Pa. Code 5230.4

Psychiatric rehabilitation processes and practices

This section governs Psychiatric Rehabilitation Services (PRS) agencies in Pennsylvania, specifying the required processes and practices they must follow when delivering services. PRS agencies must use a three-phase rehabilitation process (assessing, planning, and intervening) and embed recovery-oriented, culturally competent practices into programming, staff training, and recordkeeping. Services must be provided regardless of an individual's involvement in other mental health services, and agencies must coordinate with other service providers with the individual's consent.

55 Pa. Code § 5230.4 - Psychiatric rehabilitation processes and practices 

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(a)
 A PRS agency shall assist an individual
 to develop, enhance and retain skills and competencies in living, learning,
 working, socializing and wellness so that an individual can live in the
 environment of choice and participate in the community.

(b)
 A PRS agency shall use the PRS process in
 delivering PRS. The PRS process consists of three phases: 
 
(1)

Assessing phase.

(i)
 Developing a relationship and
 trust.

(ii)
 Determining individual
 readiness for rehabilitation.

(iii)

 Completing mutual assessment of needs.

(iv)
 Goal setting.

(2)

Planning phase.

(i)
 Prioritizing needed and preferred skills
 and supports.

(ii)
 Planning for
 resource development.

(3)

Intervening phase.

(i)

 Developing new skills.

(ii)

 Supporting existing skills.

(iii)

 Overcoming barriers to using skills.

(iv)
 Identifying or modifying an individual's
 resources to pursue a goal.

(c)
 A PRS agency shall ensure that the
 following practices are included in programming and staff training and in
 agency and individual record maintenance:
(1)

 Creating a culturally competent, recovery-oriented environment consistent with
 psychiatric rehabilitation principles.

(2)
 Engaging an individual in PRS.

(3)
 Assessing individual strengths, interests
 and preferences for PRS with an individual.

(4)
 Developing strategies to assist an
 individual in identifying, achieving and maintaining valued roles.

(5)
 Developing an IRP with an
 individual.

(6)
 Helping an
 individual increase awareness of community resources and identify preferred
 options for the rehabilitation process.

(7)
 Educating an individual about mental
 illness, wellness and living in recovery.

(8)
 Providing direct or indirect skills
 development.

(9)
 Assisting an
 individual in identifying, developing and utilizing natural supports.

(10)
 Reaching out and re-engaging an
 individual who discontinues service participation.

(d)
 PRS shall be provided to an individual
 regardless of involvement in other mental health services. 
 
(1)
 PRS shall begin as soon as possible
 following diagnosis.

(2)
 A PRS
 agency shall collaborate and coordinate with other service agencies with the
 consent of the individual.

(e)
 A PRS agency shall follow EBP or best
 practices of the specific PRS approach identified in the agency service
 description.

(f)
 A PRS agency may
 offer PRS in a PRS facility, or in the community, or both, as is consistent
 with an approved agency service description.

Notes

55

 Pa. Code §
 
5230.4

Amended by
 
Pennsylvania
 Bulletin, Vol. 55, No. 03, January 18, 2025
, effective
 
1/18/2025

This section cited in 55 Pa. Code §
 
5230.56
 (relating to staff
 training requirements).

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