SERVICE

One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.		  
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  EMPOWERMENT

The process of helping individuals, families, groups, or communities to increase their personal, interpersonal, political, social, and/or economic strength or position and to develop influence that may impact their circumstances.		  
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  SERVICE RECIPIENT

The individuals, groups, organizations, or communities that use, receive, or benefit from programs and services. Service recipients can include consumers, patients, family members, legal guardians, advocates, public/private organizations, employers, and purchasers. All are regarded as significant stakeholders served in a variety of agencies and practice settings.		  
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  AFTERCARE

Additional services provided beyond the period of primary care that offer continuity and supportive follow-up.		  
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  PLANNING

The process of specifying objectives, evaluating the means for their achievement, and exercising deliberate decision making about appropriate courses of action.		  
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  CASE CLOSING

A voluntary or involuntary process which occurs when an organization no longer assumes responsibility for providing services to a particular individual, group, or family. Also known as "termination" or "discharge."		  
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  CASE

A general term used to designate clients (including individuals, families, and groups) served by an organization for purposes of monitoring the provision of services. A foster care case is generally based on the placement of an individual child, although casework for the child may include services to the child's family. A child protective services case is based on an entire family household if a family assessment model is used; otherwise a case is defined as a child.		  
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Psychiatric Rehabilitation Services: Psychosocial Rehabilitation Services; Assertive Community Outreach Services
  
Private Org Public Agency  

PSR 8: Aftercare and Follow-Up

 
The organization and service recipient work together to develop an aftercare plan, and follow-up occurs when possible and appropriate.
Interpretation: While the decision to develop an aftercare plan is based on the wishes of the service recipient unless aftercare is mandated, the organization is expected to be strongly proactive with respect to aftercare planning.

PSR 8.01

 
The aftercare plan is developed sufficiently in advance of case closing to ensure an orderly transition.

PSR 8.02

 
Aftercare plans identify services needed or desired by the person and specify steps for obtaining these services.

PSR 8.03

 
The organization takes the initiative to explore suitable resources and contact service providers when appropriate.

PSR 8.04

 
The organization follows up on the aftercare plan, as appropriate, when possible, and with the permission of the service recipient.
Interpretation: Reasons why follow-up may not be appropriate include but are not limited to, cases where the person’s participation is involuntary or where there may be a risk to the service recipient such as in cases of domestic violence.
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PURPOSE: Adults with serious and persistent mental illness who participate in Psychiatric Rehabilitation Services achieve their highest level of self-sufficiency and recovery through gains in personal empowerment, hopefulness, and competency.
 
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