Fast answers to
frequently asked questions
How to get effective treatment started quickly and
easily with virtually no "waiting" if you live in Philadelphia or your child
doesn't already have PA Medicaid (Medical Assistance) benefits....
What exactly are
these “Behavioral Health Rehabilitation” services
– “BHRS” or “wraparound” services?
BHRS refers to in-home and/or in-school behavior support to address
troublesome behavior of all sorts in children under the age of 21 who need
these services and receive them via Medical Assistance funding (at
absolutely no cost to families whatsoever, regardless of income). Sometimes
they are mistakenly called “wraparound” services. BHRS staff employed by
the Institute for Behavior Change (IBC) are well-trained and closely
supervised by licensed psychologists who specialize in the
treatment of children with mental illness and behavioral disorders.
You can click on any
hyperlink below to view the Job
Description for that position (Adobe Reader is required for viewing).
Behavior Specialist Consultant
have Masters degrees and experience in the use of behavioral psychology with
children. If they work for IBC, they receive face-to-face
supervision from licensed psychologists and work closely
with parents and teachers to design and monitor the child's Treatment Plan
on a weekly basis. They supervise TSS providers who carry out the child’s
Therapeutic Staff Support
(TSS) providers have
Bachelors degrees and deliver 1:1 support to children according to a written
Treatment Plan. They remain with the child for several hours at a time
(typically between 10 and 25 or more hours per week). They give advice to
the child, correct misbehavior therapeutically, and prevent the child from
taking steps in the wrong direction. They work closely with parents and
teachers to help the child to be more successful at home, at school and in
have Masters degrees and work under the direct supervision of licensed
psychologists. They provide in-home and in-school psychological counseling
to the child, and meet with parents, teachers and other involved adults to
help the child to develop a healthier self-image, learn more mature social
skills, and improve interpersonal relationship skills.
have Masters degrees and experience with diagnostic educational,
intellectual, and behavioral assessment instruments. They work under
the supervision of a Certified School Psychologist and perform diagnostic
evaluations of children in schools.
are licensed by the
State for the independent practice of psychology. At IBC, they are all
specialists in developmental and child psychology, and take full and
complete responsibility for the professional services delivered by staff
under their supervision. They do not prescribe medicine (Psychiatrists do
www.ibc-pa.org/IBC-NBC Organizational Chart.pdf
more in-depth information about the Institute for
Behavior Change and how to get services
Reader is required for viewing).
Click here to download the slides from our
"Medicaid, EPSDT and 'Wraparound'"
to learn more about EPSDT services.
Are these services effective?
IBC has been collecting treatment outcome data for more than 10 years.
Based on over 1,000 treatment records selected at random between 2002
and 2007, success rates between 74% and 82% have been
documented, addressing physical aggression, communication
deficits, personal safety issues, compliance with adult
prompts and socialization deficits, based on parental report of
progress. Our staff began delivering these services in 1981 -- more than
10 years before any other provider in Pennsylvania, and we've
consistently earned the highest praise from parents, advocates, and even
Managed Care Organization officials for the quality and integrity of our
Call us anytime at 610-524-8701. For more in-depth information, go to
Press Release and BHRS study 071608.pdf
for a treatment outcome analysis completed by researchers at the
University of North Carolina at Chapel Hill that was presented at the
bi-annual Training Institutes in Nashville, TN in July of 2008.
If my child must have Medical Assistance (MA) to get
these services, is my child eligible for Medical Assistance?
if he/she lives in Pennsylvania, is under 21 years of age, and has a
disability, your child is almost certainly eligible for Medical
Assistance benefits. It costs you nothing to ask. Please
call anytime: 610-524-8701 for more information. If you would
like written information about the evaluation process or the Institute for
Behavior Change, including our Organizational Chart, click
How long does it take to get an evaluation from you to
determine my child’s eligibility for MA benefits?
Provided that your child
is a Pennsylvania resident under 21 years of age with a disability and
without Medical Assistance benefits, if you can visit our office with your
child (outside Coatesville in Chester county) the evaluation can be
completed in a few hours, and the written report of the evaluation can be
delivered to you in less than 30 days. Our single evaluation can
also be used to establish a child’s need for BHRS, Early Intervention
services, and Special Education services. We are the only
organization in Chester County that offers this rapid, thorough and
completely free evaluation service to determine a child’s
eligibility for Medical Assistance benefits.
What does your evaluation involve?
