Services

Services

Our services are primarily Medicaid funded through the Department of Medical Assistance Services (DMAS). We also service clients in several localities throughout Richmond, Roanoke, and Northern Virginia that are referred to us through local funding sources. If you have any questions about funding or eligibility, please call us at (540) 266-7550.

 
  • EPSDT - Behavioral Treatment Services

     

    Applied Behavior Analysis (ABA) is the method of scientifically applying interventions based upon the basic principles of learning theory to assess and treat maladaptive behaviors, improve socially significant behaviors to a meaningful degree, and to demonstrate, through data collection, that the interrventions implemented are responsible for the change in behavior.  Socially significant behaviors include targeting social skills, adaptive functioning (toileting, dressing, eating, vocational work, etc.), academics, and communication.   Parents, caregivers, and paraprofessionals involved with the client will be trained in the basic principles of ABA for the continuation of treatment outside of direct behavioral therapy.  Family Insight's ABA services are provided by highly trained professionals under the direct supervision of a Board Certified (assistant) Behavior Analyst (BCBA/BCaBA).

     

    Family Insight's in-home applied behavior analysis (ABA) services are available through EPSDT (Early Periodic Screening Diagnosis and Treatment).  This service is available to individuals residing in their family home, under the age of 21, who receive Medicaid or have a Medicaid Waiver.  Individual's seeking behavioral treatment through EPSDT will need a letter of medical necessity from his/her physician or psychiatrist indicating the need for behavioral treatment services.  If you feel that ABA therapy is medically necessary and appropriate, please contact us at our Richmond (804-562-9997) or Roanoke (540-266-7550) Office.

     

    The following requirements must be met in order to receive EPSDT Behavioral Treatment Services:

    • Each individual who requests services must have clinical necessity documented by their physician and the therapy provider’s clinical director;  
    • Individual’s disorder and level of impairment requires treatment that cannot be provided by another DMAS program or a lower level of care/service and requires behavioral interventions and the expertise of a Licensed Mental Health Provider or a Board Certified Behavioral Analyst;
    • Behavioral Therapy is expected to increase appropriate social - communicative interactions and pivotal responses within a social framework and increase adaptive functioning;
    • Family and caregivers lack the skills needed to effectively manage the individual’s behaviors in the home environment. Training is necessary to educate the family and caregivers concerning the individual’s disorder and to teach effective behavioral management techniques. At least one family member or caregiver must be able to participate in services to learn behavioral techniques to manage behaviors in the home and to reinforce skill acquisition and progress; and
    • Behavioral Therapy is expected to produce beneficial changes in pivotal responses that result in more widespread behavioral change across a number of other non-targeted behaviors.
  • Intensive In-Home Counseling

    A service for youth ages 4-21 utilizing evidence-based interventions to address problematic behaviors that are placing the child at risk of being placed out of the home. Our clinicians work with the child and family on a specific and specialized treatment plan that addresses the individual problematic behaviors while utilizing family supports. Our counselors are on call 24/7 for crisis management, and they are actively involved with connecting the child and family to community resources that assist the child in treatment. Each Medicaid insured child is eligible for up to 26 weeks of services per year. Our staff will see the child for a minimum of 3 hours per week, but will typically spend around 10 hours per week with the child or adolescent depending on their needs.

    Children and adolescents must demonstrate a clinical necessity arising from a severe condition due to mental, behavioral, or emotional illness that results in significant functional impairments in major life activities. Individuals must meet at least two of the following criteria on a continuing or intermittent basis:

    • Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or out-of-home placement because of conflicts with family or community; and/or
    • Exhibit such inappropriate behavior that repeated interventions by the mental health, social services, or the judicial system are necessary; and/or
    • Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior. For example, the child is at risk for acting out in such a fashion that will cause harm to himself or others.

    Services shall be used when there is a risk of out-of-home placement, due to the clinical needs of the child, and either: A) services more intensive than outpatient care are needed to stabilize the child in the family; or B) the child’s residence is a more successful treatment setting than a clinic.

  • Mental Health Support Services

    A service for late teens and adults who suffer from mental illness and lack basic living skills, need connection to community resources, and require help in managing their psychiatric symptoms. Our staff will work collaboratively with the client to create a specialized treatment plan with goals specific to the client’s needs with emphasis on managing their psychiatric symptoms and establishing consistent medication management. This training service is aimed at improving the well-being of our client by establishing safety, education and control of psychiatric symptoms, and empowering the client to increase their overall quality of life. Our services include extensive collaboration with outside professionals involved in the case and 24/7 crisis management.

    Individuals admitted to this program must demonstrate a clinical need for the service arising from a condition due to mental, behavioral, or emotional illness that results in significant functional impairments in major life activities and affects their ability to remain stabilized in the community. These individuals must meet at least two of the following criteria on a continuing or intermittent basis:

    • Have difficulty in establishing or maintaining relationships to such a degree that they are at risk of hospitalization, homelessness, or isolation from social supports.
    • Exhibit such inappropriate behavior that repeated interventions by mental health, social services, or judicial system are necessary.
    • Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior.
    • Require help in basic living skills, such as maintaining personal hygiene, preparing food and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized.

    Individuals eligible for this service may have a dual diagnoses of either mental illness and mental retardation OR mental illness and a substance abuse disorder. If an individual has co-occurring mental health and substance abuse disorders, integrated treatment for both disorders is allowed within Mental Health Support Services (MHSS) as long as the treatment for the substance abuse condition is intended to positively impact the mental health condition.