PRP 101
This is the main purpose of Psychiatric Rehabilitation Program services.
What is helping clients develop or restore skills needed for successful functioning in the community?
Independence/Recovery/Rehabilitation
When should notes be in the system?
No later than 48 hours after the visit
Your client doesn't answer the phone for your scheduled appointment. What's your first step?
Continue to try to make contact
Text them
If you are close by do a pop up
Contact supervisor and/or therapist
Name 4 things that should be included in a client's IRP.
Answer: (Measurable) goals, objectives, mission, vision, needs, action steps, or expected outcomes. (Must List 4.)
How many times should a client be seen in a month?
4 for minors
6 for adults
What insurance is responsible for covering the cost of PRP?
What is Medicaid
What is the name of the current Electronic Health Record that Clinical Solutions uses for record keeping?
Shared Village
A client sends you a Facebook friend request. Accept or decline?
Decline and maintain professional boundaries
What does a client have to be enrolled in first to receive PRP services?
Must be enrolled in mental health therapy
Name three areas in which a PRP counselor might help a client develop skills.
independent living, employment/education, social skills, coping skills, symptom management, community integration or accessing resources
What must be included in the action steps for each goal in a PRP Plan?
A. What the PRP counselor will do (PRP will collab...) and what the client will do to reach the goal.
B. What the client wants, what the counselor observes, and the client’s diagnosis.
C. What the counselor recommends, what the family will do (natural support) , and the expected discharge date.
D. What the client struggles with (needs) , the services offered, and the counselor’s notes.
Correct Answer: A. What the PRP counselor will do (PRP will collab...) and what the client will do to reach the goal.
What is the document called that is required to be signed and present in the client's file for the PRP worker to communicate with outside agencies regarding the client?
Release of Information
A client tells you they haven't eaten in two days and have no food at home. What do you do?
Assess the immediate need, connect the client with appropriate food/community resources, assist with accessing those resources.
You see your client at Walmart while you're shopping with your family. Who should initiate acknowledgment?
Generally allowing the client to initiate contact so you don't inadvertently disclose the professional relationship
A minor tells their PRP worker that an adult at home hits them with objects. What's your next step?
Contact your supervisor. This is a potential mandated-reporting situation requiring the worker to follow Maryland reporting requirements and agency procedures.
How many months are authorizations good for?
6 months
A client wants to become more independent, but their IRP only states, “Client will improve daily living skills.” What is missing from the IRP?
A. A new goal that identifies a specific skill the client will practice and how progress will be measured.
B. A description of the client’s strengths and how they support independent living.
C. A list of community resources the client can use to practice daily living skills.
D. A summary of the client’s current functioning and challenges with independence.
Correct Answer: A & explain WHY?!
Your client's mother calls and asks, “What did my daughter tell you today?” What should you consider before sharing information?
Confidentiality requirements, authorization/consent and ROI
*DAILY DOUBLE*
Your client tells you they're being evicted Friday. Instead of saying, “Here is the number for housing assistance,” describe three things a strong PRP staff could actually do during the session.
A strong response would include helping the client contact resources, teaching/problem-solving through the process, organizing necessary documents, developing an action plan, practicing what to say when calling agencies, identifying backup options, and following up not simply handing over a phone number.
Your client repeatedly refuses to work on their IRP goals but wants you to drive them around doing errands every week. What should you do?
Redirect services toward identified rehabilitation needs and goals, explore barriers to participation, discuss the situation during supervision when needed and document appropriately
True or false: A PRP session should primarily consist of the client talking about their feelings while the counselor listens.
What is false? PRP should involve rehabilitation-focused interventions and skill development rather than functioning as psychotherapy.
A client’s rehabilitation goal is to improve independent living skills. Which is the BEST example of a measurable objective?
A. Client will practice budgeting with the PRP counselor once a month to improve financial independence.
B. Client will learn money-management skills and demonstrate progress toward independent living.
C. Client will create a monthly budget, track weekly expenses, and review spending habits with the PRP counselor over 30 days.
D. Client will receive budgeting support 5 times per week to improve financial management skills.
C. Client will create a monthly budget, track weekly expenses, and review spending habits with the PRP counselor over 30 days.
During a home visit, the client becomes extremely angry and starts threatening people in the home. What should you prioritize?
Immediate safety, leaving or obtaining emergency assistance when necessary and contact your supervisor.
A client tells you during a PRP session that they are struggling with housing, have stopped taking their medication, and are feeling overwhelmed. As the PRP counselor, what should you do, and what should you not do?
The PRP staff should assess for immediate safety concerns, help the client identify and access appropriate housing/community resources, encourage and assist the client with communicating medication concerns to their prescribing provider, reinforce relevant coping/problem-solving skills, document the interventions and client response, and notify/supervise or coordinate with the treatment team as appropriate.
The PRP Staff should not provide therapy outside their role, give medical advice, tell the client to start/stop/change medication, make promises about housing, or ignore potential safety concerns.
Explain the difference between PRP, therapy, and medication management.
PRP focuses on helping clients develop and strengthen practical skills needed to function successfully in their home, school, work, and community, such as coping, independent living, social, employment, and community-integration skills.
Therapy focuses on treating emotional, behavioral, and mental health concerns through clinical interventions, processing experiences, identifying patterns, and developing therapeutic strategies.
Medication management focuses on evaluating, prescribing, monitoring, and adjusting psychiatric medications, including assessing effectiveness and side effects. It is typically provided by an authorized medical prescriber such as a psychiatrist, psychiatric nurse practitioner, or other qualified provider.