Assisted living facilities (ALF) provide full-time living arrangements in the least restrictive and most home-like setting. The basic services include but are not limited to: housing and nutritional meals; help with the activities of daily living like bathing dressing eating walking physical transfer giving medications or helping residents give themselves medications; arrange for health care services; provide or arrange for transportation to health care services; health monitoring; respite care; and social activities. Assisted living facilities are licensed and surveyed by the State of Florida.
Adult Family Care Home
The Adult Family Care Home is a residential home designed to provide personal care services to individuals requiring assistance. The provider must live in the home and offers personal services for up to 5 residents.
The generally accepted definition of affordability is for a household to pay no more than 30 percent of its annual income on housing.
Individuals participate in daily activities that were adversely affected by their mental illness or substance abuse. They learn to recognize triggers and relapse warning signs while working to maintain a healthy environment focused on recovery.
Collection and review of data used to develop individualized treatment plan to promote best opportunity for recovery from disease.
Individual’s needs identified and linkage provided to resources within the community that can best meet those needs. Qualified and trained Case Managers monitor and deliver services.
Comprehensive Community Service Team
A bundled service package delivered within a short time frame to help individuals rebuild skills receive treatment and access natural supports in their own communities. Multiple organizations may be involved at the same time in providing services and meeting needs.
Brief intensive mental health treatment services available 24 hours per day 7 days per week to address a crisis situation that might otherwise require hospitalization.
Crisis Support & Emergency
Nonresidential services that meet a crisis need and are available 24 hours per day 7 days a week. Examples include mobile teams that can respond to emergency calls crisis telephone hot lines or emergency walk-in clinics.
Care for children of Adults who are receiving mental health or substance abuse services in both residential and non-residential settings.
Nonresidential services for four or more hours per day that help children or adults in mental health programs attain skills and behaviors to help them function successfully in living learning work and social environments. Activities for substance abuse programs emphasize rehabilitation treatment and education.
Drop-In & Self Help Centers
Adults with severe and persistent mental illness can learn skills that will enable them to participate in social recreational and networking type activities.
Any facility the primary purpose of which is to provide temporary or transitional shelter for the homeless in general or for specific populations of the homeless.
Florida Assertive Community Treatment (FACT) Team
Called a “hospital without walls” the FACT team provides services to adults with severe and persistent mental illnesses. The multidisciplinary FACT teams are available 24 hours a day 7 days a week providing non-residential rehabilitative support and therapeutic services in the community.
community-based residences for individuals exhibiting symptoms of mental illness who are in need of a structured living environment.
A halfway house is a residence designed to assist persons especially those leaving institutions to reenter society and learn to adapt to independent living. Halfway houses aim to assist in community transition and may provide vocational training counseling and other services.
In-Home and Onsite
Therapeutic services and supports including early childhood mental health consultation are delivered outside an office setting. Services can be rendered at nursing homes assisted living facilities residences schools detention centers commitment settings foster homes daycare centers or other community settings).
When no other resources are available funds can support temporary expenses to facilitate treatment and community stabilization. Allowable uses include transportation childcare housing assistance clothing educational services vocational services medical care and pharmaceuticals.
It is the ability to live independently and productively in the community as a non-disabled person. The ability to examine alternatives and make informed decisions and direct one's own life. This ability requires the availability of information financial resources and peer group support systems.
Information and Referral
Maintenance of information about community resources and linkage of individuals to those resources after a determination has been made regarding needs. Follow-up ensures needs were met.
Services are provided within a hospital setting that has a psychiatric unit or is a psychiatric specialty hospital. Individuals exhibiting violent or suicidal behaviors or other severe disturbances due to substance abuse or mental health issues receive intensive treatment.
Intensive Case Management
Series of activities assess needs plan for care link and coordinate with various service systems monitor service delivery and evaluate effect of services received. Usually offered to individuals being discharged from a hospital or crisis stabilization unit and who need services to remain stable in the community.
Focus is on reducing risk factors associated with progression of substance abuse and mental health problems. Early identification and support services such as short term counseling and referral are critical. Services can be provided to both individuals and families.
Includes primary psychiatric care therapy and medication administration provided by a licensed Florida practitioner. Services are designed to improve functioning or prevent further deterioration of persons with mental health or substance abuse problems.
Delivery of medications for the treatment of substance use or abuse disorders prescribed by a licensed health care professional. Must be coupled with clinical assessment and in conjunction with substance abuse treatment.
