Community Based Rehabilitation Services

Community Based Rehabilitation Services (CBRS) is a program that is offered through the Idaho Medicaid Program that provides an array of rehabilitative services that emphasize resiliency and long term recovery for children with serious emotional disturbances, and adults with serious and persistent mental illness.

CBRS offers a wide range of skill-building, wellness management and reintegration programs to participants on one-on-one or group basis.  These programs are offered in both the home and community to enhance skills to reduce the impact that mental illness has on their lives.

ProActive Behavioral Health employs skilled Rehabilitation Specialists who have professional degrees in human service fields and are certified with the National Psychiatric Rehabilitation Association (PRA).  Each of our staff members have successfully completed criminal background checks, and are certified in CPR and First Aid.  Many of our CBRS have received enhanced training related to co-occurring disorders, ADHD, PTSD, and Veterans issues.

ProActive has gender specific and bilingual CBRS practitioners to meet your individual needs and preferences.

*This service must be prior authorized through OPTUM Idaho (Idaho's Medicaid Provider)

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Autism and Environment
Autism and Environment

Autistic children perceive the environment around them differently and more often than not they are exploring it. They do not understand the interactions that we believe to be normal. They are trying to understand as Developmental and Behavioral specialist we are here to help translate the behaviors and help them understand the world around them and find better ways to manage their responses to stimuli that they do not understand yet.

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Autism Behavior
Autism Behavior

Autism itself does not cause challenging behaviors. It is likely, however, that some of the underlying biological processes that result in autism might also result in behaviors that are outside of a person’s control. Some behavioral responses are simply reflexes—no more of a choice for your child than when your leg jerks upward when the doctor uses his hammer on your kneecap. In addition, the core features of autism are areas in which difficulties can lead to feelings of frustration & confusion.

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Manipulation
Manipulation

There are many ways a manipulative child has learned this action from the time that is it born. Though it is not something they do consciously at first. A child learns that if it cries the parent responds. It will cry when it wants something, and the parent continues to respond. However there comes a point when the child must find out the difference. Children allowed to continue to manipulate their parents or caretakers try and take this attitude into the rest of the world. There is a better way

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Disruptive Behavior
Disruptive Behavior

Disruptive behavior disorders include two similar disorders: oppositional defiant disorder (ODD) and conduct disorder (CD). Common symptoms occurring in children with these disorders include: defiance of authority figures, angry outbursts, and other antisocial behaviors such as lying and stealing. It is felt that the difference between oppositional defiant disorder and conduct disorder is in the severity of symptoms and that they may lie on a continuum often with a developmental progression.

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Oppositional Defiant Disorder
Oppositional Defiant Disorder

a recurrent pattern of negative, defiant, disobedient and hostile behavior toward authority figures lasting at least six months. Which include: often loses temper, often argues with adults, often actively defies or refuses to comply with adults’ requests or rules often deliberately, annoys people often blames others for his or her mistakes or misbehavior, is often touchy or easily annoyed by others, is often angry and resentful, is often spiteful or vindictive.

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Conduct Disorder
Conduct Disorder

Conduct disorder (CD) involves more serious behaviors including aggression toward people or animals, destruction of property, lying, stealing and skipping school. The behaviors associated with CD are often described as delinquency. Children exhibiting these behaviors should receive a comprehensive evaluation. Children and adolescents with ADHD and CD often have more difficult lives and poorer outcomes than children with ADHD alone.

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Internalizing Disorders
Internalizing Disorders

Although fears and worries are typical in children, persistent or extreme forms of fear and sadness could be due to anxiety or depression. Because the symptoms primarily involve thoughts and feelings, they are called internalizing disorders. Forms of Anxiety and sadness are a part of growing up however if it is persistent is may be depression. Some children may not talk about their helpless and hopeless thoughts and may not appear sad.

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Keep in Mind
Keep in Mind

Keep in mind where all these examples are of children, adults can be afflicted by the same challenges. Depending on the opportunity and support of the adult they can have a combination or more trials that affect their daily life. A community-based support specialist can help provide support and understanding to help achieve a better quality of life.Once the need is established then the process can begin the process supports Veterans, adults, adult-children, teens, and children.

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