Mentoring For Kids

1. Determination/Assessment Phase: 

• Intake scheduled with a licensed mental health professional
• One time PRP screening session scheduled to gather additional information to determine medical necessity for program participation
• Referral completed by LWG if it is determined that the client qualifies for the program

2. Referral Submission/Awaiting Approval Phase: 

• LWG submits referral to Medicaid for approval/denial
• This process can take up to 14 days

 3. Approval/Denial Phase:

• Children are either approved for 3 months or 6 months.
• If approved, an approval letter and consent form will be uploaded to the client portal and a staff member will reach out to the client by phone
• If denied, a denial letter will be uploaded to the client portal

4. Client Onboarding Phase: 

• A staff member will contact the approved client to schedule an intake with the Rehab Specialist
• The client will be assigned to a mentor
• The mentor reaches out to the client to arrange sessions for the month

5. Active Participation Phase:

• Children who are approved for the program are expected to have sessions with their mentor 2-3 times per month
• Sessions are primarily held in-person, with virtual sessions being made available if the need arises

6. Redetermination/Approval Phase:  

• During the re-determination phase, we have to submit another referral to Medicaid for approval/denial
• All clients will need to be reapproved for the program once their initial approval expires
• If it is determined there is still a need for the client to participate, children will be reapproved for either 3 months or 6 months
• Clients will have to continually get reapproved for the program once their prior approval has expired

• Treatment for ADHD, anxiety, depression, and anger management
• Building self-esteem 
• Reality orientation/psychiatric stability
• Communication and coping skills
• Academic & vocational skills
• Time management
• Task completion
• Family & community integration
• Maintaining healthy relationships
• Improved quality of life, outcomes, and recovery 
• Reduced hospital admission through community integration 
• Increased accessibility of person-centered PRP services across the state
  
  

PRP services can include:

• Standardize quality-based care
• Focus on maintaining optimal mental and physical health
• Specialized groups
• Crisis intervention
• Medication education
• Evaluation & monitoring of safety & basic needs
• Independent living skills management
• On-going progress assessments
• Discharge planning & follow-up
• Relapse prevention

Psychiatric Rehabilitation Program (PRP) is a free mentorship program for children who struggle with their mental health. To qualify for the program, the individual must have Maryland Medicaid and have an impairment such as an emotional disturbance or behavioral issue that affects their home and/or school life. The program is based on the recovery and person-centered models of rehabilitation. Through the program, children are provided with the resources and support to reach a higher level of independence, success, and fulfillment in their lives. 

By participating in the program, participants are provided with:

• A life coach/mentor to help guide them
• Skills and support to embrace their mental wellness
• Tools to enhance the quality of their life
• Encouragement and guidance to pursue personally valued roles in their living, learning, work and social environments
  
  

The purpose of the program is to:

• Promote recovery and resiliency
• Empower the individual so that they may function successfully and live as independently as possible in their community
• All PRP participants will receive high-quality, person-centered services tailored to their individual needs. With the support of their mentor, participants will live successfully in their community equipped with the tools and resources to address living, working, mental, emotional and social functioning.

As a result of having an increased access to mental health care services and support, it is our hope that all participants will have a reduced use of more intensive interventions.

• Active Maryland Medicaid health insurance
• Referral from a licensed mental health professional
• The youth’s impairment(s) and functional behavior can reasonably be expected to be improved or maintained by using these services.
• The youth’s emotional disturbance is the cause of serious dysfunction in multiple life domains (home, school, community)
• The impairment as a result of the youth’s emotional disturbance results in:
• A clear, current threat to the youth’s ability to be maintained in his/her customary setting, or
  An emerging/impending risk to the safety of the youth and others, or
  Other evidence of significant psychological or social impairments such as inappropriate social behavior causing serious problems with peer relationships and/or family members.
• The youth, due to the dysfunction, is at-risk for requiring a higher level of care, or is returning from a higher level of care.
• The youth’s condition requires an integrated program of rehabilitation services to return to age appropriate development and to progress accordingly towards independent functioning and independent living skills,
• The youth does not require a more intensive level of care and is deemed to be able to be safely maintained in the rehabilitation program and to benefit from the rehabilitation provided.