About one hour of your
responding to questions about your child, completing a brief behavior rating
scale about your child’s typical behavior, and having the child meet briefly
face-to-face with a licensed psychologist from the Network for Behavior
Change (a private psychology practice group specializing in children's
mental health diagnosis and treatment). The psychologist’s finished
report can usually be delivered to you in less than 30 days. It will be about
12-15 pages long and will cover everything that any insurance company,
funding agency or treatment service provider in Pennsylvania could possibly
Who performs this evaluation?
A trained mental health
professional will ask the questions, write down your answers and help you
complete the behavioral rating scale. A licensed professional psychologist
and Certified School Psychologist will meet with your child face-to-face and
complete the evaluation.
establishing a child's eligibility for MA benefits due to a mental
disability, does your evaluation have any other uses?
evaluation report can serve four additional purposes
eligibility for Early Intervention services if your child is under the age
of 5 and has a significant developmental delay.
your child's entitlement to special education services in school.
your child’s entitlement to professional
behavioral support services in your child's home or school if your child
has a need for these services, including EPSDT services, "Behavioral Health
Rehabilitation Services" (BHRS) and/or "Wraparound" services.
an integrated, individualized behavioral Treatment Plan for your child that
will be acceptable to any Managed Care Organization in Pennsylvania
for delivering BHRS or “wrap-around” services if they’re needed.
Is there a waiting list for these evaluations?
No. If your child needs help, call us: 610-524-8701
x16 and leave a secure voicemail message for our Intake Coordinator who will
return your call promptly.
We can usually get started in less than two weeks.
Why isn't there any cost for these evaluations to determine a child's
need for Medical Assistance benefits?
The cost is paid 100% by the
Medical Assistance (Medicaid) program in the State of Pennsylvania,
regardless of family income, if your child is found to be eligible for
Medical Assistance benefits. If we don’t believe that your child
for Medical Assistance benefits, we will tell you so before the
evaluation, so there will be no cost to you in any case, and no unnecessary
travel to our office. If you want a
different type of evaluation (academic achievement, intelligence,
personality), we can also help you, but there will be a cost to you (that
may or may not be reimbursable in whole or in part by your private
believe you can do these evaluations so quickly. And at no cost.
How is that possible?
Different evaluations have
different purposes. We do not offer medical evaluations. We are
behavioral scientists, not physicians, and our evaluations are targeted to
providing a comprehensive review of your child's strengths, weaknesses and
needs from a biological-psychological-social perspective that will establish
your child's eligibility for Medical Assistance benefits if he or she has a
disability that is recognized by the Pennsylvania Department of Public
Welfare. Obviously, we don't make a profit on our evaluations to
determine a child's eligibility for Medical Assistance benefits; we do them
because they need to be done quickly so that necessary treatment
services can get started. You should obtain other
evaluations to serve other needs, and we will help you determine what those
other needs might be when we meet with you.
Like all organizations
that provide evaluation services (hospitals, etc), more than one
professional is involved in the evaluation process, including people with Masters
degrees in psychology who work under the close supervision of licensed
psychologists to conduct interviews, collect behavioral information and
create draft evaluation reports that a licensed psychologist with decades of
experience helping children relies upon in meeting with you and your child
in order to rapidly form responsible professional conclusions about your
child's strengths, weaknesses and needs. This licensed psychologist
completes the evaluation, generates the final diagnoses and recommendations,
and is fully responsible for the content of the evaluation report, but a
large part of the evaluation is performed by unlicensed supervisees.
By dividing up the responsibility for the evaluation in this way, it is
possible to perform an excellent, comprehensive evaluation quickly and
cost-efficiently that achieves its intended primary purpose: determining
whether or not your child is eligible for Medical Assistance benefits due to
a mental disability.
What if I already
have Medical Assistance benefits for my child and I live in Chester
your child already has MA benefits and you live in
Chester County, PA our staff can’t help you until you get permission
from the county government to get services from the psychology group that
we work with (The Network for Behavior Change -- the largest private
practice of psychology in Pennsylvania dedicated exclusively to
helping children). It’s unfortunate, we
have tried to change their policy, but we have to follow it if you live in
Chester County, PA. To get the County's permission, you
have to visit one of the evaluation providers they’ve chosen for you and that
evaluator has to
prescribe the services your child needs. After you have their
prescription, if they prescribed EPSDT BHR services (sometimes
"wraparound" services), you
can probably get those services from the Network for Behavior Change....
our staff have been delivering
these services for more than a decade to children as young as 18 months of
age, we can probably help you
work-through just about any situation in this field that confronts your
child. Please call us anytime: 610-524-8701.
here for driving directions to the Institute for
Behavior Change office in Exton, Pennsylvania.