Office of Adult and Specialized Behavioral Health Services

The Office of Adult and Specialized Behavioral Health Services supports the comprehensive system of behavioral health services and supports as the coordinator of four units: Adult Services, Treatment and Recovery Services, Specialized Behavioral Health Services, and Women’s Services.  The Office oversees statewide planning, development, administration, and monitoring of community and residential based behavioral health services and supports.  

Adult Services Unit

 The Adult Services Unit ensures that a comprehensive system of mental health services and supports are available and accessible for emerging adults and adults from age 18 throughout the life span.  In collaboration with the Office of Adult and Specialized Behavioral Health Services, the unit participates in the statewide planning, design, development, implementation and monitoring of community-based mental health programs and services for adults, transition age youth, and older adults.   In addition, the unit formulates policy, protocols, regulations and practice guidelines to support systems transformation for improved individual outcomes; and promotes evidence-based practice, consumer-directed and recovery-oriented rehabilitation, and treatment and supports that have demonstrated effectiveness and are responsive to individual needs and preferences.

 Public Behavior Health System (PBHS) for Adults

The Public Behavioral Health System for Adults provides services based on eligibility and medical necessity criteria which have been established for each level of services outlined below:

  • Psychiatric inpatient care: Psychiatric inpatient care is a hospital-based service that provides intensive psychiatric treatment on a 24-hour basis, including weekends, to individuals experiencing severe psychiatric symptoms or behaviors that place them at risk of harming themselves or others. The inpatient service may include psychiatric and clinical evaluation, medication administration and management, individual and family counseling, group therapy, medical and nursing supervision and interventions, psychoeducation, and aftercare services.
  • Psychiatric Partial Hospitalization Program (PHP): Partial hospitalization is an outpatient, short-term, intensive, psychiatric treatment service that parallels the intensity of services provided in a hospital, including medical and nursing supervision and interventions.  PHP is an alternative to psychiatric inpatient care when the individual can safely reside in the community. This level of service is a covered benefit for Medicaid-eligible service recipients only.
  • Respite: Respite services are provided on a short-term basis in the individual’s home or in an approved community-based setting and are designed to support the individual in remaining in his or her home by providing temporary relief to the individual’s care-givers.
  • Outpatient Mental Health Center or Individual Mental Health Practitioner:
    Outpatient psychiatric treatment services may include psychiatric or clinical assessment and evaluation, individual therapy, group therapy, family therapy, family psychoeducation, or medication management. This service is provided by approved Outpatient Mental Health Centers (OMHCs), Federally Qualified Health Centers (FQHC), Health Services Cost Review Commission (HSCRC)-regulated providers or by individually licensed health professionals who are authorized under the Health Occupations Article to independently provide mental health services.
  • Psychiatric Rehabilitation Program (PRP): PRP services are designed for individuals with severe and persistent mental illness (SPMI) to develop or restore independent living and social skills, including the ability to make decisions regarding: life, self-care, illness management, and community participation; and to promote access to and use of community resources to facilitate the individual’s integration into the community, thereby facilitating recovery, and preventing relapse and re-hospitalization.   Services may be provided in an on-site facility, or in a setting most conducive to promoting the participation of the individual in community life.  PRP services include PRP basic case management functions, such as assistance in securing entitlements, coordination of services, and liaison with external services (somatic and mental health) within the provision of PRP services.
  • Residential Rehabilitation Program (RRP): RRP services are designed for individuals with SPMI who require extensive psychiatric rehabilitation services and support in a structured community-based, home-liked living environment to develop the daily living skills needed for independent functioning   RRP services provide graduated levels of care, to include intensive-level and general-level services, based on individual needs.
    Individuals are supported in moving through the levels of residential support services toward independent living or Permanent Supportive Housing (PSH). PSH programs allow individuals with SPMI to live in their own subsidized residences, become primary lease holders, and have access to behavioral health services from the PBHS. Services are encouraged, but are not required; they are optional to the individual.
  • Mobile Treatment: Mobile Treatment is an intensive, community-based service which provides assertive outreach, treatment, rehabilitation, and support to individuals with SPMI who may be without a home or for whom more traditional forms of outpatient treatment have been ineffective. Services are provided by a mobile, multidisciplinary team in the individual’s natural environment.
  • Targeted Case Management (TCM): TCM services are provided in the home or community in order to assist individuals in gaining access to the full range of mental health services, as well as to any additional needed medical, social, financial assistance or benefits, counseling, educational, housing and other supportive services. TCM services assist individuals, based on an assessment of needs, to link to services, advocate on behalf of the individual, and empower the individual to secure needed services. TCM services are time limited as individuals are effectively linked to needed resources and services.
  • Supported Living: Supported living services provide off-site rehabilitation and support for individuals with SPMI who are able to live in independent housing of their choice with flexible, individualized supports.  Supported living services are available to individuals transitioning from RRP services and individuals residing in independent, mainstream housing or Permanent Supportive Housing (PSH) programs
  • Non Evidence-Based Practice Supported Employment (SE): SE services provide job development and placement, job coaching, and ongoing employment support to individuals with serious mental illness (SMI) or emotional disturbance for whom competitive employment has not occurred, has been interrupted, or has been intermittent. These individualized services are provided to enable eligible individuals to choose, obtain, maintain, or advance within independent competitive employment, within a community-integrated work environment, consistent with their interests, preferences, and skills. This level of service is available for individuals ages 16 and older. For Evidence-Based Practice (EBP) Supported Employment, refer to EBP Services subsection of this Unit.
  • Residential Crisis: Residential Crisis services are short-term, intensive mental health and support services provided in a community-based, non-hospital, residential setting designed to prevent a psychiatric inpatient admission, to provide an alternative to psychiatric inpatient admission, or to shorten the length of inpatient stay.
Mental Health-Related Laboratory Services: Mental Health-Related Laboratory services include medically necessary tests and procedures performed by approved laboratories with a valid Medicaid provider number related to the psychiatric treatment rendered by psychiatrists in the PBHS to Medicaid-eligible service recipient.
Value Options® Maryland is the Administrative Services Organization (ASO) under contract with the Maryland Department of Health and Mental Hygiene (DHMH) that assist in the management of the PBHS.   For individuals receiving mental health services through the PBHS, no action is needed.   For individuals who would like to initiate mental health services through the PBHS, contact Value Options® Maryland for help in accessing mental health services: https://maryland.valueoptions.com; call – 1 800 888 1965; or TTY – 1 866 835 2755