Sec. 07.02.15.06. Delivery of Service

A. Information and Referral.

(1) When only information and referral is needed, the local department, no later than 5 working days following the request for service, shall:

(a) Clarify the type of information or referral which is requested, if needed; and

(b) Provide information, about availability of programs, appropriate to the request, or make a referral to an available resource, including direction regarding the application and eligibility requirement of the available resource.

(2) When providing Information and Referral Services, the SSTA worker shall have contact with the adult or the adult’s representative as needed in order to:

(a) Assist the client in identifying, engaging and/or enhancing the client’s access and involvement with available formal or informal resources; and

(b) Identify and inform the local department administration staff of unmet needs or barriers to service delivery.

(3) The local department may not deliver information and referral service for more than 30 days after the date of application.

B. Crisis Intervention.

(1) When crisis intervention is appropriate the local department shall:

(a) Begin a full assessment of the adult’s eligibility, needs, strengths, and resources by no later than the first work day following the date of application; and

(b) Establish a service plan by no later than 14 calendar days following the date of application.

(2) During crisis intervention services, the SSTA worker shall have face-to-face contact with the adult on at least a weekly basis in order to:

(a) Provide counseling and other services which the worker has agreed to provide as part of the service plan;

(b) Assist the client in accessing to available resources as required by the service plan;

(c) Monitor the effectiveness of any service to which the adult is referred or which is serving the adult;

(d) Monitor progress in achieving the goals of the service plan;

(e) Revise the service plan as needed; and

(f) Identify and inform the local department administrative staff of unmet needs or barriers to service delivery.

(3) The local department may not deliver crisis intervention service for more than 60 days after the date of application.

C. Continuing SSTA Case Management Services.

(1) When case management is appropriate, the local department shall:

(a) Begin a full assessment of the adult’s eligibility, risk level, needs, strengths, and resources by no later than 7 calendar days following the date of application. In the event that there is an indication that the adult may be institutionalized if service is not provided, the assessment shall begin no later than the first working day following the date of application.

(b) Conduct an analysis of the case no more than 90 days after acceptance of the case at Intake. This analysis is to determine whether the case will be open in Continuing Social Services to Adults, closed or assigned to the waitlist. This analysis should focus on the client’s level of risk, level of dependency on the local department, and the resources needed to support the client’s goals as stated in the Service Plan.

(c) Conduct a case analysis at the time of case reconsideration to determine whether case will be closed or whether staff resources will be committed to the case up to an additional 6 months.

(d) Conduct a case analysis at any time there is a significant change in the client’s circumstances and/or risk.

(e) Establish an individual service plan by no later than 90 calendar days following the date of application.

(2) During case management service, the case manager shall have contact with the adult monthly through face-to-face contact no less frequently than once every 3 months in order to:

(a) Provide services which the worker has agreed to provide as part of the service plan;

(b) Assist the client in identifying, obtaining and/or enhancing access and involvement with available resources as required by the service plan;

(c) Monitor the effectiveness of any service to which the client is referred or which is serving the client;

(d) Monitor progress in achieving the goals of the service plan;

(e) Revise the service plan as needed but not less than every 6 months; and

(f) Identify and inform the local department administration staff of unmet needs or barriers to service delivery.