Merakey offers a continuum of care in behavioral health (includes mental health and addictive diseases), integrating services in both community and site based settings. These services provide a wide range of recovery focused treatment, services, and supports for children and adults.
(Services provided at a Merakey facility)
The Merakey Center for Hope is a youth drop-in center for children ages 11-21 residing in the city of Newburgh, NY. The Center offers an array of workshops, including ceramics, printmaking, animation, music, dance, photography, creative writing, sports, karate, horseback riding, hiking, fishing, Pilates, step dancing, and Yoga, as well recreational activities and field trips. The Center also offers after school tutoring and homework help on a daily basis, as well as opportunities for community service involvement. The Center maintains a community garden that grows organic vegetables. The children attending the Center are involved in the growing, harvesting, and selling of these vegetables. During the summer months, academic pursuits are still encouraged with an onsite borrowing library, spelling bees, and vocabulary tournaments.
Children and adolescents under the age of 21 experiencing behavioral health challenges can receive services in a clinic based setting. Treatment modalities include:
Merakey offers site-based, or clinic-based, treatment to adults with mental illness who are in need of therapy, psychiatric evaluation and medication management. A variety of highly trained professional staff offer individual, group, family and specialized therapies to individuals and their families. Board eligible or certified Psychiatrists are available for diagnostic assessment as well as medication monitoring and evaluation. In addition, some sites offer nursing support for Clozaril management, psycho-education, and medication administration.
Integration of Primary and Behavioral Healthcare
Merakey partners with primary care offices to provide primary care services within our behavioral health care facilities as an option for individuals to receive all their services in one location. In addition to primary care services, individuals may also receive services from on site nurse navigators and a pharmacy. This integrated approach helps fill a void for medical care that some individuals with mental illness have experienced.
Certified Community Behavioral Health Clinic at Merakey Delaware County
In the fall of 2018, Merakey Delaware County was awarded a Certified Community Behavioral Health Clinic (CCBHC) Expansion Grant from the Federal Substance Abuse and Mental Health Services Administration (SAMHSA). These national grants are intended to initiate a nationwide transformation of the publicly funded behavioral health delivery system. Grant recipients are tasked with developing a model of community behavioral healthcare that increases access to services, comprehensiveness of services, and quality of services. Merakey Delaware County in Sharon Hill, PA began fully functioning as a CCBHC in January 2019. For more information, click here.
PCIT is an empirically – supported treatment for young children, ages 2 ½ to 7, with emotional and behavioral disorders that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. Treatment consists of 12 to 20 weekly sessions of direct coaching by a therapist who uses an earpiece during parent-child play to inform them of what they are doing well provide in-time support to enhance skills that they may have difficulty mastering.
The PACT program assists young children with serious behavioral/emotional challenges with developing more appropriate behavior and coping strategies so that they can be successful in traditional kindergarten or community school settings. PACT also assists the caretakers of these children to develop the parenting skills needed to support and maintain changes in behavior and emotional states at home, in school and in other settings.
(Services provided in the community or in an individual’s home)
Assertive Community Treatment (ACT) Teams are composed of professionals including psychiatrists, nurses, mental health professionals, substance abuse professionals, employment specialists, housing specialists, and a peer specialist, all of whom collaborate to provide complete services including therapy, medication management and resource linkage. Services are provided in the individual’s home and include at least three home visits a week. Criteria for eligibility include:
Forensic Assertive Community Treatment (FACT) Teams are essentially the same as the Assertive Community Treatment Team except that the eligibility requirements include at least two encounters with law enforcement/arrests/incarceration within the six months prior to service delivery.
Case Management Services are designed to provide individualized support to people who face the challenges of mental health challenges. Services are provided 365 days per year, 24 hours a day by trained professional staff. An approved service plan determines the type of services needed and frequency of contacts. Services offered:
This service offers a combination of resource and intensive case management services. Case managers are able to adjust the frequency of supports based on the consumers needs without the consumer moving to another program. Frequent assessments and face to face visits help determine the level and intensity of support and services.
Merakey has developed a continuum of services to help seniors remain independent and in their own homes and communities as long as possible. Merakey programs provide alternatives to nursing facilities. Services include:
This service is intended to provide supports by staff who have direct experience utilizing public mental health services. Participants benefit from assistance with developing a wellness recovery action plan which will identify their personal goals and objectives for recovery. Peer Specialists are trained to assist with advocacy, building natural community supports, role modeling and service coordination. Services and supports are an adjunct to additional treatment and services offered and must be requested by the individual.
