What is CBRS (Formally PSR)?

EDIT:
SOOOOOOO.......for those of you who are wondering.....

There were recent changes in Idaho to mental health services and the name PSR, changed along with many other things...(whomp, whomp) to CBRS or Community Based Rehabilitation Services (mouthful, huh?). Most of the guidelines have stayed the same (in regards to how you become qualified for this position or for services..but, that's another post...)

FYI--One does still need to become certified through PRA, I believe the time frame is still the same (certificate needs to be obtained within 30 months of employment) 

We are still going to be here though, same party time, same party channel! 
xoxo
Stacey and Katie 


Hello from the Potato State! My name is Stacey and I am co-runner of a little Idaho blog called: Behavioral Interventions--For Kids!. I am here today to give a little insight on what we do!

In Idaho we have an awesome service offered to children and adults called PSR or Psycho-Social Rehabilitation. PSR is not available to everyone (it is a Medicaid only service and not in every state) which explain the blank stares I often get when I tell people what I do. Katie and I work with children (ages 4-19 is the general range of clients) but, adult services are available! Clients who qualify for PShave been diagnosed with a Serious Emotional Disturbance (SED) for children, or a Severe and Persistent Mental Disorder (SPMD) for adults. I am going to keep this simple and sweet for you today, if you have any questions feel free to ask! 

Who?
Have a Bachelors degree (in Social Services, Early Childhood Education, Sociology, Social Work, Psychology, and the like)? You can do PSR! You will have to gain a USPRA certification though, if you wish to work in the state of Idaho. Some states even require a masters degree.

About us: 
Katie: I graduated with a BAS in Child Care and Development from Boise State University in 2009. I have lived in Boise the majority of my life, am married with two dogs and with what spare time I can find love to travel, run, camp and read.  I have worked with kids for about 15 years in many different ways, from camp counselor to tutor to Pre-school teacher! I have been working as a PSR Specialist for about two and a half years now, and am just feeling like I'm getting the hang of it!  

Stacey: I graduated from Boise State University in 2010, with my B.F.A in Drawing and studies in Psychology and Art Therapy. My family moved us to Boise when I was 10 and we have been here ever since. I just bought a house a street over from my childhood home and live there with my boyfriend of many years and our bully breed pup, Penny. I have too many interests to list but, the tops are: creating, motorcycles, bargin hunting and kicking back! I have always had a passion for helping others, which has given me the opportunity to work in an array of jobs.  From working with animals, to slinging coffee or advising college students..I've done it all! I have been a PSR specialist for going on two years and can't wait to see where it takes me. 


What do we do as PSR workers? 
PSR is individual skill based training, such as anger management, social skills emotions recognition, etc. 

When do we work?
Each client qualifies for about 4-5 hours per week. We work in the community so our hours are outside of school hours--afternoons, night and weekends. As you can imagine we love summer for its flexibility! 

So...an office? School?...where do you work?
PSR is a community based postion, no office (unless your car counts--I havent used my trunk for purposes other than hauling around 'PSR' tools for 2 years now-ha!). We work in the homes or take them out into the community to work. Libraries, malls, Barnes and Noble, coffee shops, parks--you get the idea. 

Why? 
Our goal(s) in PSR are simple. When a client comes into PSR a treatment plan is designed that consists of measurable and behaviorally specific objectives. PSR is there to build skills to better communicate, interact within society, build relationships, handle situations and overall be the best kiddos they can be! 

How?
We do an array of activities with clients (based on age, understanding and needs)..check http://www.psrideaweb.com/ for awesome activity idea! 

55 comments:

  1. From another Idaho PSR, very cool website! Thanks for all of this info.

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  2. Hello there!!! I'm from Florida and have no creative skills whats so ever lol I just started PSR and this site has helped me greatly. Thank you!!!! Love form the south :)

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    1. You are very welcome! Thank you for the support!! : )

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  3. Hello! I am an intensive in-home counselor in VA working with the same aged population as the client's you serve. This is such a wealth of information, and I am so excited to have found it! I LOVE that there is a variety of age appropriate activities for several issues I work with daily. Sharing with all my counselor friends!

