Office of Adult Services

The Office of Adult Services ensures that a comprehensive system of mental health services and supports are available and accessible for adults from age 18 throughout the life-span.  The office oversees the statewide planning, design, development, implementation, administration and monitoring of community-based mental health programs and services for adults, transition-age youth, and older adults.  In addition, the office formulates policy, protocols, regulations and practice guidelines to support systems transformation for improved consumer outcomes; promotes evidence-based, consumer-directed and recovery-oriented rehabilitation, treatment and supports that have demonstrated effectiveness and are responsive to consumer needs and preferences.  In addition, staff oversees federal legislation regarding the PASRR (Pre-Admission and Resident Review) program, and the Interstate Compact on Mental Health.  


The mission of the Office of Adult Services is to develop an integrated, coherent, consumer-centered service delivery system for adults of all ages.  Our efforts are enhanced through forging collaborations throughout the State, and at the federal and national levels.  Staff of the Office of Adult Services works closely with the Department of Health and Mental Hygiene’s (DHMH)

It collaborates with other State agencies, such as the::

The Office works in close partnership with several national organizations and federal administrations, such as the:

It closely interacts with advocacy groups such as:

Established academic relationships exist with the

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Annually, the Office of Adult Services provides for a comprehensive all-inclusive conference covering issues affecting adult consumers, as well as training for providers and others interested in the Public Mental Health System. 


The Office of Adult Services directs the state’s plans, initiatives, and services for individuals with Traumatic Brain Injury (TBI).

The Ticket to Work Program helps people who receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) go to work. The program is free and voluntary.  More information is available at http://harfordmentalhealth.org/ticket-to-work

Evidence-Based Practice (EBP):  EBP refers to a specific practice or service that consists of   a set of standardized, replicable interventions for which rigorous scientific research exists to demonstrate the effectiveness of the interventions when implemented as designed in achieving meaningful, positive outcomes for consumers who have received the service.  The successful implementation of EBP programs -- or program fidelity -- is measured by a scale which assesses the degree to which the program adheres to the core principles and essential program elements of the practice which have been shown by research to be critical to the effectiveness of the program.  EBP programs that have been rated high in fidelity on an approved fidelity scale by trained fidelity monitors have been shown to achieve superior outcomes relative to those programs that have been rated low in fidelity on the scale outcomes. 

For more information about Evidence-based practices, visit

Annual fidelity assessments are performed by adult services staff to ensure that programs meet established fidelity standards.  In addition, training, technical assistance and consultation is provided to interested programs.  The Office of Adult Services promotes and monitors the development and implementation of EBP programs and services in partnership with the University of Maryland’s Evidence Based Practice Center.  These include:

  • Assertive Community Treatment (ACT):  This program is designed to reduce recidivism by helping consumers to develop skills so they can live in the community.  The program is customized to meet individual needs, and is delivered by a team of mental health clinicians who are available 24 hours a day.

                Please click HERE for information on EBP ACT rates and eligibility

  • Family Psycho education (FPE):  This program supports consumers and families in the recovery process by providing information on mental illness; helps to build social supports; and enhances problem solving, communications and coping skills. 

                Please click HERE for information on EBP FPE rates and eligibility

  • Supported Employment (SE):  This program helps consumers secure jobs in the community that pays at least minimum wage and that anyone could secure regardless of their disability.  Choices for work are based on the consumer’s experiences, strengths, and preferences.  Once a job is secured, the program continues to provide support to the consumer, based on her or his individual needs, to include helping the consumer to retain jobs, secure new or better jobs, and establish a career. 

                Please click HERE for information of EBP SE rates and eligibility

                Please click HERE for more information on Ticket to Work

Case Management is governed by regulation, COMAR 10.09.45 and is located in each county.  Case Management programs assist consumers in accessing a full array of mental health services and other supports, such as medical, social, financial assistance, counseling, education, and housing.  The program is based on a brokerage model that supports eventual transitioning to more traditional services and supports.

Housing services are offered through the MHA-funded “Residential Rehabilitation Programs,” which are homes designed to foster a consumer’s ability to reside in the community following an in-patient stay in an MHA psychiatric facility.  Among the available support services is psychiatric rehabilitation, which teaches life skills necessary for community living.  The DHMH sponsored “Capital Bond Program” provides annual funding for the development of additional housing units with a focus on Supported Housing.  MHA along with other housing partners, including the Department of Housing and Community Development, developed pilot programs throughout the State (e.g. “Bridge Subsidy”) to promote additional affordable housing choices.  Also, collaboration with local Public Housing Authorities has resulted in additional opportunities for consumers to access integrated community housing through federal programs.

The PASRR Program (Pre-Admission Screening and Resident Review) is a federal program governed by the Centers for Medicare and Medicaid Services.  This program provides for a screening process to identify the psychiatric and medical needs of persons with a recent history of mental disabilities, requiring inpatient care within 2 years.  It seeks to identify the most appropriate, least restrictive setting providing all necessary services for an individual, and supports nursing home placement when that is the most appropriate, least restrictive setting to meet the individual’s current treatment needs.  The required evaluations are conducted by local health department professionals, and approved by the Office of Adult Services.   

Interstate Compact on Mental Health facilitates the transfer back to a MHA inpatient psychiatric facility for Maryland residents who are currently “voluntary committed” to a publicly operated psychiatric facility outside of Maryland.  This initiative also facilitates the transfer of an individual currently residing in a MHA psychiatric facility on a “voluntary committed” status back to an inpatient publicly operated facility in their State of residence.

Transition Age Youth (TAY) Program:  Transition planning assists students with emotional disabilities as they progress through school and prepare for adult life.  Transition-age services and supports are available to youth at age 16, and complement those provided by the local educational system.  Services and supports are designed to prepare and facilitate achievement of their goals related to relevant transition domains, such as employment, career, educational opportunities, living situation, personal effectiveness and well-being community-life functioning.  

For more information on these and other programs and services, please contact the Office of Adult Services at 410-402-8476.


Steven Reeder, Director, Office of Adult Services
Stefani O’Dea, Chief, Long-Term Care, Director, TBI Services
Nikisha Marion, TBI Waiver Case Manager
Anastasia Edmonton, TBI Projects Director
Judith Leiman, Evidence-Based Practice Fidelity Evaluator