ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, po... more ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, positive behavioral support, and crisis intervention to children with serious mental health diagnoses via afederal entitlement program, Early Periodic Screening Diagnosis and Treatment (EPSDT). For those of us who work daily in the behavioral health rehabilitation field, having this position filled by welltrained and supervised staff is critically important. However, despite the real and potential benefits of the TSS in the context of “wrap around services,” most stakeholders in the state of PA, (where this type of service is more extensively developed than most other states), agree that the current system for TSS must change. Almost all are concerned and complaining. Parents and agencies have filed suit against the Commonwealth for failure to provide medically necessary services in a timely fashion, as in the precedent setting Kirk T. litigation. Parents and provider agencies are also concerned about the quality of services, particularly when they hear that “treatment” involves trips to McDonald’s or the arcade. Teachers complain that TSS in their classrooms are often nonproductive and sometimes a hindrance. Managed care companies and agencies complain that TSS services decay into “glorified babysitting.” Finally the state of PA is overwhelmed with the over utilization of the TSS service, usually the most costly aspect of EPSDT service provision.
ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, po... more ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, positive behavioral support, and crisis intervention to children with serious mental health diagnoses via afederal entitlement program, Early Periodic Screening Diagnosis and Treatment (EPSDT). For those of us who work daily in the behavioral health rehabilitation field, having this position filled by welltrained and supervised staff is critically important. However, despite the real and potential benefits of the TSS in the context of “wrap around services,” most stakeholders in the state of PA, (where this type of service is more extensively developed than most other states), agree that the current system for TSS must change. Almost all are concerned and complaining. Parents and agencies have filed suit against the Commonwealth for failure to provide medically necessary services in a timely fashion, as in the precedent setting Kirk T. litigation. Parents and provider agencies are also concerned about the quality of services, particularly when they hear that “treatment” involves trips to McDonald’s or the arcade. Teachers complain that TSS in their classrooms are often nonproductive and sometimes a hindrance. Managed care companies and agencies complain that TSS services decay into “glorified babysitting.” Finally the state of PA is overwhelmed with the over utilization of the TSS service, usually the most costly aspect of EPSDT service provision.
... CAUTILLI, HANCOCK, THOMAS, & TILLMAN 233 programs. ... This emerging technology is consid... more ... CAUTILLI, HANCOCK, THOMAS, & TILLMAN 233 programs. ... This emerging technology is considered the hallmark of good behavioral intervention designed by behavior specialists and therapists (Scotti, Schulam, & Hojnacki, 1994), increasing the overall durability of treatment ...
ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, po... more ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, positive behavioral support, and crisis intervention to children with serious mental health diagnoses via afederal entitlement program, Early Periodic Screening Diagnosis and Treatment (EPSDT). For those of us who work daily in the behavioral health rehabilitation field, having this position filled by welltrained and supervised staff is critically important. However, despite the real and potential benefits of the TSS in the context of “wrap around services,” most stakeholders in the state of PA, (where this type of service is more extensively developed than most other states), agree that the current system for TSS must change. Almost all are concerned and complaining. Parents and agencies have filed suit against the Commonwealth for failure to provide medically necessary services in a timely fashion, as in the precedent setting Kirk T. litigation. Parents and provider agencies are also concerned about the quality of services, particularly when they hear that “treatment” involves trips to McDonald’s or the arcade. Teachers complain that TSS in their classrooms are often nonproductive and sometimes a hindrance. Managed care companies and agencies complain that TSS services decay into “glorified babysitting.” Finally the state of PA is overwhelmed with the over utilization of the TSS service, usually the most costly aspect of EPSDT service provision.
ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, po... more ABSTRACT Therapeutic Staff Support (TSS) provide proactive child management, time structuring, positive behavioral support, and crisis intervention to children with serious mental health diagnoses via afederal entitlement program, Early Periodic Screening Diagnosis and Treatment (EPSDT). For those of us who work daily in the behavioral health rehabilitation field, having this position filled by welltrained and supervised staff is critically important. However, despite the real and potential benefits of the TSS in the context of “wrap around services,” most stakeholders in the state of PA, (where this type of service is more extensively developed than most other states), agree that the current system for TSS must change. Almost all are concerned and complaining. Parents and agencies have filed suit against the Commonwealth for failure to provide medically necessary services in a timely fashion, as in the precedent setting Kirk T. litigation. Parents and provider agencies are also concerned about the quality of services, particularly when they hear that “treatment” involves trips to McDonald’s or the arcade. Teachers complain that TSS in their classrooms are often nonproductive and sometimes a hindrance. Managed care companies and agencies complain that TSS services decay into “glorified babysitting.” Finally the state of PA is overwhelmed with the over utilization of the TSS service, usually the most costly aspect of EPSDT service provision.
... CAUTILLI, HANCOCK, THOMAS, & TILLMAN 233 programs. ... This emerging technology is consid... more ... CAUTILLI, HANCOCK, THOMAS, & TILLMAN 233 programs. ... This emerging technology is considered the hallmark of good behavioral intervention designed by behavior specialists and therapists (Scotti, Schulam, & Hojnacki, 1994), increasing the overall durability of treatment ...
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