible for the services are children under 18 who have SED (seriously emotionally disturbed) with a defined serious mental illness and have behavioral and emotional problems that:
Children with SED who have at least two of the following on a continuing or intermittent basis:
Medicaid and Comprehensive Services Act(CSA) funds, which are approved by the Family Assessment and Planning Team (FAPT) and Community Policy and Management Team (CPMT) pay for services. For more information contact Coordinator Emily Eanes at 804-758-4035.
Each day the child will receive at least one hour with the behavioral specialist through a combination of individual counseling, group counseling, and classroom observation/consultation with teachers and crisis intervention, as needed. For more information contact Coordinator Emily Eanes at 804-758-4035.
The child receives individual counseling at least once a week, group counseling 1 to 5 days per week, and family counseling at least once per week. For more information contact Coordinator Emily Eanes at 804-758-4035.
Contact your school guidance counselor or principal/assistant principal of the school that the child attends. For more information contact Coordinator Emily Eanes at 804-758-4035.
No. The services are funded with Medicaid or Comprehensive Services Act (CSA) funds approved by the local Family Assessment and Planning Team (FAPT) and the Community Policy and Management Team (CPMT). For more information contact Coordinator Emily Eanes at 804-758-4035.
Strategic Family Mentoring (SFM) works in conjunction with other Middle Peninsula-Northern Neck Community Services Board (MPNNCSB) services, such as outpatient, intensive outpatient, and intensive in-home therapy, to promote the achievement of treatment goals. For example, mentors can be extremely effective as positive role models to help the single parent family.
Mentors are individuals who are selected and hired by the MPNNCSB as part-time employees who collaborate with the therapist to assist and support the family as they work on achieving their goals.
Mentors monitor client/family progress and communicate observed strengths and barriers to the therapist weekly. Mentors are the therapists' "eyes and ears in the field," and the client/family "coach and cheerleader."
Mentors are not substitute parents or friends, but are part of the therapeutic team to support lasting positive change. They assist the child/adolescent and family in developing the natural family and/or community supports that will help to maintain the therapeutic changes after the mentor is gone.
Children/adolescents between 5 and 17 years old with a parents/guardians willing to participate in SFM service. The family must reside within one of the ten counties served by the Middle Peninsula Northern Neck Community Services Board (MPNNCSB). Child/adolescent must be receiving outpatient, intensive outpatient, or intensive in-home therapy from a MPNNCSB therapist.
Mentors work with the family and therapist to:
Comprehensive Services Act (CSA) funds approved by the county Family Assessment and Planning Team (FAPT) and the Community Policy and Management Team (CPMT) pay for SFM services. For more information contact Scott Britton, Mental Health Care Coordinator, at 804-758-4035.
Discuss the need for a Mentor with your therapist. They will submit the referral and pursue funding through Family Assessment and Planning Team (FAPT). Agencies who are referring for the service should contact Rachel Teagle, Youth Family Services (YFS)/Intensive In-home Coordinator 804-776-7501 ext. 104), to obtain the referral form and schedule the SFM request for funding through FAPT.
The comprehensive home visits include parenting education and support for eligible prenatal families.
A family support worker assists parents with the increasing challenges that their new baby may bring. Families engage in a variety of activities during visits to develop their range of parenting skills. This program continues until the child enters their local Kindergarten program.
Parents may also learn how to manage their household, solve specific problems, and deal with unexpected situations. The family can increase their knowledge of child development and positive parent-child interactions. Parents receive guidance in developing the ability to access and utilize community resources based on individual needs. The family support worker encourages positive health behaviors during pregnancy to promote and advocate a healthy child.
To build a child's library and story time at home, each child receives a new age-appropriate book every three months. The goal is to place 30 books in the home of every child in the program. Literacy activities are shared during the home visits with the child and modeled for parents. Families are frequently transported to a "storytime" at their local library and personally contacted about attending special events to promote literacy.
Three Rivers Healthy Families offers assessments for all children four months to five years of age. Initially, parents complete an assessment that identifies concerns about their child's development. Our family support worker then follows up with a plan based on the assessment outcome and parent's input. Email Early Intervention Services for more information.
The TRHF staff and Board have involved parents in a leadership role from TRHF's inception. Parent involvement is a vital component in preparing families to take a proactive role in addressing their needs as well as those of the community.
The TRHF Board of Directors includes parents and involves additional parents for special projects with Board members. Parents enrolled in TRHF have participated in community presentations that target current funding sources and potential resources. In addition, parents have shared their views through written program articles and newspaper interviews to promote community awareness.
Case management services are provided to those children/adolescents with Serious Emotional Disturbances (SED) (and their families) who need multiple services that require referral and coordination among a variety of providers.
Case management services may include, but are not limited to the following:
Case management services assist children who are Seriously Emotionally Disturbed and their families in practical areas of daily living. For example, case managers may act as a liaison to other agency services, including medication management and therapy. A case manager can also help you to research area services providers, coordinate with other service agencies, and monitor progress toward mental health goals.
Parents or guardians can request case management services from their outpatient therapist, who will make the referral. Those who are not currently seeing a therapist can request assistance from Emergency Services, who will schedule an intake/evaluation appointment with a mental health therapist.
When might crisis stabilization services be needed? These services are most frequently employed when the child or adolescent needs an immediate clinical intervention in the least restrictive setting to lessen the impact of mental health dysfunction. Stabilization services are sometimes used as a "step down" program for those being discharged from psychiatric facilities and returning to the community.
The goal is to develop and restore adaptive, stable functioning within the home, school, and/or community.
The service consists of clinical personnel meeting daily with the child for up to 15 consecutive days and up to 8 hours per day.
Clinicians providing crisis stabilization teach positive coping skills. The goal is to instill a sense of hope by assisting the child and family in managing the crisis, while reducing the acute emotional distress of the child or adolescent, assuring safety for the child and others.
Those eligible for crisis stabilization services include:
The following may provide referrals for these services:
Fees for the service are covered under most Medicaid plans; private payment may be arranged on an individual basis, including the use of a sliding fee scale. For more information contact Scott Britton, Mental Health Care Coordinator, at 804-758-4035.