Helpful Information for Schools

Please note that according to Medical Assistance Bulletin #1153-95-01, it is stated that individuals under the age of 21 with emotional disturbances or mental health illnesses may be eligible for wraparound services to assist the families to care for their child or adolescent at home and in their community as an alternative to a more restrictive residential or psychiatric inpatient service.

This means that if the child is in jeopardy of being sent to a more restrictive environment, based on his serious emotional disturbance and behaviors, then the child might be eligible for BHRS wraparound servicesĀ as long as the following criteria are met:

  1. The school should first implement their own formal behavior plan to address the child’s behavioral needs. (Has an FBA been done?)
  2. If the school’s efforts fail, and it is documented, the school may refer the family to LYCOMING THERAPEUTIC for a psychological evaluation.
  3. If BHRS is deemed medically appropriate, the family is given their choice of BHRS providers.
  4. If LYCOMING THERAPEUTIC is chosen as the provider, we will schedule an Interagency meeting (ISPT). At this meeting, all pertinent parties (the team) will collaborate regarding the child’s services, immediate goals will be determined and timeframe of greatest need for any TSS services will be determined.
  5. The information from the ISPT, as well as the Evaluation, Treatment Plan, Plan of Care and any other pertinent information, is submitted to CBHNP for review and authorization. No services are performed until authorization is generated by CBHNP.
  6. Once authorization is received, only the services that were authorized (and it may be less than we had originally requested) will be delivered.

If a TSS is authorized to deliver services in your classroom:

  • The TSS is working as one component of a team for the good of the child and his or her family, and not for the school. However, we will work in collaboration with the school as an equal professional entity providing a service. The TSS is taking direction, as per a treatment plan, from the individual client’s Clinical Team Member (either a BSC or MT).
  • The TSS will do much documentation. They are responsible for determining antecedents, tracking behaviors, graphing, and presenting information to the Clinical Team Member.
  • The teacher should continue to give the child the direction, rewards, and consequences unless the team has specifically designed an intervention to the contrary. We want the child to comply with teacher requests, not just to the TSS.
  • Please understand that our goal is to stabilize the child’s behaviors within their given environment so that they are no longer in jeopardy of being sent to a more restrictive environment.
  • We also expect to be able to transfer our management skills to the teacher or other school staff (as well as the parents or guardians). Since these services are designed to be short term, and once the team has determined what works for decreasing undesired behaviors, we will begin to decrease and eventually end services.
  • We may also make recommendations for other services, testing, medicine check-ups, or other, as deemed necessary.

Sometimes, a better way of explaining the role of a TSS is to describe what they cannot do (in accordance to OMAP):

  • A TSS cannot perform any academic duties and should not be a substitute for teacher or aide
    A TSS cannot supervise the child, such as to be a replacement for a teacher or parent, therefore cannot be alone with the child.
  • A TSS cannot transport.
  • A TSS cannot provide services not listed within the treatment plan.
  • A TSS cannot assist in the care of other children within the home, school or community while working with client.
  • We at Lycoming Therapeutic also realize that our workers are guests in your school. We will adhere to your building policies.