Certified Peer Specialist Program
These services are provided by a person who has personal experience receiving services from the public mental health system. Services include:
Merakey, in Montgomery County, PA, works with the North Penn School District (Penndale Middle School and North Penn Senior High School) to provide regular psychotherapeutic counseling for children/adolescents with emotional and behavioral needs in a school-based setting. This satellite school-based clinic allows therapeutic services to be delivered in a setting more convenient for the child/adolescent and their family. This service also minimizes missed school time and it provides enhanced communication and collaboration between Merakey and the schools.
Counseling services are provided by master’s level psychotherapists who have experience working with children/adolescents who may struggle with grief and loss issues, anxiety and depressive symptoms, adjusting to changes at home such as parent separation or divorce, and attention deficit hyperactivity disorder (ADHD). If warranted, medication services can be provided at our outpatient clinic, located at 400 North Broad Street, Lansdale, PA 19446 by a Board Certified Child & Adolescent Psychiatrist. Outpatient services are the lowest level of care available in the mental health continuum. Outpatient services seek to address a person’s emotional, behavioral, and relationship concerns as soon as they are identified to avoid increased distress and disruption to the quality of life at home and at school. At times, if there is a demonstrated need for a higher level of care, the outpatient program therapist will identify it and refer for additional services accordingly.
For more information about this service or to learn how to enroll, please contact 215-368-2022.
SAP is a school-based intervention and referral program. Students with mental health challenges are identified and referred by guidance counselors, teachers and other school personnel for appropriate services to address their unique needs. Mental Health Counselors and Assessors work with students in their own school setting providing services such as initial evaluations, assessments, support groups, and crisis intervention. Individual and group counseling is also provided in order to support students in overcoming academic barriers.
Supported Employment provides one-on-one job support to help individuals with mental health challenges obtain competitive, meaningful employment. Assistance is provided in job preparation, relationships building including understanding the work place, and skills training. The amount and frequency of support is tailored to meet each individual's needs. This program also assists with job development and identifying potential sources for employment.
As an affiliate of the Statewide Adoption and Permanency Network (SWAN), Merakey provides a variety of permanency services to children and their families through its Supports for Permanency program.
A written profile is suggested for all children in the custody of county child welfare agencies. Child profiles can assist in recruitment activities and identifying possible matches for placement to occur, assist in the sharing of information with prospective families who are being considered to provide permanency, identify strengths and possible risk factors that might be useful in the placement adjustment period, and maintain a history for the child as a resource of information for his/her later life. Referral for this service is by the county agency with custody of the child.
Children in out-of-home placement have experienced significant losses. A Child Preparation worker can help clarify the reasons for removal and separation from the child's family, provide an opportunity to grieve losses, and help the child establish a more secure foundation for identity formulation. Referral for this service is by the county agency with custody of the child.
The child specific recruitment unit of service ensures that all opportunities for finding a family for a child have been pursued. Merakey works closely with the county agency to develop a plan for recruitment activities. Referral for this service is by the county agency with custody of the child.
The family profile process is an extensive one that focuses on developing the family's attitudes, knowledge, and skills so that they can effectively parent children who have been separated from their families. The family profile process includes orientation of the family to the Statewide Adoption and Permanency Network and child welfare systems, training on issues relevant to special needs children and permanence, completion of the family profile document, continuing education pending placement, and registration with the Pennsylvania Adoption Exchange.
These services ensure proper planning and decision-making for children who are transitioning to an adoptive family. Post-placement supervision is provided to support the child and family as they move toward adoption finalization. Referral for these services is by the county agency with custody of the child.
Families parenting children who have experienced abuse, neglect, and separation from their birth families often find they need additional support. Through its Supports for Permanency program, Merakey can assist families in identifying needs and implementing strategies to help children with these special needs continue to thrive and grow. Adoptive families, as well as kinship care or permanent legal custodianship families residing in Pennsylvania are eligible for these services. Post-permanency services are considered preventative in nature and are completely voluntary. Post-permanency services include:
Families are encouraged to self-refer for post-permanency services by contacting the SWAN HelpLine at 1-800-585-SWAN, and requesting Merakey (affiliate #89) as their preferred provider. Post Permanency services are available at no cost to families.
