SA Intensive Outpatient Program (SAIOP) means structured individual and group addiction activities and services that are provided at an outpatient program designed to assist adult and adolescents individuals to begin recovery and learn skills for recovery maintenance. The program is offered at least 3 hours a day, at least 3 days a week, with no more than 2 consecutive days between offered services, and distinguishes between those individuals needing no more than 19 hours of structured services per week (ASAM Level II.1). The individual must be in attendance for a minimum of 3 hours a day in order to bill.

SAIOP services shall include a structured program consisting of, but not limited to, the following services: Individual counseling and support; Group counseling and support; Family counseling, training or support; Biochemical assays to identify recent drug use (e.g. urine drug screens); Strategies for relapse prevention to include community and social support systems in treatment; Life skills; Crisis contingency planning; Disease Management; and Treatment support activities that have been adapted or specifically designed for individuals with physical disabilities; or individuals with co-occurring disorders of mental illness and substance abuse or dependence; or an intellectual or developmental disability and substance abuse or dependence.

CST provides mental health and substance abuse rehabilitative services and supports. This service is conducted by a team approach with the primary goal of assisting consumers to reach their recovery goals.

My Friend’s House is a structured therapeutic program designed to help adults with psychiatric disabilities increase their functioning so that they can be successful and satisfied in the environments of their choice with the least amount of ongoing professional intervention. PSR focuses on skill and resource development related to life in the community and to increasing the participant’s ability to live as independently as possible, to manage their illness and their lives with as little professional intervention as possible, and to participate in community opportunities related to functional, social, educational and vocational goals.

The service is based on the principles of recovery, including equipping individuals with skills, emphasizing self-determination, using natural and community supports, providing individualized intervention, emphasizing employment, emphasizing the “here and now”, providing early intervention, providing a caring environment, practicing dignity and respect, promoting individual choice and involvement in the process, emphasizing functioning and support in real world environments, and allowing time for interventions to have an effect over the long term.

The following are classes, skills and pre-vocational trainings to assist each participant in successful developments:

• community living – such as housekeeping, shopping, cooking, use of transportation facilities, money management;
• personal care – such as health care, medication self-management, grooming; social relationships; use of leisure time;
• educational activities – which include assisting the individual in securing needed education services such as adult basic education and special interest courses; and
• prevocational activities – which focus on the development of positive work habits and participation in activities that would increase the individual’s self-worth, purpose and confidence; these activities are not to be job specific training.

Assertive Community Treatment Team is a more intensive service than Community Support Team provided 24/7 days per week. ACTT is designed for individuals who have a serious and persistent mental illness and are in need of intensive mental health services. These individuals often have difficulty taking care of their basic needs such as; maintaining adequate housing and employment, connecting and completion of educational/vocational goals, substance abuse, medication management and issues relating to probation or other legal concerns.

The goals of ACTT services are addressed by the individual’s  needs such as;  promoting symptom stability, appropriate and consistent use of medication(s), promoting and maintaining physical health through linkage and coordination of primary care attention; establishing access to entitlements such as; housing, work and social opportunities while promoting and maintaining the highest possible level of functioning in the community. ACTT services are offered in the homes, workplace and other settings where problems occur or where support is needed.

ACT teams give consumers whatever services and supports they need for as long as they need them. With ACTT, consumers benefit from services most because they are hospitalized less often and have more stable housing. 

The ultimate goal of our SA Program is long-term abstinence from drugs and alcohol. This is achieved through individualized treatment planning, group education and individual counseling. Our goal is to assist each consumer in sustaining sobriety and becoming successful at implementing the tools provided for recovery in their lives.

The Camel Home is currently a transitional housing program designed for highly functioning adult males. This program aims to provide a temporary place of residency while the individual is in the process of securing permanent housing. The length of stay will be determined by each referring professional, the resident and TPCS staff.

The Camel Home is a traditional style 4 bedroom home with a common area for all the residents to share, kitchen and dining room. There is one bed per room. There will only be one occupant per room at a time. The home has 1 full bath. The home also has a washer and dryer located in the kitchen of the home. All living areas are located on the main level. Rent, utilities, access to a washer/dryer, land line, cable and a PC is provided in the home for one weekly fee.

Peer Support Services are structured activities for adults age eighteen (18) and older with a Mental Health and/or Substance Abuse disability. Peer Support Services are provided by Peer Support Specialists. Peer Support Service is an individualized, recovery-focused service that allows individuals the opportunity to learn to manage their own recovery and advocacy process. Interventions of Peer Support Specialists serve to enhance the development of natural supports, as well as coping and self-management skills. Interventions of Peer Support Specialists may also provide supportive services to assist an individual in community re-entry following hospitalization.

