Community Integration Services involve the identification, assessment, planning, linking, monitoring, and evaluation of services and supports needed by a prospective client.  Such services involve active participation by the client or guardian. The services also involve active participation by the client's family or significant other, unless their participation is not feasible or is contrary to the wishes of the client or guardian. These services are provided with flexibility and on an as needed basis.

The Program provides the following by certified or otherwise qualified personnel:

A.         Identifies the medical, social, residential, educational, emotional, and other related needs of the client;

C.         Develops an ISP that is based on the results of the assessment which includes:

1.         Statements of the client's desired goals and related treatment and rehabilitation goal(s);

2.         A description of the service(s) and support(s) needed by the client to address the goal(s);

3.         A statement for each goal of the frequency and duration of the needed service(s) and support(s);

4.         The identification of providers of the needed service(s) and support(s);

5.         The identification and documentation of the client's unmet needs; and

6.         A review of the plan at least every ninety (90) days to determine the efficacy of the services and supports and to formulate changes in the plan as necessary.

D.         Coordinates referrals, and advocates access by the client to the service(s) and support(s) identified in his or her Individual Support Plan;

E.         Participates in ensuring the delivery of crisis intervention and resolution services, providing follow-up services to ensure that a crisis is resolved and assistance in the development and implementation of crisis management plans;

F.         Assists in the exploration of less restrictive alternatives to hospitalization;

G.         Makes face-to-face contact with other professionals, caregivers, or individuals included in the treatment plan in order to achieve continuity of care, coordination of services, and the most appropriate mix of services for the client;

I.          Monitors service provision to ensure that the client's ISP is being followed and that progress occurs toward accomplishing goals;

J.         Evaluates service provision to determine whether the client's ISP needs to be revised, whether a new plan is needed, or whether services should be terminated;

K.         Advocates by amplifying the voice of the client being served in terms as close as possible to his or her language and stated wishes;

L.         Provides information, consultation, and problem-solving supports, if desired by the client receiving Community Support Services, to the client, his or her family, or his or her immediate support system, in order to assist the client to manage the symptoms or impairments of his or her illness; and

M.        Assists the client in developing communication skills needed to request assistance or clarification from supervisors and co-workers when needed and in developing skills to enable the individual to work at a reasonable pace or persist at a task.

This service follows a strict set of Policies and Procedures that are submitted to the Division of Licensing and Regulatory services as well as contract provisions of the MaineCare authorities.  While the regulatory documents are extensive, replete throughout the agency is a welcoming spirit for co-occurring disorders as well as on-going development of Trauma Informed Care.