Service and Treatment Types

Glossary of Terms:  Service Types

Adult foster care (AFC)  is a licensed, sheltered living arrangement for people who have special needs including both family foster care and corporate care.  

Adult Rehabilitative Mental Health Services (ARMHS) help adults with serious and persistent mental illness function well and remain in the community by instructing, assisting, and supporting people with things like:  communication skills, community resource utilization, crisis assistance, cooking and nutrition skills, and medication education and monitoring.  Individuals must receive Medical Assistance (MA) and meet other criteria to be eligible for ARMHS. 

Assertive Community Treatment (ACT) is an evidence-based, outreach-oriented service delivery model for people with mental illnesses of a serious or severe and persistent nature.  These intensive community treatment services are provided by a multi-disciplinary team including psychiatry, nursing, mental illness/chemical dependency treatment, peer recovery specialists, case management and employment services.  ACT is commonly referred to as a “hospital without walls.” 

Community Alternatives for Disabled Individuals (CADI) Waiver provides funding for home and community-based services for children and adults, who would otherwise require the level of care provided in a nursing facility. CADI Waiver services may be provided in a person’s own home, in his/her biological or adoptive family’s home, in a relative’s home (e.g. sibling, aunt, grandparent etc.), a family foster care home or corporate foster care home, a board and lodging facility or in an assisted living facility. If married, a person may receive CADI Waiver services while living at home with his or her spouse.

Community Support Program (CSP)  means services, other than inpatient or residential treatment services, provided or coordinated by an identified program and staff under the clinical supervision of a mental health professional designed to help adults with serious and persistent mental illness function and remain in the community. 

Crisis Stabilization (CS) is a short-term service provided in a residential setting or in a non-residential setting for a person who is in psychiatric crisis.  The object is to stabilize the situation without hospitalization, whenever possible. 

Employment Services (ES) promote work as part of the recovery process.  Staff help individuals reach employment goals whether they are just starting to think about work, are currently looking for work, or have a job and need ongoing support.

Intensive Residential Treatment Services (IRTS) are services provided in a residential setting to assist individuals to develop and enhance psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills in order to live in a more independent setting. 

Targeted Case Management (TCM) is a group of services that assist individuals with serious and persistent mental illness gain access to medical, social, educational, vocational and other necessary services.  

Vocational Rehabilitation Services (VRS) help people with disabilities prepare for, find and keep a job, and live as independently as possible.  Services can include counseling to set job goals, skill development training, help finding employment, and accessing technology. 

For additional community-based services, see page 12 of  NAMI’s booklet, Hope for Recovery.   For intensive treatment options, see page 26. 

Learn about Guild’s Services and ProgramsCARF,  or the Commission on Accreditation of Rehabilitation Facilities,  is an independent, nonprofit accreditor of health and human services.  The mission of CARF is to promote the quality, value, and optimal outcomes of services through a consultative accreditation process and continuous improvement services that center on enhancing the lives of persons served. CARF has accredited Guild Incorporated for the following services:  Assertive Community Treatment, Assessment and Referral, Case Management/Services Coordination, Crisis Stabilization, Integrated Behavioral Health/Primary Care , Residential Treatment,  and Community Employment Services including Job Development, Job-Site Training, and Job Supports.

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