Non-therapeutic Services are intended to provide a way for the Division to offer a variety of services as needed based on the identified needs of children and families. The client or group of clients served through non-therapeutic services must have active/open CA/N, case management or adoption involvement with the Division. Services intended to prevent further incidents of child abuse and neglect, to meet the case specific needs of children, and families with open/active involvement with the Division.

The following is a listing of the types of non-therapeutic services:

• Day Treatment: This service includes therapeutic day treatment for emotionally disturbed, developmentally disadvantaged and abused or neglected children. Day treatment is an intensive service array of services provided in a structured, supervised environment designed to reduce symptoms of a psychiatric disorder and maximize functioning. Services are individualized based on the child’s needs. This service also includes support services for members of the child’s birth family, foster family, adoptive family or guardianship family. Services are intended to prevent out-of-home placement, placement disruption, and to return children to traditional child care or school settings as soon as possible. Children must be diagnosed within Axis I of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).

• Domestic Violence Batterer’s Intervention Program: Domestic Violence Batterer’s Intervention Program is a service intended to provide treatment for people who have used violence to exert power and control over another person. The intervention program is intended to help clients modify behavior patterns and break the cycle of violence by learning new skills around power and control, and accountability and communication. The program provides educational group sessions for people who are abusive in their relationships (abusive can be physical, emotional, mental, or sexual).

• Drug Testing: This service provides drug and alcohol testing for a Department client, at the request of the Department. Each client receiving drug testing services must be listed on an open case or investigation/assessment function. This drug testing service should only be utilized when the Office of Administration’s statewide drug testing contract with Guardian Medical Logistics (GML) cannot be utilized. The following drug tests are available through CTS:
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  • Urine, Five Panel Test
  • Urine, Nine Panel Test
  • Urine, Ten Panel Test
  • Urine, Eleven Panel Test
  • Hair Follicle, Five Panel Test
  • Hair Follicle, Nine Panel Test
  • Hair Follicle, Ten Panel Test
  • Hair Follicle, Eleven Panel Test
  • Medical Review Officer Test Results Review
  • Drug Specimen Positive Confirmation Test
  • Alcohol testing; breathalyzer or urine
  • Oral fluid testing

For non-court ordered situations, the Children’s Service Worker may have reasonable suspicion that the child’s parent(s) or caretaker(s) are using an illegal substance and may request authorization from the Circuit Manager to request that the parent(s) or caretaker(s) submit to a drug-screening test. Without a court order the parent(s) or caretaker(s) may decline the drug-screening test, at which time the worker will document the reason for the request and the client’s refusal as a manual activity. If they decline, the test may NOT be pursued further without a court order.

• Family-Centered Services Case Consultation: Family-Centered Services Case Consultation is to provide consultation services to designated recipients regarding specific families and/or general family practice either in individual or group session formats. The services shall be reflective of a Family-Centered Model for accomplishing child protective services and in-home child welfare services.

  • This service is NOT to be authorized for participation in Family Support Team (FST) meetings. This service is for the provider to facilitate the meeting.

• Family-Centered Services Family Meeting: Family-Centered Services Family Meeting is to provide assistance to designated recipients with the purpose of enhancing the skills of the designated recipients in conducting/facilitating meetings regarding families involved with Department and to serve families. This may include intact families, families with children at imminent risk of out-of-home placement, and families with children in out-of-home care. The services shall be reflective of a Family-Centered Model for accomplishing child protective services and in-home child welfare services. Family meetings include, but are not limited to, family support team meetings, family staffing, family conference, and team decision meetings.

• Nursing Services: Nursing Services, also considered as private duty nursing, is professional nursing care for assigned pediatric clients in a home care environment. The contractor and/or personnel shall provide nursing services in accordance to the child’s individualized Plan of Care established by the child’s treating physician. The contractor evaluates, assesses, and documents the pediatric nursing process. Nursing Services do not take the place of the parent/guardian or placement provider’s supervision duties.

• Parent Aide: Parent Aide services include the placement of a trained parent aide in the home of a family authorized by the Department as part of the family/client’s case service plan. The family must have an open Family Centered Services and/or Family Centered Out of Home Care (FCOOHC) case with the Department. At least one (1) parent and one (1) child must be present. Services shall be provided primarily in the home of the family/client. The contractor may assist the parent(s) in the development of parenting and home management skills through both teaching and modeling, with a goal of reaching an acceptable level of family functioning and maintenance of the physical environment. The parent aide shall not be used to provide supervised visitation or transportation services.

• Parent Education and Training Program: The Parenting Education and Training Program is meant to bring evidence based, parent education and training to the clients of the Department. The purpose is to bring a consistent standard of quality services resulting in positive outcomes for children and families. It is desired that the parent be able to demonstrate one or more new skills taught by the contractor in their instructional program.

• Personal Assistance (Behavioral): Personal Assistance may provide services that include any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department. Such services may include, but are not limited to: bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry. Services may also include assisting a client with shopping, banking, budgeting, using public transportation, social interaction, recreation, and leisure activities. Assistance may be given for accompaniment, cueing and minor problem-solving necessary to achieve increased independence, productivity and inclusion in the community.

• Personal Assistance (Medical): Personal Assistance Services activities may include any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department. Such services may include, but are not limited to, bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry.

