Level II Residential Facility Services

interventions

Specific and individualized psycho-educational and therapeutic interventions, including

Development Or Maintenance Of Daily Living Skills;
Anger Management
Social Skills
Family Living Skills
Communication Skills
Stress Management
Relationship Support
Comparable Activity
Intensive crisis or near crisis management, including de-escalation interventions and occasional physical restraints

Environmental Intervention

Divine Paths Resiliency/Environmental Intervention is to support the youth in gaining the skills necessary to step down to a lower level of care. The service delivery setting is a Family type and Group home. Medical Necessity must be met to gain admission into the program. In addition to meeting Family Type Residential Treatment Level I medical necessity criteria, the beneficiary is eligible for this service when: Medically stable but may need some intervention to comply with medical treatment. The beneficiary's identified needs cannot be met with the Family Type Residential Treatment Level I services.

Developmental Delays

The beneficiary is experiencing any one of the following (may be related to the presence of moderate to severe affective,
cognitive or behavioral problems or intellectual/developmental delays/disabilities)

Moderate to severe difficulty maintaining in the naturally available family or lower level
Treatment setting as evidenced by, but not limited to.
Severe conflict in the setting.
Severely limited acceptance of behavioral expectations and other structure.
Severely limited involvement in support.
Impaired ability to form trusting relationships with caretakers
limited ability to consider the effect of inappropriate personal conduct on others.
Frequent and severely disruptive verbal aggression. Regular and moderate property damage.
Occasional and mild aggression toward self or others.
Moderate to severe functional problems in school or vocational setting or other community settings as evidenced by
Failure in school or vocational setting
Frequent and disruptive behavioral problems in school or vocational environment
Frequent and disruptive difficulty in maintaining appropriate conduct in a community setting

Pervasive inability to accept age-appropriate direction and supervision, in significant areas, from caretakers or family members.
Medication administration and monitoring have alleviated some symptoms, but other treatment interventions are needed to control moderate symptoms.
Having limitations in the ability to access or participate in other human services independently. Requiring active support and supervision to stay involved in other services.
Deficits inability to manage personal health, welfare, and safety without intense support and supervision.
For beneficiaries identified with or at risk for inappropriate sexual behavior
At least one (1) incident of inappropriate sexual behavior and the risk for offending/re-offending is low to moderate
Low to moderate risk for sexual victimizing
Deficits that put the community at risk unless specifically treated for sexual aggression problems.
A sex offender specific evaluation (sose shall be provided by a trained professional, and a level of risk shall be established (low, moderate, high) using the risk checklist for sexual offenders, the juvenile sexual offender decision criteria, and a checklist for risk