Telecare's Spectrum of Services
Click Here to Download Our Spectrum of Services Brochure
Click Here To Download Color-Coded List of Current Programs
Inpatient Acute
For: Individuals experiencing an acute exacerbation of illness and/or clinical symptomatology that prevents them from staying in community settings.
Purpose: Short-stay program designed to ameliorate/stabilize symptoms that prevent clients from living successfully at less intensive levels of care.
Measures of Success: Reduction of clinical risk and readmissions, and successful connection to community services.
Services Include: Psychiatric treatment; medication/symptom management; assistance in selecting preferred living environments with appropriate supports.
Types Provided: 16-bed programs which are Medicaid reimbursable, as well as programs that are reimbursable by Medicare and other 3rd party payers.
Inpatient Non-Acute
For: Individuals needing intensive services who would otherwise require extended stays in acute/state hospitals. Telecare also adapts these programs to meet the needs of several specialty populations.
Purpose: Provide supportive, structured settings, focusing on rehabilitation and recovery with the goal of clients' successful transition to the community.
Measures of Success: Reduction of clinical risk and readmissions, and successful transition to community-based alternatives.
Services Include: Full range of services from multidisciplinary teams (psychiatrists, social workers, licensed nurses, rehabilitation therapists and related staff). More robust, diverse staffing may be added depending on the specific needs of the population and customer's desired outcomes.
Types Provided: Recovery-centered programs are 16-beds or less and are Medicaid reimbursable. They are designed to, in every way, support clients in their recovery. Recovery is woven into and defines every aspect of the program. Subacute and Extended Stay programs are typically larger in size. They support clients in their recovery as they teach skills and arrange supports that will assist clients in the community. Length of stay varies based on client need and customer parameters.
Crisis
For: Individuals who are a danger to themselves or others, are in distress, or have an urgent need for services based on situations or supports.
Purpose: Provide brief but immediate treatment, to assist clients in relieving distress, regaining stability in their lives, remaining in the community, avoiding involuntary treatment, developing community resources, and continuing the recovery process. Provide information to the customer to help identify and quantify gaps or problems in the system of care (many users of crisis services are individuals who have been inadequately served by the system or unable to access needed system resources).
Measures of Success: Reduction of clinical risk, distress, use of psychiatric emergency services and overall system cost, and successful connection to services.
Types Provided: 23-hour Stabilization and Urgent Care offer both voluntary and involuntary options; Mobile Crisis and Telephone Crisis Triage are community-based programs.
Residential
For: Individuals who need additional support as they transition from institutional settings to more normalized, non-institutional community living environments. Best suited for clients who need more structured support in order to live in less restrictive settings.
Purpose: Assist clients in their transition to the community; focus on community integration, skill development.
Measures of Success: Sustained tenure in the environment of choice after discharge into the community, and in Transitional Community Living, successful development of contacts with other providers that will continue after discharge.
Services Include: Individual and group counseling, development of skills, advocacy, and assistance in securing safe, decent, affordable and accessible housing.
Types Provided: Residential Treatment programs are more structured and are available 24/7. Clients both reside and receive services in this environment. Transitional Community Living programs have a significant portion of services provided in the community by other treatment providers.
Assertive Community Treatment (ACT)
For: Individuals with complex needs who do not respond well to less intensive services.
Purpose: This research-proven, community-based alternative to inpatient hospitalization assists clients to live successfully in the community, and fully supports their recovery process while reducing the use of acute hospitalization and emergency psychiatric services.
Measures of Success: Increased tenure in the community living setting of choice, personal strengths, stability and quality of life, client and family satisfaction, as well as reduced harm, risk, hospitalizations and overall system costs.
Services Include: Services are delivered by multidisciplinary teams in the community, and include psychiatric services; crisis response; advocacy; linkage; vocational, housing and educational wraparound support, and entitlement assistance; etc.
Types Provided: All ACT programs are relationship-based, recovery-centered, CARF accredited, and use objective clinical information to engage and support clients during assessments and interventions. Team size is often flexible depending on client and customer need. PACT programs adhere to strict fidelity guidelines and are the richest in structure and professional, peer and specialized staffing. Enhanced CARF ACT programs are more specialized in focus than basic CARF ACT, and offer benefits when working with specialty populations, or when trying to achieve specific rehabilitation goals. CARF ACT is the most flexible, and can be adapted to program purpose, client needs or available funding, while retaining the critical elements of ACT.
Case Management (CM)
For: Clients who, without some assistance, would have difficulty negotiating a complex mental health system and/or accessing effective levels of care.
Purpose: Help clients understand their needs, develop a plan for service, and connect with appropriate resources for additional services and support. Advocate for clients to ensure they connect with services, and provide skilled engagement and support for those who may require it to overcome past traumatic experiences.
Measures of Success: Increased tenure in the community living setting of choice, stability and quality of life, client and family satisfaction, as well as reduced harm, risk, hospitalizations and overall system costs.
Types Provided & Services Included: Clients are monitored and supported once they have been connected with services. Intensive CM is designed for high service users. It provides services similar to ACT, however, in Intensive CM there are no shared caseloads. Clinical CM enables the case manager to also function as a clinician. In Brokerage/Linkage, the case manager's primary role is to connect the client to needed services.
Outpatient
For: Clients who live in the community and meet the customer's utilization criteria. Clients may have a wide range of needs, challenges, and diagnoses, and require variable lengths of service.
Purpose & Measures of Success: To assist clients to live successfully in the community. Goals vary by client and customer need. Outcome measures are set and tracked accordingly.
Services May Include: Traditional psychiatric and other assessments; measures of clinical risk; recovery-focused areas such as harm caused, personal strengths, and spiritual needs; the contribution of alcohol and other drug use, and problems following medication plan; interventions including medications, brief therapy, case management, and other supports.
Types Provided May Be Customer Customized By: a) Specific focus, e.g. management of clinical risk, rehabilitation and recovery; b) Specialty populations, e.g. ethnic-specific services, Mood Disorder Clinic; c) Geographic area of responsibility; or d) Service type, e.g. Medication Clinics providing only medication assessment, administration, management and support.
Administrative Services
Types Provided: Customized, specific administrative and related support services, including payment authorization and appeals for Medicaid populations, and acute inpatient gatekeeping (called single portal authority in Texas).