    THANK YOU!!!!

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    1. That's great Challen, thank you so much for the support!

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  4. Hello! I teach kindergarten here in the Treasure Valley. I am looking for a change and I've been reading about PSR. I have two interviews next week for PSR positions. I'm glad I stumbled upon your blog! It's given me more information. Three questions: Do you enjoy your job? Do you make a reasonable wage? Is it hard working evenings? Thanks for any info you can give me.

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    1. I just started PSR in the Treasure Valley in the last few months. I am enjoying it but there have been a few bumps for me, such as getting the paperwork worded correctly to be acceptable for Medicaid approval. I am making what I consider a very good hourly wage ($18). Sometimes the home/family situations that the clients are in can be frustrating. I find that often times, some of the Parents need a PSR of their own. However, I have experienced little successes here and there that really make me feel like I am making a difference one child at a time. It has been hard for me to work evenings because I am now missing prime after school time with my own children, so I am really looking forward to summer and the flexibility it will bring to my schedule. Some agencies are definitely better to work for than others. Go with your gut feeling and ask lots of questions before you are hired and after to be the best PSR.

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    2. Thanks Lisa, for your reply. The place I interviewed with pays $15 an hour. Are you working full time? I don't see how someone could work 40 hours if it's all after school and weekends.

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  5. I just started as a PSR in February here in Idaho. Your site is bookmarked and I visit it often. Thanks for all of your effort and ideas, they have been soooo helpful! Starting out as a PSR is overwhelming and I have often felt like I am flying blind, but your site helps me to stay calm and carry on!

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  6. Your site is great. I just started as a PSR in February and I have felt overwhelmed at times with the feeling that I am flying blind! Thanks for the ideas and keep up the good work!

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    1. Thank you! We know hard it is to start out, I'm so glad these activities are helpful!

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  7. Thanks for this blog it is helping me alot. I am a PSR worker in Rexburg ID. What company do you all work for in boise?

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  8. Hello, from a Tennessee PSR coordinator! I love your blog, thanks for the infusion of some new ideas. I've been working in PSR for over 6 years and sometimes feel stuck in a rut, struggling to come up with new, innovative ideas. So thanks for the help!

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  9. Heather in FloridaJuly 9, 2013 at 7:39 PM

    Hi! I supervise a PSR program in Central FL. Our requirements in FL sound much less restrictive than in Idaho. We do mostly psychoeducational groups/classes in an office setting and get to go on occasional outings to practice learned skills hands-on. In FL, we only have PSR for adults (18+), but we have state funding to cover adults who don't have Medicaid, so we never have to turn anyone way. I have worked in PSR for 4 years, and I absolutely love it! I will be sharing your blog with my staff so we can all follow!

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  10. So basically I have to have my seven year old diagnosed with something first? ...confused.

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    1. Hey Anon, yes in the state of Idaho, you do need to meet certain criteria to be able to receive PSR services. That does involve being diagnosed with a disorder that would benefit from said services. Usually children (and adults) have been diagnosed with a disorder well before they end up in PSR and we are often referred to in conjunction with other services. Does that clear up your confusion at all? Let me know! : )

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  11. Oh I wish I had found your site earlier! I worked as a PSR Specialist from 2010-2012, and I felt like I was making it up as I went along, and even when I was training new staff it seemed to be fly by the seat of my pants.

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  12. I just wanted to say thank you for making this website/blog! My friend, Hannah, referred me here (said she works with you guys :-)) since I will be starting in-school PSR work tomorrow out in Filer, ID! This is all very new and exciting to me! Thank you, again, for this! This is such wonderful help!!

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    1. Thank you!!! We are glad we can help : )

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  13. I am currently in college and majoring in Human Service management and will have my AA in about 8 months. I currently do not want to get my BA and am looking to see what I can do with just my AA degree. I realize I would not be able to be a PSR worker without a BA, so that being said, is there anything along those lines that you would suggest doing for a job? I just want to do something where I will get fulfillment out of it and be able to make a living at the same time. Any advice is very much appreciated!

