CTSS
What Does CTSS Stand For?
Children's Therapeutic Services and Supports
Up for discussion.
No right or wrong answers!
In Regards To Progress Notes, how many days is the best practice?
Progress notes: 3 days best practice,
5 days Maximum
Late time up to 30 days
What Does ARMHS Stand For?
Adult rehabilitative mental health services
When is CTSS Provided?
CTSS is provided to a person under 21:
- who is still in a dependent situation
-Needs to develop skills and abilities other people their age are typically able to do.
-A person who is still struggling to deal adequately with emotional regulation, being able to function in a school setting, being able to cope within the structure of their family situation where they are still a dependent, etc.,
Who can you go to for support?
up for discussion!
What cannot be billed?
Cancelled appointments
Travel for cancelled appointments
What should ARMHS services focus on with adults?
-The ability to live independently
-The ability to set life goals and work toward them as an adult
-The ability to acquire and hold a job
-The ability to take care of others who are dependent upon them
(There are many more!)
What is Skills Training?
Skills Training is the teaching and practice of specific behavioral skills that have not been developed
or that can replace maladaptive skills developed due to the emotional disturbance.
Skills training does not include cognitive or emotional skills worked on in psychotherapy.
CTSS services should be characterized by practice and repitition of skills identified in the treatment plan and CTSS progress notes should reflect this.
When is it time to let go of a client?
Up for discussion!
What needs to be updated annually to continue working with Clients?
Diagnostic Assessments
(DA)
How many hours maximum can you work with each client weekly?
Up to 6 hours.
What methods can help CTSS clients?
- Demonstrating or modeling a skill, prompting a child to complete a skill,
-Providing feedback or correction on the skill, praising effort accomplishment.
-Be creative!
- Progress notes should always reflect treatment plan.
What are important self-care questions to ask yourself regularly?
Up for discussion!
When Should The ITP's and FA's be done by?
Should start within 3 sessions
What basic living and social skills can be taught?
- Managing the symptoms of mental illness
-Managing a household
-Planning for employment
-Pursuing education
-Re-entering community living after treatment
-Communicating opinions, thoughts and feelings, or key information with others
-Discovering and using community resources to get needs met
-Getting outside help to deal with a di?fficult situation
(Many more!!)
What should be avoided during sessions?
Avoid interventions during CTSS characterized by exploring or processing feelings (although emotion-identification can be a skill)
-Advising or coaching on relationships (although teaching a specific communication skill is appropriate), or other activities that resemble talk therapy.
How do you maintain healthy boundaries with clients?
No right or wrong answers!
What should be updated every 6 months?
All clients MUST have a current treatment plan
Adults: FA, ITP, LOCUS
Children: CASII, SDQ, WHODAS
(These need to be done within 3 sessions)
What are some things ARMHS is not for?
ARMHS is NOT…
(Ask questions! What else are we not suppose to do?)