Threshold Rehabilitation Services Inc

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. See additional information on schedule o. 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 has 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. Employment services:community participation support services:support and training of approximately 40 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. Berks personnel network:berks 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 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.see additional information on schedule o. Community residential rehabilitation (crr) group homes:two "full-care maximum supervision" crr group homes house up to 15 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. 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 100 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.

Chipp -community hospital integration projects program (chipp):in february 2001, threshold began providing services to ten patients transitioning from wernersville state hospital to the community through chipp. Services include a full array of 24/7 full care residential services, supported housing, clinical support and emergency respite services.the community hospital integration projects program is an initiative designed to promote the discharge of persons with a long-term history of hospitalization. Chipp funding creates a service system, which supports people to live in the community while managing state hospital utilization through the establishment of diversionary services.individuals chosen for chipp services are given the opportunity to select the type of living arrangement in which they want to reside. The majority of consumers have chosen to reside independently in an apartment or in a family living site. Family living provides ongoing residential support through the assistance of a host family. Housing support staff is used to support each individual as they maneuver their day-to-day activities. The hours of support time provided average 30-40 hours each week. Another option is residing in a community home with up to 24/7 care. This home supports up to four individuals.in addition to the direct housing supports, participants in chipp services are provided with clinical follow-up services, which are provided through a psychiatrist and psychiatric nurse, both of which are available on a 24-hour basis.inpatient psychiatric hospitalization diversion services provided to referrals from service access and management. Diversion services include housing supports, clinical services and family living respite.

Grants and other programs: psychiatric rehabilitation programs:mosaic house clubhouse (site based psychiatric rehabilitation):since december 1998, threshold has been providing a psychiatric rehabilitation program for adults with mental illness through mosaic house. Mosaic house is modeled after fountain house, the first clubhouse that opened in new york city in 1948. The clubhouse is designed to help members achieve social, educational and vocational goals. Members and staff participate in the development of activities and policies of the clubhouse. Everyone is actively involved in the operation and decision-making procedures of the clubhouse. The key to the clubhouse is the work-ordered day. Members are expected to participate in the work generated by the house: intake, clerical, cleaning, decorating, cooking daily lunch, assisting with members' education, accessing services, helping new members until they feel they can take responsibility, reach-out to absentees, etc. Members and staff work side-by-side in work units doing what needs to be done to keep the clubhouse functioning. By learning the work of the unit, members learn valuable skills, which can be used in everyday life, in school or training, at volunteer jobs, or in a place of employment.at the clubhouse, we believe that everyone has his or her own strengths, abilities and interests. We help members discover these things in themselves and focus on developing them. This builds confidence, which helps our members in the workplace, as well as in their personal lives. The emphasis is on developing vocational and social skills. However, we realize medication and therapy can play an important role in recovery. We strongly encourage our members to see their therapists regularly, and to take their medications as prescribed.every member has access to transitional employment opportunities, maintained permanently by the clubhouse but paid by the employers directly to the members. The positions average 6-9 months and about 15 hours per week. The transitional employment program targets entry-level positions in local businesses including clerical, mailroom, computer/data entry, food services, janitorial and receptionist duties. The clubhouse guarantees someone will be on the job for each shift. There is no production lost due to absence.every activity of each member is meant to assist members to get closer to independence, responsibility, and self-fulfillment. Mutual support, the well-being & success, and celebration of every member is at the heart of the concept and underlies everything that is done to ensure that every member feels needed in the program.the clubhouse guarantees all members the following rights: a guaranteed right to a place to come, a guaranteed right to meaningful work, a guaranteed right to meaningful relationships and a guaranteed right to a place to return.the clubhouse model is based on voluntary participation. It focuses on members' abilities - not disabilities and fosters initiative, cooperation and personal growth.mosaic house maintains certification from clubhouse international. Mosaic house maintains a license from omhsas to provide site-based psychiatric rehabilitation services.hope springs transitional-age clubhouse (site based psychiatric rehabilitation):in december 2015, threshold was awarded a healthy transitions grant through the substance abuse and mental health services (samhsa) agency and the berks county mental health/intellectual disability (mh/id) office. The grant is funding the start-up of a transitional age (16-25) site-based psychiatric rehabilitation services clubhouse program called hope springs clubhouse. The program is similar in nature to mosaic house clubhouse but focuses on the unique needs of transitional age young adults who struggle with mental health challenges.lebanon fairweather lodge:dr. George fairweather developed a residential model to support individuals with mental illnesses in their recovery while promoting community integration. In july 2017, threshold opened a fairweather lodge with the support of lebanon county. Threshold operates the lebanon lodge for up to 6 adults who have the ability to both live and work with minimal supports. The lodge residence resembles a family setting where the majority of supports are provided by the person's peers, rather than professionals. The responsibilities of a lodge resident include: - being involved in the operations of the home. - attending house meetings. - electing a manager, treasurer and secretary of the home. - contributing financially for rent, utilities & food. - being involved in the decision-making process of admitting new residents. - creating house rules. - working daily as a member of the home and lodge business.