Therapeutic Living for Families provides personalized assistance to families and individuals in their homes and communities. Our family-centered practice actively involves each family in the process of developing common sense solutions to even the most serious emotional and behavioral problems.
Our Care Model
An underlying principle of the TLF service model is that persons with Mental Illness should be offered/afforded the use of the home as a means of coordinating patient care activities. Being able to effectively coordinate and communicate between the Primary Care Provider and the TLF mental health staff is crucial for supporting engagements in care and adherence.
There are four components of Care at TLF that work together to support the client:
1) Psychiatric Evaluation and Medication Management.
2) Therapy, Substance Abuse Treatment (Relapse prevention, IOP, CBT, Solutions Focused, Strength Based, Family Systems).
3) Psychiatric Rehabilitation Program (PRP) staff to accompany clients to appointments, helping them navigate the care system and establish the benefits package, implement behavioral modification plans at home, and adhere to the treatment plan and medical appointments.
4) Behavioral Health Homes promotion to address modifiable risk factors of chronic disease including case management and referral to specialists.
In addition, there are three aspects of the Care Coordination model that are shared across all four components:
1) Assessment and Planning is shared by all relevant parties (from the provider to the client) to ensure the client’s needs are met.
2) Information is also shared by all relevant parties, including through formal and informal case conferences.
3) Outreach is conducted to return clients to care when they have been lost, as well as to actively re-engage current clients who miss appointments.
Scheduling and Structure of Home Visits
Home visits for outpatient therapy are scheduled for the same time each week whenever possible, to provide structure and predictability for clients. PRP interventions may need more flexible scheduling, as when linking a client with a community service agency, or coaching client in the application process for a particular benefit.
Upon beginning work with client family, clinicians clearly spell out parameters of their role with them, as well as expectations for client involvement in the therapy or PRP process.
This may include family members deciding on the best area of the home in which to meet, as well as a commitment to eliminate interruptions (i.e., do not be cooking, or answering phone calls).
Therapists and service providers should arrive on time, or call family promptly if there is a change in schedule, or delay. Therapists and service providers, in collaboration with client families, may decide that creative, interactive interventions, such as preparing a family meal, playing a game, or practicing an effective homework time, will be included in treatment plan.
These interventions can make in home service effective and meaningful for clients. Parameters set should be flexible enough to accommodate this, while also remaining consistent.