• Pervasive Developmental Services Coordinator: The Pervasive Developmental Services Coordinator provides assistance with treatment plan development, consultation, environmental manipulation and training to and for clients with developmental disabilities whose maladaptive behaviors are significantly disrupting their progress toward a successful family environment. The contractor shall locate services and assist in referrals to service providers as needed to help meet the client’s needs. The contractor will also provide training and consultation with the client’s caregivers and service providers as needed to assist in caring for the client. The Pervasive Developmental Services Coordinator will assist the client and/or the client’s caregivers in designing and implementing specialized programs to enhance self-direction, independent living skills, community integration, social, leisure, and recreational skills. The Pervasive Developmental Services Coordinator will evaluate the client’s setting, schedule, typical daily activities, relationships with others that make up the supports for an individual including their caregivers and any service providers. The Pervasive Developmental Services Coordinator will then develop and implement strategies to help teach the client skills to promote more positive interactions between the client and their support system.

• Respite Care: Respite Care is the provision of temporary care for children, from birth to 18 years of age. Respite may be utilized when families are experiencing crisis that would significantly elevate the risk of abuse or neglect. Respite also allows family members to have a break from each other. The client must have an open case function in order to be eligible for respite services. Respite services under the Children’s Treatment Services contract shall not be used for children in alternative care or for children under adoption or guardianship subsidy. Respite is not to be utilized as a substitute for child care. Periodic and/or intermittent, temporary substitute care for the purposes of this contract means a minimum of twelve (12) hours up to twenty-four (24) hours per child and no child shall receive respite care under this or any other contract for more than twelve (12) days (twenty-four (24) hour periods) in a state fiscal year.

• Service Delivery Coordination: Service Delivery Coordination is designed to coordinate the following:

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  • Development, identification, and/or acquisition of resources for parents in need of a variety of services.
  • Assistance with case management activities which may include:
    • Supervising family visits;
    • Accessing resources for placement stability’
    • Behavioral management;
    • Child Care Services;
    • Public assistance;
    • Medical or mental health services; and/or
    • Additional resources as identified by the Department

This service is not to be used as a staff position beyond what is required above, unless approved in writing by the Department.

The Service Delivery Coordination shall not be used to provide transportation services.

• Substance Abuse Treatment Services: Substance Abuse Treatment Services include thorough client assessments and client specific treatment interventions designed to address alcoholism, drug dependence and addiction.

• Transportation: Transportation shall be utilized in direct alignment with the treatment plan goals as identified in Family Support Team (FST) meetings. Transportation for a parent(s) will assist in accessing community resources to alleviate the need for an open Family Center Services or Alternative Care case. Availability of handicap vehicles is preferred. Transportation shall only be used for the following:
  • Transporting a child(ren) to and from school
  • Transporting a child(ren) to and from medical appointments
  • Transporting a child(ren) from child care provider, school, or placement location to the location in which a visit will take place with siblings(s)/parent(s) or placement opportunity
  • Transporting parents to visits with their child(ren)
  • Transporting parents to meet with community resources as identified by the case manager which meet the treatment plan goals of the parent as identified in FST meetings
  • Transporting youth with handicap accessible needs as identified above; and/or
  • Other transportation services as approved by Department

• Transportation (Behavioral): Behavioral transportation is to be utilized for transporting youth who may be a danger to themselves and/or others.

  If restraints are required to transport a youth, CD will then obtain written approval from the court.

Therapeutic and Non-Therapeutic Service ReferralsThe Children’s Service Worker should submit a written referral summary to the provider before the provider initiates services with the family member(s). Verbal referrals should be followed up with a written referral.

The Children’s Treatment Services (CTS)/Medicaid Referral Summary (CS-13), is used by the Children’s Service Worker to inform the CTS provider of pertinent case information. In most instances, this form will provide the CTS/Medicaid provider with the necessary information to begin his/her delivery of services to the family.

Therapeutic and Non-Therapeutic Service Reporting Requirements

As case manager, the Children’s Service Worker must monitor the progress of the treatment plan, including the work of contracted providers. The worker shall be in regular contact with the contracted providers in addition to receiving regular written reports.

The contractor shall not make changes in the treatment plan including goals, objectives, and specific individual tasks without prior consultation with and concurrence of the Children’s Service Worker.

For any therapeutic service that requires a license to practice as issued by the Division of Professional Registration, and/or any non-therapeutic services, the CTS provider must complete and submit the following reports: :

• Initial progress report within thirty (30) days after services are initiated and shall include, at a minimum, the following information:
  • An explanation of any diagnostic or assessment procedure and service provision used at the inception of service delivery, identification of any assessment tools or test(s) administered and the results of any such test(s) or procedure(s), and any specific problems identified;
  • A summary of the proposed service plan including any specific tasks or objectives the client is expected to attain or accomplish and the expected achievement date; and
  • Results of any drug testing conducted, if applicable.
• Subsequent follow-up reports at least every sixty (60) days during the authorization period or within seven (7) days prior to the authorization end date for service authorization periods of less than thirty (30) days. Subsequent follow-up reports shall include, at a minimum:
  • A summary of the client’s progress since the last report;
  • Any change(s) to the treatment plan or expected achievement date(s) specified in the initial report; and
  • Any changes to the treatment plan based on the client’s progress toward their expected achievement or attainment of specified goals or objectives since the last report

Related Practice Points and Memos:

1-10-20 – CD20-05 – Children’s Treatment Services

9-22-20 = CD20-45- Medical Record Fees