Peer Support Services emphasize personal safety, self-worth, confidence, and growth, connection to the community, boundary setting, panning, self-advocacy, personal fulfillment, and development of social supports, the helper principle, and effective communication skills. Services emphasize the acquisition, development, and expansion of rehabilitative skills needed to move forward in recovery.

Examples of specific interventions include:

1. Self Help: Cultivating the individual’s ability to make informed, independent choices. Helping the individual develop a network of contacts for information and support based on experience of the Peer Support Specialist.
2. System Advocacy: Assisting the individual to talk about what it means to have a mental illness to an audience or group. Assisting the individual with writing a letter or making a telephone call about an issue related to mental illness or recovery.
3. Individual Advocacy: Discussing concerns about medication or diagnosis with the Physician or Nurse at the individual’s request based on experience of the Peer Support Specialist. Helping the individual make appointments for psychiatric and general medical treatment when requested. Guiding the individual toward a proactive role in health care.
4. Pre-Crisis and Post-Crisis Support: Assisting the individual with the development of a personal crisis plan, and/or a Psychiatric Advance Directive (PAD). This includes help in developing the Wellness Recovery Action Plan (WRAP). Giving feedback to the individual on early signs of relapse and how to request help to prevent a crisis. Assisting the individual in learning how to use the crisis plan. Supporting the individual in seeking less restrictive alternatives to locked hospital facilities and Emergency Department evaluations.
5. Housing: Assisting the individual with learning how to maintain stable housing through bill paying, cleaning, and organizing his or her belongings. Assisting the individual in locating improved housing situations. Teaching the individual to identify and prepare healthy foods according to cultural and personal preferences of the individual and his/her medical needs.
6. Education/Employment: Assisting the individual in gaining information about going back to school or job training. Facilitating the process of asking an employer for reasonable accommodation for psychiatric disability (mental health day, flex time, etc.).
7. Meals and Social Activities: To Build peer relationships where eating is not the core activity offered. The focus of the meal in a social setting is skill maintenance and enhancement.
8. Peer Support Whole Health Integration: Supporting the individual in setting personal expectations and health objectives to help accomplish overall life, health and wellness goals. Support the individual in learning and implementing incremental and measurable objectives to manage co-occurring MHSA and medical illnesses through best practice models of integrated health care.
9. Wellness and Recovery Support: Implementation of community engagement and support activities to enhance wellness and social engagement, reduce isolation, promote social and other skill development in the setting of a community wellness center.

Respite services are designed to provide periodic support and relief to primary caregivers who care for children (ages 3 to 20) with mental health (MH), substance abuse (SA) and/or intellectual/developmental disabilities (I/DD) diagnoses, and for adults with I/DD. Persons receiving this service must live in a non-licensed setting, with non-paid caregiver(s). This service enables the primary caregiver(s) to meet or participate in scheduled and unscheduled events away from the child or adult consumer described above, while still insuring care is delivered by an appropriately trained staff. Respite may include in and out-of-home services, activities in a variety of community locations, and may include overnight services.

Respite services may be provided according to a variety of models. These may include weekend care, emergency care (family emergency based, not to include crisis respite), or continuous care up to ten (10) days. The respite provider addresses the health, nutrition and daily living needs of the child with MH, SA and/or I/DD diagnoses or the adult with I/DD. The individual does not need care that requires nursing oversight as defined by the NC Board of Nursing.

The primary caregiver is defined as the person principally responsible for the care and supervision of the child with MH, SA and/or I/DD diagnoses or the adult with I/DD and must maintain his/her primary residence at the same address as the child or adult.

Individual Support is a “hands on” service for persons with Serious and Persistent Mental Illness (SPMI). The intent of the service is to teach and assist individuals in carrying out grocery shopping and managing money, so they can live independently in the community. The goal is that the need for this service will decrease over time as the individual becomes capable or performing some of these activities more independently.

Individual Support interventions must be based on the Psychiatric Rehabilitation and Recovery model (Http://cpr.bu.edu/) The goal of psychiatric rehabilitation is to help people with serious and persistent mental illness develop the skills needed to live, learn and work in the community with the least amount of professional support possible.

Individual Support uses the basic Tenancy Support within the Permanent Supportive Housing model per the toolkit through SAMHSA, to help individuals choose their home, learn skills to maintain their home, and ensure long term housing retention in the community with the same rights and responsibilities as everyone else.

Individual Support is a direct, one-on-one service. Individuals may receive this service up to 90 days prior to transitioning into independent housing. This would include individuals who live in private homes, licensed group homes, adult care homes and hospitals. Individuals who live in independent housing may receive this service with a plan to fade or decrease services over time.