Providing Behavioral Health Services in Rural South Texas

Youth & Family Services ~ Click links below for more information

YES Waiver- HHSC and DSHS received CMS approval to implement a 1915(c) Medicaid Home and Community-Based Services (HCBS) waiver, called Youth Empowerment Services (YES) in February 2009.  The Yes waiver allows for more flexibility in the funding of intensive community-based services to assist children and adolescents with serious emotional disturbances (SED) to live in the community with their families.  Waiver services are provided in combination with services available through the Medicaid State Plan, other federal, state, and local programs the individual may qualify for, and the natural support that families and communities provide.  Some of the services and supports available through YES waiver are respite, community living supports, family supports, minor home modifications, supported employment, paraprofessional, and professional services.

Please, click on this link to see proposed YES Waiver Amendments

Youth & Family Program - The Youth & Family Program provides intensive, in-home, family therapy and related services to children and adolescents as well as their families. This program is designed to keep children/adolescents within the family setting. It strives to address the needs of all family members as they relate to the child or adolescent.


Adolescent Intensive Family Services - These services are intended to meet the needs of the child or youth with identified behavioral and/or emotional treatment needs that has significant involvement with multiple child serving systems.


Case Management - Case Management services are provided to every child or youth receiving our services. The Case Manager will assess the youth's needs, along with the family's needs and provide linkage, coordination and services based upon the youth's identified needs and priorities for services.


Skills Training - services are provided to the majority of youth, based upon their identified needs and diagnosis.  All services provided utilize evidence-based practices to help the youth learn the skills they need to understand why they are feeling the way they feel; cope with those feelings in productive ways; and learn new ways of reacting to things.  Parent education and training is an essential part of skills training as parents also need to learn why their child reacts or behaves the way they do, how to respond in a different way and to understand the skills that their child is learning.


Medication Services - include psychiatric evaluations, assessment, diagnosis, and prescribing of psychotropic medications if clinically appropriate.  All medications prescribed are monitored by Board Certified Psychiatrists.  Medications will only be prescribed based upon State and Federal prescribing practices.  The goal is to provide quality medical services, following best practices.  Staff members, to include nursing staff, will also provide training, education and support to assist parents and youth to understand and follow recommended treatment. The goal is for parents to make informed decisions regarding the medication treatment their child receives.

Family Partner Services - The Family Partner is a formal member of the wraparound team whose role is to support the family and help them engage and actively participate on the team and make informed decisions that drive the process when receiving intensive case management services. The Family Partner can be a mediator, facilitator, or bridge between families and agencies.


Wrap-Around Services - are provided based upon the youth's level of care.  Sometimes due to increased needs at school, in the home, law enforcement involvement or involvement with other community services, a youth and his/her family may need additional support.  Wrap-around services provide that extra support by working together with the family to encourage them to get all of the supports they have to work together to help the youth achieve their goals.  Wrap services are intensive, evidence-based practices that can help achieve outcomes with commitment from the whole team, especially the parents and the youth.


Cognitive Behavioral Therapy (CBT) - is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors.  The therapist will help the youth explore patterns of thinking that lead to self-destructive actions and the beliefs that direct these thoughts.  They will then help the youth learn ways of modifying their patterns of thinking to improve coping.  CBT is problem-focused, and goal-directed treatment where the person and therapist are addressing the challenging symptoms of mental illnesses.


TXSOC System of Care - This program is a variety of community-based services and supports for children and youth with or at risk for mental health or other challenges and their families. These supports are organized into a coordinated network that will build meaningful partnerships with the youth and their family. The program will address the youths cultural and linguistic needs, in order to help them to function better at home, in school, in the community, and throughout life.



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