Franklin Family Services: Behavioral Health Rehabilitation Services (BHRS)

Kandy Hayes is the Director of our Behavioral Health Rehabilitation Services, which are medically prescribed, intensive and individualized mental health services.  Behavioral Health Rehabilitation Services, also referred to as BHRS, provides interventions focused on children and adolescents who have been diagnosed with serious emotional disturbances or other mental health diagnoses.  These diagnoses may include Mood, Anxiety, Conduct, ADHD, Reactive Attachment, and Autism Spectrum Disorders.  BHRS provides one-on-one goal oriented services that can be in the child’s home, school, or community setting.

At Franklin Family Services, our Behavioral Health Rehabilitation Service (BHRS) program has two locations, one in Chambersburg serving Franklin and Fulton counties, and one in Carlisle serving Cumberland and Perry counties.  BHRS are individualized, strength-based services delivered to individuals ages 3-21 who have a mental health diagnosis.  Recommendation for services are made through Best Practice Evaluations, which can be scheduled at either of our locations.

No referral is required.  If you would like to schedule a Best Practice Evaluation for a child or adolescent ages 3-21 please contact Heather Ballou, our BHRS Case Manager, by phone Monday through Friday at (717) 267-1515 ext.112.shutterstock_128729585

One of the primary goals of the BHRS team is to transfer effective behavior management skills to those in the child’s natural environment (teachers, family, etc.).  Collaboration is an integral part of BHRS.  The BHRS team will establish routine collaboration with all members of the child’s treatment team (parents, school, doctors, etc.).  A BHRS treatment team can include a team of up to three clinicians depending on the needs of the client.

Behavioral Specialist Consultant (BSC)

The BSC focuses on the specific behavioral concerns of the child and gathers data related to the child’s behavior through observation and collaboration with the treatment team.  The BSC develops and maintains a treatment plan.  The BSC is expected to provide an assessment of their behavioral findings, effective interventions, and assist with implementations of the individualized treatment plan.  The duties of the BSC include assessment, monitoring, education & training on behavioral techniques, and consultation rather than direct therapeutic intervention.  A BSC is a licensed clinician when autism is the child’s primary diagnosis.

Mobile Therapist (MT)

An MT is the lead clinician, similar to an outpatient therapist, but meets in the child’s home, school, and community setting as defined in the treatment plan.  The MT develops individual and family therapeutic goals to specifically target the child’s therapeutic needs.  The MT may also develops a behavioral support plan to address behavioral or mental health concerns.  The Mobile Therapist provides child-centered, family-focused psychotherapy with the child, family, and/or natural systems.  The MT also provides leadership to the treatment team, strengths-based assessment of the child and family’s needs, and treatment planning based on inclusion of all active participants in the child’s life.  The MT will also provide determination and referral to additional non-therapeutic support services, specialized evaluations or professional services, and complete recovery planning, including 24-hour crisis prevention plan, development of community linkages, and provide support for transitional services.  An MT working with a child diagnosed with an autism spectrum disorder will be familiar with the treatment protocols regarding the Best Practice Guidelines for treating individuals diagnosed with Autism Spectrum Disorders.

Therapeutic Staff Support (TSS)

The primary role of the TSS is to transfer skills to the parent/caregiver, teacher, or natural supports by working collaboratively with them and to provide behavioral support to the child to become more functional, productive and independent in his/her natural settings.  The TSS utilizes the specific interventions outlined in  the child’s individualized treatment plan to help promote age-appropriate behaviors, provide immediate rewards and consequences for behaviors, and provide support to the child and family.  The TSS provides relevant feedback to the child’s lead clinician which serves as the basis for treatment discussions and subsequent changes in the treatment plan.  The data and observations provided by the TSS will guide decisions regarding level of service intensity needed over time.  The TSS also works to stabilize the mental health needs of the child and to support community integration.