Adult Rehabilitation Services

There are many ways a person is affected by Mental Health issues. Region Ten strives to meet those diverse challenges by offering a wide range of programs always keeping the consumer at the center of his or her recovery. We use innovative, yet proven methods to help a person recover from mental illness and become as full a member of society as possible. Peruse our website to see what services we offer. Then call (434) 972-1800 for an appointment. Together with our intake staff (Access team) you'll decide what particular services are best for you. Appropriate referrals for these programs will be made by the Access team.

PACT (Assertive Community Treatment Services)

Program Description: The Program for Assertive Community Treatment (PACT) Team offers daily community-based treatment for consumers in recovery from a serious mental illness. PACT is a multidisciplinary team, including psychiatry, nursing, case management and mental health therapy. The team provides psychiatric treatment, vocational rehabilitation services and intensive case management to assist persons served with living successfully in the community and reducing their need for hospitalizations.

Individuals Served: The PACT team assists consumers with a serious mental illness (such as Schizophrenia, Schizoaffective Disorder or Bipolar I Affective Disorder) who can benefit from intensive outpatient treatment and case management.

Program Hours of Operation: 7 days per week; 8:30am-8:30pm, with after hours on-call and crisis intervention services.

Evidence Based Information: Program for Assertive Community Treatment (PACT) is an evidence-based practice with clear treatment guidelines and program standards. Positive outcomes include reduced hospitalizations and improved clinical stability.

Access to Programs: Please call 434-972-1800 for Intake appointment to agency. Referral by agency case management.

Payment for Services:: Sliding scale and payment plan available; Funding source: Medicaid, State Funding, Sliding Scale Fees.

Other Important Information:To find more information about PACT services, go to the following websites:

www.nami.org - the National Alliance on Mental Illness website
www.samhsa.org - the Substance Abuse and Mental Health Services Administration website

Intensive Services Team - Supported Residential Services

Program Description: Intensive in-home and in-community training and support designed to help a person with serious mental illnesses understand the illness and establish personal recovery goals. Recipients learn and practice skills important to achieving psychiatric stability, independent living and becoming a productive member of the community.

The services and training vary in duration and intensity The Intensive Services Team helps recipients with medication management and monitors their health, nutrition and use community resources. Services can be authorized for six, consecutive months. Services may be continued at six-month intervals or following a break in service.

Individuals Served: Individual must have had a history of at least one psychiatric hospitalization and demonstrate a clinical necessity for the service arising from a condition due to mental, behavioral, or emotional illness which results in significant functional impairments in major life activities.

Individual must meet two of the following criteria on a continuous or intermittent basis:

1. Has difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or homelessness;
2. Requires help in basic living skills such as maintaining personal hygiene, preparing food, maintaining adequate nutrition, or managing finances, to such a degree that health or safety is jeopardized;
3. Exhibits such inappropriate behavior that repeated interventions by the mental health, social services, or judicial system are necessary;
4. Exhibits difficulty in cognitive ability such that he/she is unable to recognize personal danger or to recognize significantly inappropriate social behavior.

Access to Program: Please call 434-972-1800 to schedule an Intake Appointment. Access by referral from agency case management.

Payment for Services: Full payment required. Funding sources: Medicaid, Discharge Assistance Planning funds, and self payment.

Residential Services:

Supervised Residential Services/Carlton Residential Programs

Program Description: The Carlton Residential programs provide varying levels of supervision, training and support. Programs are considered transitional with the goal of assisting residents in achieving greater levels of independence in the community.

Individuals Served: 19 consumers with mental health issues who require increased supervision, support and intensive skill training.

Program Hours of Operation: 301 Carlton Road: staffed 24/7; 1210/1212 Carlton Avenue: staffed 7:30 a.m. - 10:00 p.m. every day.

Evidence Based Information: Psychiatric Rehabilitation Principles- USPRA and SAMHSA Principles of Recovery

Access to Program: Please call 434-972-1800 for agency intake appointment and referral by case management.

Payment for Services: Full Payment required. Consumers must also have funding source to pay for rent. Funding sources include (but are not limited to): Medicaid, Discharge Assistance Funds and self pay.