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    1. Dear anonymous - GO FOR YOUR BA!!! I have had 2 AA's in Social work and Communications for 20 years and they did not get me good paying jobs in the field - I finally am getting my BA in one week at age 53 after going online to college at Ashford University!! it is so worth the extra college of the job opportunities that have opened up for me! Don't stop - just keep plugging away at college classes! Well worth it!!

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  14. I'm just curious about your progress notes. My boss is having us now put what evidence based treatment we used (example CBT or MI) and I'm having a hard time translating we worked on personal hygiene into something that sounds professional and has proof of an evidence based practice of treatment. Anyways any thoughts or examples?

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    1. I am not really sure, we have not had to change our progress notes in that way. Although, I do know Optum is more focused on seeing evidence based treatment. I will do some research and let you know what I find!

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  15. I currently do CBRS in Mountain Home, but just sold my house and moving to Boise. In Mountain Home CPI offers services in the schools, do you happen to know if services are offered in the schools in Boise, and what company it is offered through?

    Thanks

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    1. From my understanding CBRS workers who work in the school, are employed by the school or can be a contracted with the school through their agency. Optum is pretty strict on that (as was the same under Idahpa), we can't just go into the schools, which is a bummer because that would reality help a lot of clients! CPI is the only agency I have found that does offer school CBRS.

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  16. What wonderful ideas! I wish that this site was around when I was doing PSR 5 years ago.

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  17. So I've been doing PSR (or I guess CBR) for a little over a year now. I don't know that I'll ever feel like I 100% know what I'm doing. I was wondering if either of you have worked with adults. I get from the blog you must mostly work with kids but if either of you have ever done CBR with an adult I'd love some feedback/advice on how a session might look. I've only really been working with kids and currently have 6 kid client's ages 6-17. I was recently assigned an adult which I've never done and have to admit been feeling anxious leading up to our first session because I'm just not sure what to expect. I'm so in the groove of games and activities and journals with kids that I don't know that I have a clue how to even work with an adult.

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    1. We do only work with kids, but when speaking with Stacey, we do have some suggestions. If you would like, email our site psrideaweb@gmail.com, and we will get back to you. And with your permission, I would like to try putting yours and other's questions up on the Facebook page to see if we can get a discussion going. Thanks!

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  18. You gals would be amazing if you added some stuff for ODD specific clients. I have a client who won't do a single thing for me when he's in a defiant mood. Any suggestions?

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    1. David hello! Are you on Facebook by chance? We recently had this question asked of us, so responded by putting the question on our Facebook page and had some very helpful comments. We can refer you to that, or ask for the permission of our friends to post the discussion on the Blog. Thanks so much for your support!

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  19. I've been working as a PSR worker since December 2013 and I feel like any id=
    eas would be very helpful I would love to be added to the Facebook page. I t=
    o work with kids that relate to the above post from David that are very defi=
    ant very angry and have a hard time getting to get through activities and so=
    I'm struggling to feel like I'm making a difference. I have a BA in social w=
    ork and did a lot of counseling as an intern so this is a new territory for m=
    e I love that you have this website resource and would love to get emails an=
    d things related to PSR.

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  20. This comment has been removed by a blog administrator.

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  21. I've been working as a PSR worker since December 2013 and I feel like any id=
    eas would be very helpful I would love to be added to the Facebook page. I t=
    o work with kids that relate to the above post from David that are very defi=
    ant very angry and have a hard time getting to get through activities and so=
    I'm struggling to feel like I'm making a difference. I have a BA in social w=
    ork and did a lot of counseling as an intern so this is a new territory for m=
    e I love that you have this website resource and would love to get emails an=
    d things related to PSR.

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  22. so I've worked for a developmentally disabled agency for the past 6 years serving as both a paraprofessional and developmental specialist. Loved working with the clients...but the expectation they hold over your head is you have to use your own vehicle. you were never really reimbursed....and this was a turnoff to a lot of workers......I mean come on... that's a lot of wear and tear on your own personal vehicle that you take home at night...gas..insurance...repairs. there were many young workers with clunkers to begin with....seemed very unfair to lay that burden on them. I imagine CBRS would be the same story?

