Aspire has a broad continuum of home and community-based services for youth and families. We are closely aligned with the desires of those we serve - that families stay together, in their homes, schools, and communities, while obtaining the resources, skills, and interventions to function safely and adaptively with the challenges that arise in their lives. These services are offered through a variety of contracts and payors, for those youth and families that qualify.
Medicaid Rehabilitation Option (MRO) allows Medicaid-eligible youth, whose behavioral health issues create significant and ongoing impairments in their ability to function, a greater array of services. These services can be provided in schools, homes, and in the community. Traditional therapy can be supported with our case management services that assist the youth and family in communicating with the service providers and agencies in their lives, making sure their needs are being effectively met, and accessing resources within their communities. Skills training and development services, focused on identifying, teaching, training, and mastering the skills that are needed, is an integral and very effective intervention in assisting youth and families toward self- efficacy and self-management of behavioral health issues.
Aspire emphasizes collaboration with other child and youth-serving agencies, governmental entities, and the families we work with in providing the most effective behavioral health services. Aspire’s contract with the Indiana Department of Child Services is a major focus and allows us to not only provide needed behavioral health services, but to assist some of our communities’ most "at-risk” youth and families in ways that have traditionally not been funded. Through this contract, Aspire staff are also taking advantage of training in more evidenced-based practices, increasing our effective interventions and areas of expertise. One major focus is Trauma-Informed Care and, more specifically, Trauma-Focused Cognitive Behavioral Therapy.
TF-CBT is an evidenced based practice that addresses the emotional and behavioral responses of children who have experienced a traumatic event, including sexual abuse, natural disaster, or grief/loss. A trusted adult such a parent or caregiver is also engaged in the treatment, both to provide support to the child, and to address the impact of the traumatic event on the adult and the family.
Treatment with TF-CBT is time-limited and can be completed in as few as 12 – 18 sessions. Sessions follow the PRACTICE model and include the following components:
TF-CBT is increasingly being used in special circumstances such as children in foster care, or with developmental delays, and in special settings, such as residential placement.
"Systems of Care” (SOC) is a philosophy of how care should be delivered to children with complex emotional, behavioral, and mental health needs. Many of these children might have traditionally been served in out-of-home settings, like residential treatment centers, group homes, and psychiatric hospitals. Through programs based on SOC philosophy, many children are able to remain in their homes, schools, and communities.
The SOC philosophy promotes services that are youth and family focused, which means the referred youth and their families are involved in identifying their own needs and the plan to address those needs. The service is delivered through intensive care coordination, also called Wraparound. A Wraparound Facilitator elicits the family’s story and needs, and assists the family in developing a plan. The Wraparound Facilitator helps the family give directions to a "team” regarding the type of help needed. The team is identified by the family, and may include teachers, counselors, pastors, friends, family, as well as mental health professionals serving the family.
At least once a month, the team meets to consider what’s working well and what’s not working. The family and team make changes to the plan, as needed. In addition to home and community based services like respite, family/youth peer support, and intensive in-home services, the child may continue to receive traditional mental health services, like outpatient therapy and medication management.
Outcome evaluations of SOC designed programs have shown the following results:
Indiana participates in several SOC initiatives and has been recently recognized for contributing to positive outcomes. Aspire has been a key provider of Wraparound in Boone, Hamilton, Madison and Marion counties.