Dual Recovery Center (DRC)

Program Description: The Dual Recovery Center is a program of permanent supportive housing and services to homeless individuals in Charlottesville and the surrounding area who have serious mental illnesses and problems with alcohol and drug addiction. The project combines a peer-assisted-living model of stable, permanent housing and supportive treatment services to establish and maintain abstinence for the participants. A support team of dual-diagnosis case-management, recovery support, and housing staff reach out to potential applicants to engage them in services. A progressive approach is used to address basic needs for food, shelter, clothing, as well as treatment for psychiatric and substance abuse disorders, health care needs, social supports, and rehabilitation. Persons with dual conditions who are homeless qualify for the HUD housing program.

Individuals Served: Adults 18 years and older who have both a serious mental illness, including a psychotic component, and a substance/dependence disorder. Individuals must have a history of a least one psychiatric hospitalization and demonstrate a clinical need for the service arising from a condition due to mental, behavior, or emotional illness that results in a significant functional impairment in major life activities.

Individual must meet two of the following criteria on a continuous or intermittent basis:

1. Has difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or homelessness;
2. Requires help in basic living skills such as maintaining personal hygiene, preparing food, maintaining adequate nutrition, or managing finances, to such a degree that health or safety is jeopardized;
3. Exhibits such inappropriate behavior that repeated interventions by the mental health, social services or judicial system are necessary;
4. Exhibits difficulty in cognitive ability such that he/she is unable to recognize personal danger or to recognize significantly inappropriate social behavior.

Program Hours of Operation:: 9:00 a.m.-11:00 p.m. M-F

Access to Program: Please call 434-972-1800 for agency intake or by referral from case management or homeless outreach staff.

Payment for Services: Full payment is required. Sources of payment included Discharge Assistance Planning funds and Medicaid.

PACSS (Partnership for Assertive Community Support Services)

Program Description: PACCS Program: PACSS is a joint service project of Region Ten Community Services Board and On Our Own - Charlottesville, inc. The PACSS program is designed to have a strong self-help orientation. Participants will be full partners in the development of their personal recovery plan. It is the practice of the PACSS Program to accept and work with those individuals whose needs can be met with the resources and services available through the program.

Development of individualized rehabilitation and support plans characterized by:

- developing strong supportive relationships between client staff and the identified clients in need.
- assisting with community adjustment and participation
- educating/helping clients who are under stress, isolated, and in need.
- teaching and encouraging self-assessment and self-management of treatment
- making supports available during non-traditional hours---evenings, weekends, and holidays.

Individuals Served: PACSS: Persons will be considered for admission that meet all the criteria listed below, as determined by PACSS staff.

1) The person is eighteen years of age or older.

2) The person is experiencing a serious mental illness as demonstrated by a) An Axis I mental health diagnosis that may include a co-occurring disorder b) a disabling or impairing impact of this mental health condition, and c) an expectation that the impact of the illness will be of longer term duration.

3) The person is currently experiencing social isolation; significant personal distress; or is participating only marginally in the mainstream social and recreational opportunities available in the area.

4) The person's life circumstances in the last twelve months demonstrate an inability or unwillingness to use traditional supports and/or mental health interventions.

5) The person chooses to participate in the PACSS program.

6) The person has no recent history of assault on property or persons that PACSS staff cannot address in safety.

Program Hours of Operation: PACSS:8-9 variable shifts M-F some weekend availability.

Access to Program: Please call 434-972-1800 for intake appointment or access outreach workers at area shelters.

Payment for Services: Funding comes from MH Transformation Funds, Medicaid; full funding is not required.

Other Important Information:

PACSS Information: We are excited about the possibilities in this project for:

a) reducing the stigma of mental illness as it is experienced by consumers and unwittingly sustained by staff, the service system, and the community as a whole.

b) affirming and demonstrating the benefits of expanded collaboration between On Our Own, Charlottesville or other independent primary consumers and Region Ten CSB.

c) positively exploring alternatives to involuntary psychiatric hospitalizations through intensive, socially affirming outreach, supports, Wellness Recovery, in-home assessment and treatment, and close monitoring of those consumers under stress and at higher risk for relapse of symptoms.

d) promoting consumer empowerment by providing uniquely motivating and competent role models and mentors.

e) emphasizing quality of life --- especially as defined by and experienced by the potential recipients of supports --- as both the first and final measure of service effectiveness. The individual consumer's quality of life is the context within which all other measures of success are to be viewed.

f) reversing the isolating and downward-spiraling effects of untreated negative symptoms-- thereby assisting in a renewed sense of personal worth and well-being.

