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The Home & Community-Based Services (HCBS) Waiver Program is
designed to help Seriously Emotionally Disturbed (SED) Suffolk County
residents, 5 to 18 years of age. The goal is to maintain these youngsters
at home by offering an array of community-based services sufficient
to prevent intermediate psychiatric admission or placement in a
residential treatment facility, or to provide services which would
enable a child already in such a placement to be discharged sooner.
The New York State Office of Mental Health permits the Pederson-Krag
Center's program to serve up to 40 children and their families at
one time.
The Pederson-Krag Center is designated to provide the Individualized
Care Coordination (ICC) required by each child/family. In addition
to ICC services, the program also offers:
- Respite Care
- Family Support Services
- Crisis Response Services
- Intensive In-Home Services
- Skill Building Services
Although only Pederson-Krag is approved to provide the ICC service,
it is only one of several approved providers of the five services
listed above.
The individualized care model emphasizes the following major values:
- The service plan is designed specifically to address the unique
needs and strengths of each child and family.
- Services are provided within the least restrictive, most normative
environment and enable the child to live as normal a life as possible.
- There is a true partnership with families, including family
involvement during all phases of service planning and delivery.
- Planning for services is strength-based and recognizes that
even the youngster with the most challenging problems and families
that are the most stressed have strengths, assets and coping skills.
- The planning and services are culturally competent, and no
youngster should be rejected or found ineligible for services
based solely on the severity of their presenting problems.
In most cases it may be appropriate for a child receiving HCBS
Waiver Program services to continue in treatment with his/her therapist
and psychiatrist.
The target population for OMH's HCBS Waiver Program is children
and adolescents:
- With Serious Emotional Disturbance
- Between the ages of 5 and 18 years
- Who demonstrate complex health and mental health needs
- Who require a level of care of intermediate inpatient or RTF
- Who are at imminent risk of admission to intermediate psychiatric
hospitalization or RTF, or have a need for continued hospitalization
- Whose service and support needs cannot be met by just one agency
- Who are capable of being cared for in the home and/or community
if services are provided
- Who are capable of being cared for at less cost in the community
than at a hospital
The child or adolescent must meet the criteria for a primary DSM-IV
psychiatric diagnosis. He/she must have experienced functional limitations
due to emotional disturbances over the past 12 months and meet criteria
for ratings of 50 or less on the Children's Global Assessment Scale
(CGAS). These are children who require individualized, intensive
treatment and rehabilitation services, and usually exhibit a range
of mental health diagnoses and characteristics.
The children and adolescents enrolled in the program are those
who have the potential of functioning in their own homes and communities
without the restrictiveness of a campus or facility environment.
The families are able and willing to accept the responsibilities
of their children being served within their homes.
The unique needs of each child and family determine what support
services become part of the service plan, and the level of intensity
and frequency with which they are provided. It is at this point
that the family selects among the approved providers for each service
of their plan.
Referrals must include a complete Referral Form, signed Request
to Screen Form and signed releases. Please feel free to photocopy
as many releases as needed for additional information. This information
may be directly sent to Pederson-Krag, HCBS Waiver program. Attach
psychiatric evaluations, psychological testing reports and treatment
history, as well as any other pertinent data, and submit to:
The Pederson-Krag Center North
HCBS Waiver Program
11 Route 111
Simthtown, NY 11787
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