Community Rehabilitation and Treatment (CRT) Services

As a Designated Agency (DA) the LCMHS CRT program has provided a variety of services for consumers with specific and unique treatment needs for over 30 years. The state of Vermont’s Department of Mental Health provides funding and oversight of the CRT program ensuring services are available for persons who meet established criteria for program admission. Adults who request or are referred to the CRT Program will be reviewed for eligibility to determine the existence of a severe and persistent mental illness, complicating co-occurring disorders, services history, and the extent of significant impairment in the person’s overall functioning due to mental illness. The eligibility determination must be conducted by a qualified designated agency clinician. Designated agencies are responsible for determining clinical eligibility for the CRT program. Additional information on CRT can be found at here.

LCMHS/CRT has an array of services and these include the following programs; Inpatient Behavioral Health Services to assist consumers in returning home from hospital stay. DA services, which are:

  • Clinical Assessment
  • Emergency Care and Crisis Stabilization
  • Individual, Group, and Family Therapy
  • Medication Evaluation, Management and Consultation with Primary Care
  • Community Supports
  • Service Planning and Coordination
  • Diagnosis specific practices when called for in the clinical assessment, such as treatment for co-occurring disorders and Dialectical Behavioral Therapy

Some details on these services are below. Emergency Care and Crisis Stabilization services are described in detail on the Emergency Care Services tab of this website.

Case Management

The CRT case management services at LCMHS have been constructed to allow for caseloads of between 18-25 consumers for each case manager. The manager is expected to provide consumer centered services based on an Individual Plan of Care (IPC) generated by the consumer’s goals. The IPC serves as the guiding document for all staff working with the consumer to be aware of, and to follow as they assist the consumer in learning a specific skill, implement an action plan, or seek to identify a way to resolve challenges. It is expected that the consumer will direct service planning and provide the LCMHS staff with a framework from which types and frequency of support services will be decided upon.

Supported Employment (SE)

Some key steps in developing a recovery plan are to establish stability in housing, treatment (with or without medication), community engagement and income. There may be a belief by some that mental health conditions prevent a person from employment and economic autonomy. However, research and the personal stories of persons who have gained a foothold in recovery tell a different story. LCMHS offers an ‘evidence-based supported employment’ using ‘IPS’ (Individual Placement and Support) which has been very successful. LCMHS has been given positive feedback from the IPS/SE leadership at DMH and DAIL in the most recent Fidelity Report (January 2013). The agency CRT program has regularly achieved employment rates at or near the top of all DA CRT employment rates.

Community Psycho-education Services (CPS)

Consumers in CRT may receive medication supports via our Community Psychoeducational Services (CPS) which is directed by a registered nurse. CPS provides education and support for CRT consumers, and operates using an illness/recovery self-management model. CPS provides consultation to consumers on the medications they are prescribed and is available to assist consumers Monday through Friday at our main office to discuss or obtain prescribed medication. As needed, CPS also oversees medication delivery to homes of consumers on an individually determined basis.

Individual, Group, and Family Therapy

The LCMHS CRT program has a strong psychotherapy practice anchored by licensed mental health clinicians who provide services for both CRT and AOP. These providers are able to provide group and individual therapy as needed. Our clinicians have specific training in a variety of areas including tobacco cessation, Dialectical Behavioral Therapy, and other methods to assist persons with mental health conditions. Currently we provide a Dialectical Behavioral Therapy (DBT) group for women, a supportive group for men, a coed group for persons with anxiety, and other groups and individual therapeutic supports as well. In addition to the above treatment groups the Peer Wellness Center also provides a small array of group supports in a less in formal environment, and is currently formulating a process to expand these offerings.

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