The PATH Program – Projects for Assistance in Transition

Program Description: PATH Program: The PATH program is administered by the Center for Mental Health Services, a component of the Substance Abuse and Mental Health Services Administration (SAMHSA), one of eight Public Health Service agencies within the U.S. Department of Health and Human Services. The PATH Program – Projects for Assistance in Transition from Homelessness – was authorized by the Stewart B. McKinney Homeless Assistance Amendments Act of 1990.

PATH is a formula grant to the 50 states, the District of Columbia, Puerto Rico, the Northern Mariana Islands, Guam, American Samoa, and the U.S. Virgin Islands. There are over 480 local organizations that provide PATH services. The National PATH Technical Assistance Center assists SAMHSA in providing support to the state and local providers.

PATH providers work with service delivery systems and embrace practices that work by:

• partnering with housing first and permanent supporting housing programs.
• providing flexible consumer-directed and recovery-oriented services to meet consumers where they are in their recovery.
• improving access to benefits, especially through SSI/SSDI Outreach, Advocacy, and Recovery (SOAR).
• employing consumers or supporting consumer-run programs.
• partnering with medical providers, including Health Care for the Homeless and Community Health Centers to integrate mental health and medical services.
• improving access to employment.
• using technology such as hand-held PDAs, electronic records, and Homeless Information Management Systems (HMIS) systems.

States and Territories also use PATH funds to train local provider staff on effective strategies to assist persons who are homeless with severe mental illness.

Individuals Served: PATH services are for people with serious mental illness, including those with co-occurring substance use disorders, who are experiencing homelessness or at risk of becoming homeless. PATH services include community-based outreach, mental health, substance abuse, case management and other support services, as well as a limited set of housing services.

Virtually all states use PATH funds to provide outreach services to contact and engage people who are disconnected from mainstream resources. FY 2007 data reveal:

• 95 percent of all providers offer outreach to persons experiencing homelessness.
• 95 percent of providers offer case management services, including assisting with connecting individuals to mainstream benefits and services.
• 95 percent of providers use PATH funds to assist clients in accessing primary health care services, job training, education services, and housing.
• 85 percent of providers assist consumers with navigating the housing application process.

Program Hours of Operation: PATH: Variable from 8:00 am-9:00 pm.

Access to Program: Please call 434-972-1800 for intake appointment or access outreach workers at area shelters

Payment for Services: Funding comes from federal block grant (PATH) ; full funding is not required.

Other Important Information: To find more information about PATH services, go to the following website:

www.pathprogram.samhsa.gov/Super/Path/About.aspx

Blue Ridge Clubhouse

Program Description:The Blue Ridge Clubhouse is a psychosocial rehabilitation center serving those recovering from the impact of mental illness. The program provides a safe and supportive environment with opportunities for rehabilitation. Together with staff, members design a plan to achieve personal recovery. It is a supportive environment where members take part in recovery-oriented activities. Those include learning to work in ways that reinforce personal achievement, empowerment and increasing psychological and social skill development. The activities act as building blocks that club members use to gain more satisfying relationships, personal growth, and productive employment in the community. The social opportunities in the clubhouse increase members' confidence as they develop new friendships and rejoin the community.

Program opportunities and recovery-inducing work reinforce the clinical treatments, other psychiatric rehabilitation and supports. Clubhouse aims to support the fullest possible recovery, to integrate members as an active and productive member of his or her family and community.

These services are also available in Louisa (Friendly Oaks) and Nelson (Horizon House) counties.

Individuals Served: Persons must be eighteen years of age or older, be diagnosed with a serious mental illness.

Program Hours of Operation: 7:00 am - 4:30pm Monday-Friday, open until 6:00 on Wednesday evenings for social programming.

Access to Program: Please call 434-972-1800 to schedule an Intake Appointment with Region Ten CSB. Intakes come by referral from agency case management.

Payment for Services: Full payment is required. Funding sources include Medicaid, Discharge Assistance Planning funds and self-pay.

Supported Employment Services

Program Description: Job placement, training and supports offered to individuals with mental illness.

Individuals Served: This service does not require enrollment in Blue Ridge Clubhouse. This program serves adults with mental illness seeking employment.

Access to Program: Please call (434) 972-1800 to schedule an intake appointment; individuals may also be referred to this program by case management.

Payment for Services: Payment is provided by the Virginia Department of Rehabilitative Services.