Mental Health Clubhouse Services
Adults participate in a team based approach with trained staff to strengthen and/or regain skills participate in pyscho-social rehabilitation and develop support systems to help them thrive in the community and achieve employment and other life goals.
Regularly scheduled appointments in a therapeutic environment are designed to improve individual functioning and prevent further deterioration from substance abuse and mental health problems. Services may be provided in an individual or group setting.
Formal programs provided to individuals and communities include education identification and linkage services for high-risk groups. Focus is on encouraging educating and engaging those who have substance abuse and/or mental health problems or needs to seek and receive help.
Permanent Supported Housing
Provides permanent housing within the community for individuals who have previously been homeless and have a mental illness. Supported housing and other recovery services are provided based on each participant’s individual needs.
Prevention — Indicated
Indicated prevention services are provided to at-risk individuals who are identified as having minimal but detectable signs or symptoms foreshadowing mental disorders or substance use disorders. Target recipients of indicated prevention services are at-risk individuals who do not meet clinical criteria for mental health or substance abuse disorders. Indicated prevention services are designed to preclude forestall or impede the development of mental health or substance abuse disorders. These services shall address the following specific prevention strategies as defined in Rule 65D-30.013 F.A.C.: education alternative and problem identification and referral services.
Prevention — Selective
Selective prevention services are provided to a population subgroup whose risk of developing mental health or substance abuse disorders is higher than average. Target recipients of selective prevention services do not meet clinical criteria for mental health or substance abuse disorders. Selective prevention services are designed to preclude forestall or impede the development of mental health or substance abuse disorders. These services shall address the following specific prevention strategies as defined in Rule 65D-30.013 F.A.C.: information dissemination education alternatives and problem identification and referral services.
Prevention — Universal Direct
Universal direct prevention services are provided to the general public or a whole population that has not been identified on the basis of individual risk. These services are designed to preclude forestall or impede the development of mental health or substance abuse disorders. Universal direct services directly serve an identifiable group of participants who have not been identified on the basis of individual risk. This includes interventions involving interpersonal and ongoing or repeated contact such as curricula programs and classes. These services shall address the following specific prevention strategies as defined in Rule 65D-30.013 F.A.C.: information dissemination education alternatives or problem identification and referral services.
Prevention — Universal Indirect
Universal indirect prevention services are provided to the general public or a whole population that has not been identified on the basis of individual risk. These services are designed to preclude forestall or impede the development of mental health or substance use disorders. Universal indirect services support population-based programs and environmental strategies such as changing laws and policies. These services can include programs and policies implemented by coalitions. These services can also include meetings and events related to the design and implementation of components of the strategic prevention framework including needs assessments logic models and comprehensive community action plans. These services shall address the following specific prevention strategies as defined in Rule 65D-30.013 F.A.C.: information dissemination community-based processes and environmental strategies.
Services delivered by a trained specialist including a Peer that provide education support and coaching to help individuals regain or develop skills to live work and learn successfully in the community.
Residential Level I
These licensed services provide a structured live-in non-hospital setting with supervision on a twenty-four hours per day seven days per week basis. A nurse is on duty in these facilities at all times. For adult mental health these services include group homes. Group homes are for longer-term residents. These facilities offer nursing supervision provided by at a minimum licensed practical nurses on a twenty-four hours per day seven days per week basis. For children with serious emotional disturbances Level 1 services are the most intensive and restrictive level of residential therapeutic intervention provided in a non-hospital or non-crisis support unit setting including residential treatment centers. Medicaid Residential Treatment Centers and Residential Treatment Centers are reported under this Covered Service. On-call medical care shall be available for substance abuse programs. Level 1 provides a range of assessment treatment rehabilitation and ancillary services in an intensive therapeutic environment with an emphasis on treatment and may include formal school and adult education programs.
Residential Level II
Level II facilities are licensed structured rehabilitation-oriented group facilities that have twenty-four hours per day seven days per week supervision. Level II facilities house persons who have significant deficits in independent living skills and need extensive support and supervision. For children with serious emotional disturbances Level II services are programs specifically designed for the purpose of providing intensive therapeutic behavioral and treatment interventions. Therapeutic Group Home Specialized Therapeutic Foster Home – Level II and Therapeutic Foster Home – Level 2 are reported under this Covered Service. For substance abuse Level II services provide a range of assessment treatment rehabilitation and ancillary services in a less intensive therapeutic environment with an emphasis on rehabilitation and may include formal school and adult educational programs.