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    1. We do have to use our own vehicles but, most agencies reimburse for gas and when tax season roles around most of us claim car repairs, oil changes and the like as deductibles--as they are needed for us to continue working. I am sorry to hear you had a rough experience!

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  24. Wow! Great resources! Do you have a Facebook page? xo, School Psych in OK

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  25. I could use your input..i practices marriage and family therapy for years then I stayed home to raise my children the last 10 years.
    I have a job interview in 2 days and it's for a rehab specialist using PSR and BST .

    I could use any info to help get familiar with it for my interview and beyond.

    Also examples on treatment plans working with children and goals to work on would be helpful.

    thank u in advance :)
    Jen

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    1. Hey Jen! Sorry for the delay--it's been crazy around these parts--I hope you did well on the interview! Let me know if I can still answer any questions!

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  26. This actually sounds a lot like what I do! I work with the Wraparound process, and I'm so excited about this blog! I just got a ton of ideas to use with my kids!!!

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    1. Awesome! Glad you like it! Sorry you are coming in when it's slowing down, but we have a ton of resources floating around here so, feel free to swoop it all up. I will have to check out the process you spoke about--very interesting! Thank for looking!

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  27. Nice work there is some great stuff. We have assembled a document called 101 interventions in PSR but have not taken the effort to find a way to share it. Thanks again for sharing.

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    1. Thank you! That sounds like a great document! Happy to hear other workers are still out there and passionate about the service!!

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  28. How do I find someone that will be consistent with my son? Poor kiddo lost his mom at 5 and before that was abused mentally and physically at least. He came to live with our family and he has put us through the ringer. We have had several psr workers (CBRS) that have moved on, wont help etc. His therapist seem to be forever changing also and for a RAD child this is so tough for him. The biggest thing is I get that adults move on but none of these people we are using have enough understanding to know what the consistent changes are doing to my little guy. Just looking for someone to help him without hurting him more! We are ready to just give up! We are 6 therapist and 4 cbrs workers in for 2 years now and he cant quite take anymore. We need a committed therapist and cbsr worker asap!

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  29. I'm just getting interested in the CBRS field and trying to find employment in the field. Your blog is amazing and really inspiring! Keep it up! I can definitely see myself coming to this website frequently once I enter the field. :)

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  30. I'm an art therapist working with children and adolescents (ages 6-18) in a residential treatment facility - love so many of these creative interventions!

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  31. I have been a receipient of PSR services for the last 7 years in CDA,Idaho. It was hard on me,as an adult changing workers I had developed a rapport with. It must really be hard on kids. I was a Peer Support Specialist when I lived in SE Iowa several years ago.CBRS keeps me out of the hospital and encourages me to actively engage in my ongoing therapy. I fully disagree with what Optum is trying to do and I intend to do further research on this. Idaho needs more CBRS workers and psychiatrists in rural areas. I have been working,off and on my AA degree in Human Services. This is a great site,Keep up the good work! old? Vet

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    1. We will keep up the good work as long as you continue to do the same! Thank you for your kind words and good luck on getting your AA Degree!!

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  32. Love this idea. I live in GA where our People are called CSI's for children and one has to be certified para-pro if no License. I have started a new program where I am doing therapy and a lot of the CSI stuff...that's harder for me. Thanks for your ideas and sharing them. You two ladies sound wonderful.

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  33. I love your ideas! I've been interested in becoming a provider, but I'm not sure where to start or where to look. How does one go about finding a position?

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  34. Amazing job here Stacey! As a PSR/CBRS/CPRP Supervisor, this is exactly the kind of resource I look for to offer additional tools and resources for my team. Thank you for the time and work put into this collection as well as for sharing your experiences. This is very much appreciated and I will continue to view this site and collection as I progress forward as well as encourage others to do the same. Again, many thanks from right here in Boise, Id.

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