PSR

Psychosocial Rehabilitation

For more info, see: NC Medicaid Enhanced Mental Health and Substance Abuse Services

Medicaid and Health Choice Clinical Coverage Policy No: 8-A

Service Definition:

A Psychosocial Rehabilitation (PSR) service is designed to help adults with psychiatric disabilities increase their functioning so that they can be successful and satisfied in the environments of their choice with the least amount of ongoing professional intervention. PSR focuses on skill and resource development related to life in the community and to increasing the participant’s ability to live as independently as possible, to manage their illness and their lives with as little professional intervention as possible, and to participate in community opportunities related to functional, social, educational and vocational goals.

The service is based on the principles of recovery, including equipping beneficiaries with skills, emphasizing self-determination, using natural and community supports, providing individualized intervention, emphasizing employment, emphasizing the “here and now”, providing early intervention, providing a caring environment, practicing dignity and respect, promoting beneficiary choice and involvement in the process, emphasizing functioning and support in real world environments, and allowing time for interventions to have an effect over the long term.

There should be a supportive, therapeutic relationship between the providers, beneficiary, and family which addresses or implements interventions outlined in the Person Centered Plan (PCP) in ANY of the following skills development, educational, and pre-vocational activities:.

community living, such as housekeeping, shopping, cooking, use of transportation facilities, money management;
personal care such as health care, medication self-management, grooming;
social relationships;
use of leisure time;
educational activities which include assisting the beneficiary in securing needed education services such as adult basic education and special interest courses; or
prevocational activities which focus on the development of positive work habits and participation in activities that would increase the participant’s self worth, purpose and confidence; these activities are not to be job specific training

A service order for Psychosocial Rehabilitation must be completed by a physician, licensed psychologist, physician assistant or nurse practitioner according to their scope of practice prior to or on the day that the services are to be provided.

Program Requirements

This service is to be available for a period of five or more hours per day at least five days per week and it may be provided on weekends or in the evening.