Rehabilitation and Recovery Services

Circare Habilitation services are for eligible adults who want to develop or improve skills required for community living. These skills enhance independence, safety and community integration. Habilitation services are designed for individuals with mental health and/or substance use disorders who are in the process of recovery. Services are based on the participant’s Plan of Care and may focus on, but are not limited to:

• Communication
• Self-care and advocacy
• Social and relationship skills
• Mobility and use of public transportation
• Personal adjustment and wellness
• Domestic skills development—shopping, meal planning/preparation, housekeeping, budgeting and financial fitness
• Finding housing and interacting with landlords and roommates
• Shared decision-making and problem-solving skills
• Use of community resources
• Family reunification, if applicable
• Developing and implementing wellness and crisis plans
• Creating a “tool box” of strategies to help deal intense emotions, symptoms, and triggers

Circare Family Support and Training services are for eligible adults who want to engage family members as resources in treatment and recovery. “Family” is defined broadly and may include relatives and non-relatives who live with or voluntarily provide care for an individual. Services may be provided in a group or individual format. Services are based on the participant’s Plan of Care and may include, but are not limited to:

• Learning about medical and recovery models, diagnoses, treatments and medications
• Maintaining a safe, calm and supportive environment
• Using hope-based and not fear-based language
• Recognizing and addressing trauma (focus on what happened, not what went wrong)
• Sharing in decision-making and risks
• Using paid supports effectively
• Setting and moving toward goals, hopes and dreams
• Empowering rather than enabling
• Providing mediation and conflict resolution within family
• Offering peer-assisted support in setting up family/friend support groups
• Providing tools to help the family and participant with problem-solving, coping strategies, symptom/behavior management skills and relapse prevention
• Reinforcing social skills and activities of daily living (ADLs) for independence and community involvement
• Building on family’s strengths and strengthening family relationships
• Consulting with family and caregivers on interventions
• Explaining nuts and bolts to family—service plans, crisis/safety plans, waiver process, etc.
• Presenting trainings and workshops on topics that may be relevant such as trauma, validation, communication, emotional regulation, boundaries, violence prevention, suicide prevention and others as needed
• Providing information on community resources, government agencies and benefits/entitlements
• Developing and implementing wellness and crisis plans
• Creating a “tool box” of strategies to help deal with intense emotions, symptoms and triggers

Circare Education Support Services are for eligible adults with an assessed need for educational support services and a clearly expressed interest in gaining employment with skills acquired. Services are based on employment or skill development goals documented in the participant’s Plan of Care. They may include, but are not limited to:

• Assistance applying for college programs/courses, vocational training and apprenticeship programs
• Linkages to tutoring to prepare for a Test Assessing Secondary Completion (TASC) diploma
• Motivational interviewing to help participant identify/activate education and employment goals
• Serving as a resource on educational opportunities, financial aid and other educational resources and supports
• Linkages to supportive services for learning and cognitive disabilities
• Assistance with admissions, financial aid, registrations, transitions, withdrawals and other changes in status
• Orientation to school setting, system and relevant student service offices
• Remediation for cognitive skills involved in organizing, planning, attention and memory
• Ongoing assessment of needs, strengths and requirements for services and accommodations
• Educational skill building in relation to studying, taking notes and managing time and stress
• Social skill building and self-advocacy training for independence
• Advocacy support for appropriate classroom accommodations relevant to disability
• Assistance may continue after participant has successfully enrolled in educational program if follow-along support is needed

Circare Empowerment Services are entirely peer-delivered. Services focus on rehabilitation and recovery and are designed to help participants develop coping skills, manage behavioral symptoms and utilize natural supports and resources. A trauma-informed, non-clinical approach is used to promote lasting recovery from a mental health or substance use disorder. Skills and strategies for recovery are learned through shared personal experience.

