Intermediate and Outpatient Services for Children

Tufts Health RITogether

The following represents an array of programs that offer comprehensive and coordinated diagnostic, clinical and educational services that may vary in intensity level according to the needs of the member served. Intermediate services offer a fully integrated behavioral health treatment aspect that includes a multi-disciplinary team approach supported by psychiatry when appropriate.

Intermediate services

  • Partial Hospitalization Program (PHP)
  • Day/Evening Treatment
  • Intensive Outpatient Treatment (IOP)
  • Enhanced Outpatient Services (EOS) (for members under age 21)

Outpatient services

  • General outpatient
    • Individual, group and family therapy
    • Psychological and neuropsychological testing
    • Medication management
    • Diagnostic evaluation

Partial Hospitalization (PHP)

PHP is a short-term, comprehensive, multidisciplinary behavioral health program that promotes and maintains a therapeutic milieu. The PHP is an alternative to or step down from inpatient care.

Day/Evening Treatment

A structured program focused on enhancing current levels of functioning and skills while maintaining community living. Children and adolescents who no longer require active medically based services may have significant residual symptoms that require extended interventions to address recovery. The services provided include individual and family behavioral health therapies, and psychosocial and adjunctive treatment modalities, including rehabilitative, pre-vocation and life skill services to enable the member to attain adequate functioning in the community.

Individual Outpatient Treatment (IOP)

IOP is a clinically structured outpatient program for members offering short-term day, evening or combination treatment. IOP consists of intensive treatment within a stable therapeutic milieu for those members who can be safely treated in a less intense setting than a partial, day or evening program but require a higher level of intensity then that which is available in outpatient therapy. IOP’s primary treatment modality is group therapy that supports positive and safe communication and interactions in a supportive therapeutic milieu.

Enhanced Outpatient Services (EOS)

EOS refers to home and/or community-based clinical services provided by a team of specialized licensed therapist and case managers. (Some examples of EOS clinical specialists include providers with expertise in the treatment of developmental disability, sexual abuse and post-traumatic stress disorder). The goal of EOS is to offer an effective and clinically supported transition of care from an inpatient or residential setting or to avoid an inpatient or residential admission for high-risk members. Note: Rhode Island EOHHS allows EOS services for members up to age 21.

Traditional Outpatient Services

Clinical services inclusive of individual, group, family, crisis intervention, diagnostic evaluation, psychological testing, and medication evaluation and management. Treatment can be conducted in an office, home-based setting or community setting.

 

Helpful tools

Tufts Health Rhode Island Together Behavioral Health Prior Authorization (PA) and Notification Grid

Contact information

The Rhode Island Provider Services phone number: 844.301.4093
The Rhode Island Provider Services fax number: 857.304.6403

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