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Mental health clubhouse services, per diem

HCPCS code

Name of the Procedure:

Mental Health Clubhouse Services, Per Diem (H2031)

Summary

Mental Health Clubhouse Services provide a supportive and engaging environment for individuals with mental health disorders. These services offer members opportunities for socialization, skill development, and employment support on a daily basis.

Purpose

These services address mental health conditions such as depression, anxiety, schizophrenia, and bipolar disorder. The goal is to enhance social functioning, improve quality of life, and support community reintegration and independence.

Indications

  • Persistent mental health conditions affecting daily life and social interactions.
  • Individuals seeking rehabilitation and social support.
  • Patients transitioning from inpatient care to community-based settings.

Preparation

  • No specific preparations are generally required.
  • Initial evaluations and ongoing assessments by a mental health professional to determine suitability.
  • Discussions about current medications and mental health history.

Procedure Description

  1. Admission and Assessment: Initial intake and evaluation by a mental health professional.
  2. Individualized Plan: Creation of a personalized plan addressing the member’s needs and goals.
  3. Participation: Daily engagement in structured activities such as:
    • Group therapy sessions
    • Vocational training and support
    • Social and recreational activities
    • Life skills workshops
  4. Review and Adjustments: Regular reviews and progress assessments, with adjustments to the plan as needed.

Duration

Services are typically provided on a daily basis, with members attending the clubhouse for several hours each day.

Setting

Services are performed in a community-based clubhouse environment, designed to be welcoming and supportive.

Personnel

The multidisciplinary team may include:

  • Psychiatrists
  • Psychologists
  • Social workers
  • Vocational trainers
  • Peer support specialists
  • Recreational therapists

Risks and Complications

  • Mild emotional distress due to group settings or therapy sessions.
  • Potential for initial social anxiety.
  • Rare instances of conflict among members, managed by staff.

Benefits

  • Enhanced social skills and increased community involvement.
  • Improved mental health and quality of life.
  • Development of vocational and life skills.
  • Increased independence and reduced need for inpatient care.

Recovery

  • Continuous participation and engagement are key for long-term benefits.
  • Members often report gradual improvements in mental health and social interactions.
  • Regular follow-up assessments to monitor progress.

Alternatives

  • Individual therapy sessions.
  • Day treatment programs.
  • Outpatient psychiatric services.
  • Each alternative has its benefits and limitations compared to comprehensive, community-based support found in clubhouse services.

Patient Experience

  • Patients might experience increased motivation and hope through social interactions.
  • Comfort measures include supportive staff, engaging activities, and a safe, welcoming environment.
  • Pain management is generally not applicable, but emotional support is provided.

These clubhouse services offer a holistic and community-focused approach to mental health care, promoting a sense of belonging and empowerment among members.

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