Individual Skill Development & Enhancement • All providers shall practice within the scope of their proven competencies which is demonstrated by their degree level, trainings, licensures, and certifications. Allowable provider types for these CCS services are providers described in DHS 36.10(2)(g)1-22, Wis Admin Code. • Providers shall practice within the ethical standards of their professional licensure, certification and standards set by the WRIC CCS program. • Individual skill development and enhancement services are defined as services that directly trains a client in tangible skills and shall demonstrate an improvement in the functional impairments related to the client’s mental health and/or substance use diagnosis in the following domains: o Cognition - skills that support memory, organization, management of time & finances, problem solving, safety awareness and executive behaviors. o Activities of daily living - skills that support activities related to personal care, hygiene, dressing and eating. o Instrumental activities of daily living – skills that support more complex activities related to the ability to live independently in the community such as managing finances and medication, food preparation, housekeeping, laundry, and organization. o Social functioning – skills that support a client’s interaction with their environment, the ability to fulfill their role within such environments as work, school and home, social activities, interpersonal relationships and the skills of communication, conflict resolution and social etiquette. o Community participation – skills that support a client’s ability to take part in their community, navigate public transportation, recognize safety awareness, access basic resources and public supports such as housing, food, employment, energy assistance and benefits. • ISDE services provided to minors should focus on improving integration and interaction with the minor’s family, school, community and other social networks promoting facilitation of recovery toward independence while teaching the minor how to access resources to meet their needs through these supports. • ISDE services shall be psychosocial rehabilitative using methods that best meet the client’s needs such as modeling, monitoring, mentoring, assistance, and cuing. Psychosocial rehabilitation services are defined as services and supportive activities that assist a client with mental health and/or substance abuse conditions to achieve their highest possible level of independent functioning, stability, and independence and to facilitate recovery. These services must be tailored to address the specific mental health and/or substance abuse treatment needs of the client. • ISDE services shall develop functional capacities of a client to complete tasks independently. ISDE services cannot complete tasks on behalf of the client. • ISDE services may be provided individually or in a group setting. ISDE services provided in a group setting shall follow a curriculum or program guide that clearly defines the following: o Title and purpose of the group o Targeted client audience o Expected outcomes of the group o Timeline of the group including details about open/closed sessions, expected start and end date of group, frequency of sessions and duration of session o Overview of each group session or how each session is structured o Provider: Client ratio *group sessions cannot exceed 10 clients per state statute* • Providers shall implement ISDE psychosocial rehabilitation services based on the client’s clinical needs identified in the Individual and Recovery Service Plan. • Providers shall use assessments or screening tools to assess the client’s baseline functioning prior to the start of services and routinely evaluate the client’s response to the ISDE services, documenting change and progress, and suggesting modifications, as appropriate to the interdisciplinary wraparound treatment and recovery team.
