Eligibility for Services

Eligibility for Mental Health Skill Building

Individuals must meet ALL of the following criteria in order to be eligible to receive mental health skill-building services:

  • Have a need for individualized training in acquiring basic living skills such as symptom management; adherence to psychiatric and medication treatment plans; development and appropriate use of social skills and personal support system; personal hygiene; food preparation; or money management.

  • Have a qualifying mental health diagnosis (psychotic disorder, major depressive disorder – recurrent, or bipolar disorder I or II). If an individual has another disorder, it will qualify if a physician determines:
  • It is a serious mental illness
  • It results in severe and recurrent disability that produces functional limitations in major life activities, and
  • The individual requires individualized training in order to achieve or maintain independent living in the community

  • The individual must have a prior history of qualifying mental health treatment. A qualifying mental health treatment is:
  • psychiatric hospitalization
  • residential treatment
  • residential crisis stabilization
  • PACT or ICT services
  • RTC-Level C placement or
  • A TDO evaluation due to mental health decompensation.

  • The individual has had a prescription for an anti-psychotic, mood stabilizing, or anti-depressant medication within the twelve months prior to the assessment date unless a physician documents that such medication is medically contraindicated.

    Eligibility for Intensive In-Home Therapy Services

    The following clinical information must be documented for admission:

  • Severe problems in interpersonal relationships that are placing consumer at risk of acute hospitalization and/or out of home placement because of conflict with family and/or community.
  • Repeated interventions by mental health providers, the judicial system and/or social services have been necessary.
  • Difficulty recognizing personal danger and/or recognizing significantly inappropriate social behaviors due to cognitive impairments.
  • A higher modality of treatment is necessary that supersedes what outpatient can offer in order to stabilize the consumer in the family situation.
  • The therapeutic nature of providing services within the home is greater than providing services in a clinical setting
  • At least one parent, guardian or caretaker in the home is willing to participate in treatment with the goal of keeping the consumer with the family.
  • Eligibility for Day Treatment

    Member must meet at least two on a continuing or intermittent basis (within past six months):

  • Difficulty establishing or maintaining normal interpersonal relationships to such a degree they are at risk of hospitalization or out of home placement due to conflicts with family or community.
  • Exhibit such inappropriate behaviors that repeated interventions by the mental health, social services, educational or judicial system are necessary.
  • Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior.

    Member must meet at least one of the following:
  • Require year-round (9-12 months) treatment to sustain behavioral or emotional gains.
  • Have problems so severe that they cannot be addressed in self-contained or resource classrooms (ED) without this programming during the school day or as a supplement to the school day.
  • The member otherwise would be placed on homebound instruction due to severe emotional or behavioral problems that interfere with learning.
  • The member is in a preschool enrichment and early intervention program with problems so severe that member cannot function in this program without additional services.
  • Compared with same age peers, member has any of the following:
  • 1. Deficits in social skills or peer relations or in dealing with authority
  • 2. Display hyperactivity
  • 3. Demonstrate poor impulse control
  • 4. Exhibit signs of extreme depression
  • 5. Demonstrate signs of being marginally connected with reality

    All assessments will be conducted by an Intake Specialist in the consumer’s home unless there is a documented safety or privacy issue and will include the following elements: Download and Complete the Screening and Referral Form!

  • Locations

    Northern Virginia Location
    8850 Richmond Highway, Suite 201 | Alexandria, Virginia 22309 | P: (703)417-9914
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    Newport News, Virginia
    739 Thimble Shoals Blvd. Suite 404. | Newport News, Virginia 23606 | P: (757)310-6141
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    Hours

    Monday - Friday:
    9am - 5pm