Community Support Services Sanctuary House Community Support Services is dedicated to providing community based services designed to assist the persons served in obtaining access to the resources and services of their choice. The persons served are included in their communities to the degree they desire. This is accomplished by providing both direct service provision and linkages to existing generic opportunities and natural supports in the community. Sanctuary House Community Support Services obtains information from the persons served regarding resources and services they want or require that will meet their identified needs and assists them in arranging or obtaining those services. Sanctuary House Community Support Services provides the persons served with information so that they may make informed choices and decisions. The services which are provided by Sanctuary House Community Support Services are changed as necessary to meet the identified needs of the persons and other stakeholders. Our service designs address identified individual, family, socioeconomic, and cultural needs. Expected results from these services include: • Increased inclusion in community activities • Increased or maintained ability to perform activities of daily living. • Increased self-direction, self-determination, self-reliance, and self-esteem. Sanctuary House Community Support Services are goal-oriented and individualized supports focusing improved self-sufficiency for the persons served through assessment, planning, linkage, advocacy, coordination, and monitoring activities. These services result in community opportunities and increased independence for the persons served. Occasional supportive counseling and crisis intervention services are provided as needed. Sanctuary House Community Support Services are provided by Sanctuary House as part of its services to adults with severe and persistent mental illness who reside in Guilford County. Services are provided to individuals who are members of Sanctuary House Psychosocial Rehabilitation, which is based on the Clubhouse Model for Psychosocial Rehabilitation as well as other adults with severe and persistent mental illness that are not members of the clubhouse. All services are provided by qualified case managers/coordinators or by case management teams. Our services are designed to coordinate the movement across levels of care, directly to the person served an/or their family as well as to coordinate any discharge planning and community re-entry following hospitalization, residential services and other levels of care. Our services also include providing ‘first responder’ crisis response on a 24/7/365 basis to the persons serviced who may experience a crisis situation. This service consists of a variety of interventions that may include the following: • Identification and interventions and barriers that impeded the development of skills necessary for independent functioning in the community; • Family psycho-education development and revision of the Person Centered Plan of the person served; • One of one interventions with the community to develop interpersonal and community coping skills, including adaptation to home, school, and work environments; therapeutic mentoring; symptom monitoring; • Monitoring medications; and self-management of symptoms. Our staff inform the persons served about benefits, community resources and services; assist the persons served in accessing benefits and services; arrange for the persons served to receive benefits and services; and monitor the provision of those services. Our staff consult with identified providers who are also serving the person served, so as to include their input into the Person Centered Planning process, inform all involved stakeholders, and monitor the status of the person served in relationship to the treatment goals. Our staff assume the roles of advocate, broker, coordinator, and monitor of the service delivery system on behalf of the person served. The staff provides coordination of movement across levels of care, directly to the person served and/or their family and coordinates discharge planning and community re-entry following hospitalization, residential services and other levels. Our Community Support Services are delivered by professionals employed by Sanctuary House which is a mental health provider organization that has a contract with the local LME and meets the provider qualification policies, procedures and standards established by the Division of Mental Health , Development Disabilities, and Substance Abuse Services (DMH) and the requirement of 10A NCAC. These policies and procedures set forth the administrative, financial, clinical, quality improvement, and information services infrastructure necessary to provide services. The Community Support Provider organization is identified in the Person Centered Plan and is responsible for obtaining authorization from the LME for the Persona Centered Plan. Community Support providers must have the ability to deliver services in various environments, such as homes, schools, jails, homeless shelters, street locations, etc.