Services are based on the goals and objectives documented in the participant’s Plan of Care. They may include, but are not limited to:

• Assistance securing food, shelter and permanent residency
• Providing advisement on benefits and entitlements
• Linking participants to systems of care and assisting with any navigational barriers
• Helping participants plan and advocate for self-directed care
• Providing companionship and modeling a lifestyle of recovery
• Promoting awareness of resources for recovery and barrier removal
• Visiting and assisting with transitions from hospitals, treatment centers, etc.
• Assisting with selection and implementation of tools for recovery and preventing relapse
• Encouraging participants to pursue passions which bring quality and meaning to life
• Helping participants connect with natural supports and self-help groups
• Educating and coaching participant and family on recovery
• Encouraging goals that promote community connection, wellness, spirituality, employment, self-help and safety
• Providing skill building required for independent living
• Providing transitional supports for those moving from jail or institution to home and community
• Offering a supportive presence at times of pre-crisis and crisis
• Developing and implementing wellness and crisis plans
• Creating a “tool box” to help deal with intense emotions, symptoms and triggers

Circare Pre-Vocational Services are for eligible adults who require supports to prepare for a new job (paid or unpaid) or to maintain current employment. Services are short-term and focus on developing soft skills and employment strengths that are more general in nature and not job/task-specific. Services are based on the goals and objectives documented in the participant’s Plan of Care. They may include, but are not limited to:

• Identifying key components of workplace culture
• Recognizing and overcoming obstacles to employment
• Offering guidance on appropriate dress and personal hygiene
• Discussing the importance of punctuality and attendance
• Developing problem solving skills
• Reviewing workplace compliance and safety
• Developing individualized workplace coping skills
• Creating a vocational goal with at least 3 objectives
• Creating draft of resume
• Assessing strength and barriers
• Preparing for difficult interview questions regarding gaps in employment, criminal history, disability disclosure, need for accommodations, lack of experience and others
• Reassessing goals and objectives
• Exploring job descriptions/openings to identify employment options and qualifications required
• Using Career Zone and other electronic/web resources for employment exploration
• Providing guidance on benefit planning
• Assessing difficulties and discussing “reasonable accommodation” framework (focus on functions not symptoms)
• Assessing availability of employer incentives
• Offering peer service options to improve prospect of success
• Assessing need for mental and physical health interventions that may support employment goals
• Discussing possible move to next service level, which is Intensive Supportive Employment (ISE)

Circare Intensive Supported Employment (ISE) services are for eligible adults who require intensive supports to obtain paid employment or to maintain current paid employment in the competitive workforce. Employment compensation must be at minimum wage or higher. Services and supports are delivered consistent with the evidence-based model of Individual Placement Support (IPS). Services are based on the goals and objectives documented in the participant’s Plan of Care. They may include, but are not limited to:

• Developing an application template
• Selecting resume type—chronological, skills-based, functional, hybrid
• Creating professional resumes and cover letters
• Compiling a list of references
• Participating in development of online job search strategies
• Creating an email address
• Discussing use of social media—Linkedin, Facebook, Twitter, etc.
• Distinguishing appropriate phone messaging, texting and other communication with potential employers
• Organizing a job search folder containing key job search information
• Developing list of online job search strategies
• Introducing One Stop Career Center and other electronic resources
• Providing training on career development software and web-based tools
• Investigating 55b/c program opportunities for government employment for persons with disabilities
• Reassessing initial vocational goal and add goals and objectives if needed
• Developing an Individual Plan for Employment
• Offering peer service options to improve prospect of success
• Assessing need for mental and physical health interventions that may support employment goals

Circare Ongoing Supported Employment services are for eligible adults who are already competitively employed in an integrated community setting with paid compensation at or above minimum wage. The support provided is considered to be follow-along support, and is intended to assist the participant in maintaining current employment in the competitive workforce. Services are consistent with the goals and objectives documented in the participant’s Plan of Care. Services may include, but are not limited to:

• Facilitating adjustment to workplace culture
• Developing a transportation plan if needed
• Developing a personal schedule to accommodate work and personal needs
• Developing a plan to balance multiple roles/responsibilities—daycare, family, maintaining health, participation in support groups, quality of life issues and others
• Providing Work Incentive Benefit Planning
• Documenting key milestones, benchmarks and earnings associated with intervention points
• Addressing continued healthcare planning and healthcare literacy
• Assessing insurance options—private, Medicaid, Medicaid Buy In For Working People with Disabilities, 1619b working on Medicaid with SSI
• Refering/facilitating transition from Medicaid to other forms of health insurance
• Offering peer service options to improve prospect of success
• Assessing need for mental and physical health interventions that may support employment goals