Residential Level III
These licensed facilities provide twenty-four hours per day seven days per week supervised residential alternatives to persons who have developed a moderate functional capacity for independent living. For children with serious emotional disturbances Level III services are specifically designed to provide sparse therapeutic behavioral and treatment interventions. Therapeutic Group Home Specialized Therapeutic Foster Home – Level I and Therapeutic Foster Home – Level 1 are reported under this Covered Service. For adults with serious mental illness this Covered Service consists of supervised apartments. For substance abuse Level III provides a range of assessment rehabilitation treatment and ancillary services on a long-term continuing care basis where depending upon the characteristics of the individuals served the emphasis is on rehabilitation or treatment.
Residential Level IV
This type of facility may have less than twenty-four hours per day seven days per week on-premise supervision. It is primarily a support service and as such treatment services are not included in this Covered Service although such treatment services may be provided as needed through other Covered Services. Level IV includes satellite apartments satellite group homes and therapeutic foster homes. For children with serious emotional disturbances Level IV services are the least intensive and restrictive level of residential care provided in group or foster home settings therapeutic foster homes and group care. Regular therapeutic foster care can be provided either through Residential Level IV “Day of Care: Therapeutic Foster Home” or by billing in-home/non-provider setting for a child in a foster home.
Residential Treatment Facility
Residential Treatment Facilities (RTF) are licensed structured rehabilitation-oriented group facilities that have 24-hour a day seven days per week supervision. Level II facilities house persons who have significant deficits in independent living skills and need extensive support and supervision.
Provides time limited temporary relief from the ongoing responsibilities of care giving.
Room and Board with Supervision Level I
This Covered Service solely provides for room and board with supervision on a twenty-four hours per day seven days per week basis. It corresponds to Residential Level I as defined in paragraph (4)(aa) of this rule. This Covered Service is not applicable for provider facilities which meet the definition of an Institute for Mental Disease as defined by Title 42 CFR Part 435.1010.
Room and Board with Supervision Level II
This Covered Service solely provides for room and board with supervision on a twenty-four hours per day seven days per week basis. It corresponds to Residential Level II as defined in paragraph (4)(bb) of this rule. This Covered Service is not applicable for provider facilities which meet the definition of an Institute for Mental Disease as defined by Title 42 CFR Part 435.1010.
Room and Board with Supervision Level III
This Covered Service solely provides for room and board with supervision on a twenty-four hours per day seven days per week basis. It corresponds to Residential Level III as defined in paragraph (4)(cc) of this rule. This Covered Service is not applicable for provider facilities which meet the definition of an Institute for Mental Disease as defined by Title 42 CFR part 435.1010.
Rooming House or Boarding House
A residential house of which most or some of the rooms are rented out to paying customers by the owner of the residential house. It is a place where individuals who are living in rent in that house shares the bathroom and the kitchen.
Short-term Residential Treatment
These individualized stabilizing acute and immediately sub-acute care services provide short and intermediate duration intensive mental health residential and habilitative services on a twenty-four hours per day seven days per week basis. These services shall meet the needs of individuals who are experiencing an acute or immediately sub-acute crisis and who in the absence of a suitable alternative would require hospitalization. This covered service may not be provided to a person less than 18 years old.
Substance Abuse Inpatient Detoxification
Residential detoxification and addiction receiving facilities use medical and clinical procedures for adults and children who have substance abuse problems. Facilities provide emergency screening evaluation short-term stabilization and treatment in a secure environment.
Substance Abuse Outpatient Detoxification
Medication or a psychosocial counseling regimen assists individuals to withdraw from the physiological and psychological effects of the abuse of addictive substances.
Community based services are delivered in a work setting to provide regular contact with non-disabled co-workers and the public. Individuals work with a job coach for support as long as is needed to maintain employment.
Supportive Housing & Living
Provides services and assistance to enable individuals with substance abuse and mental illness to live in permanent housing of their choice.
Transitional housing (TH) is designed to provide homeless individuals and families with the interim stability and support to successfully move to and maintain permanent housing. Transitional housing may be used to cover the costs of up to 24 months of housing with accompanying supportive services. Program participants must have a lease (or sublease) or occupancy agreement in place when residing in transitional housing.