Name of the Procedure:

Comprehensive Community Support Services, per diem (H2016)

• Common Names: Community Support Services, Comprehensive Support
• Technical Term: H2016 - Comprehensive community support services, per diem

Summary

Comprehensive Community Support Services (H2016) are designed to help individuals with severe mental health conditions live successfully in the community. These services provide individuals with assistance and skill-building to manage their daily lives, cope with their conditions, and attain personal goals.

Purpose

• Medical Conditions/Problems Addressed: Severe mental health disorders, behavioral issues, and psychosocial disorders.
• Goals/Expected Outcomes: Enable individuals to achieve personal wellness, improve their quality of life, and foster independence within the community.

Indications

• Symptoms/Conditions: Severe mental illness, behavioral health challenges, difficulties in daily living, social isolation.
• Patient Criteria: People with a diagnosed mental health condition who require support to function independently in the community.

Preparation

• Pre-procedure Instructions: No specific fasting or medication adjustments typically necessary.
• Diagnostic Tests/Assessments: Comprehensive diagnostic evaluation by a mental health professional to assess needs and create a personalized support plan.

Procedure Description

• Steps Involved:
  1. Individual assessment and development of a personalized support plan.
  2. Providing practical assistance with daily living activities.
  3. Facilitating access to medical, psychological, and social services.
  4. Skill-building in areas like budgeting, cooking, personal hygiene, and social interactions.
  5. Ongoing monitoring and adjustment of the support plan.
• Tools/Equipment: Mostly involves counseling techniques, informational resources, and various skill-building tools.
• Anesthesia/Sedation: Not applicable.

Duration

• Typical Duration: This is a per diem service, meaning support is provided throughout the day as required.

Setting

• Location: Community settings including the patient’s home, community centers, outpatient clinics, and other supportive environments.

Personnel

• Healthcare Professionals Involved:
  • Case managers
  • Licensed clinical social workers
  • Psychiatrists
  • Nurses
  • Peer support specialists

Risks and Complications

• Common Risks: Minimal, primarily related to the patient's interaction with the support system.
• Rare Risks: Potential for dependency on support services or conflict in the patient-support relationship.
• Possible Complications Management: Regular supervision and adjustments in the support plan.

Benefits

• Expected Benefits: Improved daily functioning, increased independence, reduced hospitalization rates, enhanced quality of life.
• Realization Time: Benefits are often seen progressively, with significant improvements noticed within a few weeks to months.

Recovery

• Post-procedure Care/Instructions: Continuous engagement with support services, adherence to personalized goals, and regular follow-ups.
• Recovery Time: Varies significantly based on individual needs and backstories.
• Restrictions/Follow-up: No physical restrictions; follow-up appointments are integral to the ongoing adjustment of support plans.

Alternatives

• Other Treatment Options: Traditional outpatient therapy, inpatient care, medication management programs.
• Pros and Cons:
  • Traditional Outpatient Therapy: More focus on therapy sessions, less on practical daily support.
  • Inpatient Care: Intensive but often less emphasis on independent living skills.
  • Medication Management Programs: Manage symptoms medically but lack comprehensive skill-building and community integration.

Patient Experience

• During the Procedure: Patients can expect interactive sessions, practical assistance, engaging in skill-building activities, and regular check-ins with support providers.
• After the Procedure: Patients may feel more confident, less isolated, and better equipped to handle daily life. Pain management is not typically an issue, but emotional support and counseling are provided for comfort.