(Services provided in Merakey owned homes or in homes of Foster Care families)
Merakey provides a range of residential programs and housing options to adults which offer differing levels of support. These programs provide a safe living environment, assist individuals to live successfully in the community of their choice, and promote recovery from serious mental illness.
This program is staffed 24 hours a day, seven days a week and provides counseling and rehabilitative services to help residents develop skills in personal living tasks, such as medication management, meal preparation, housekeeping and budgeting so that they can live independently.
A short-term, non-hospital based program that is staffed 24 hours a day, seven days a week providing treatment and support for acute psychiatric crises to aid in stabilizing symptoms. The program utilizes a multi-disciplinary staff and treatment approach.
A secure, structured treatment residential setting that is staffed 24 hours a day, seven days a week. Intensive supports are built into the program utilizing a multi-disciplinary staff to provide individualized assessment, treatment and rehabilitation services. Medication management, meals and other personal living supports are also provided. The goal of this program is to divert individuals from the State Hospital level of care and to decrease the acuity of their symptoms and help them to use systemic and natural supports to live in other community-based residential programs or independent living.
A highly structured, secure home that is staffed 24 hours a day, seven days a week. It provides individualized treatment and habilitation services as well as assistance with personal care needs. The goal of this program is to help individuals to move to more independent community living and providing ongoing support to minimize inpatient psychiatric treatment.
This program is staffed 24 hours a day, seven days and week and provides counseling and rehabilitative services to help residents develop skills in personal living tasks, such as medication management, meal preparation, housekeeping and budgeting so that they can live independently.
Provides services such as housekeeping, medication management, meal preparation, and budgeting to individuals in their own home. The goal of this program is to support people to live successfully in their own home and community.
Therapeutic Family Care (TFC) provides a pathway to repairing and rebuilding the relationships between children and their natural support system. Services include: individual and family therapy, treatment meetings, case management, and integration of treatment goals in the home and community.
Children participating in TFC are supported by a treatment team that includes: a child’s natural supports/families, Merakey MA level therapists, Merakey BA level case managers, and specialized Merakey foster families that are specifically trained to assist children with severe and persistent mental health diagnoses and behavioral issues. Other members of the team can include psychologists, psychiatrists, educational providers, county agencies, and insurance companies.
Therapeutic Family Care differs from traditional foster care in the kind of treatment provided, as well as the level of support provided to foster families. TFC foster families are responsible for providing day-to-day care for children in the program, as well as implementing supportive elements of the child’s clinical treatment plan. TFC foster families are also a significant part of the transfer of skills to the child’s natural supports/families to ensure a successful return to home or to another positive discharge resource. Foster families also receive intensive support from the clinical team. All foster parents are educated with a minimum of 40 hours of clinical training designed to assist with understanding behavior, diagnosis, de-escalation of behavior, and a variety of other training topics that support children with significant and persistent mental illness and behavioral challenges. In addition to training, foster families are supported weekly with multiple home visits and in-home therapy by the treatment team, access to Merakey 24/7 crisis response, respite services, and a generous tax-free daily stipend and expense reimbursement significantly higher than traditional foster care agencies.
Merakey offers a more traditional form of foster care services through the Foster Care Plus program (FCP). FCP utilizes the same families identified to support Therapeutic Family Care children and is only available to children supported by the child welfare system – County Children and Youth & Juvenile Probation programs. Traditional foster care services provide a similar approach to treatment and care of the child, with a less intense focus on mental health diagnosis and behavioral issues. Foster families participating in traditional foster care still have access to the same levels of support as the Therapeutic Family Care program through regularly scheduled home visits, case management, access to Merakey 24/7 crisis support, and a generous tax-free daily stipend and expense reimbursement significantly higher than traditional foster care agencies.
Merakey is always seeking individuals and families willing to open their homes and their hearts to children in the foster care system. Merakey is an industry leader in meeting the unique needs of foster families by providing crisis support 24 hours a day, seven days a week, holding frequent support groups specifically tailored to foster parents, providing quality pre-service and ongoing trainings, as well as a generous tax-free daily stipend and expense reimbursement significantly higher than traditional foster care agencies. To qualify, families must:
Merakey is committed to addressing the impact of addiction on the community, family, and individual. Merakey offers clients comprehensive clinical, evidence-based practice, and therapeutic programs which incorporate best-practice interventions using a multi-disciplinary team approach. While Merakey provides services to those who struggle with addictions, we recognize that frequently there are also overlapping mental health issues that need to be addressed. Effective treatment necessitates treating psychological problems such as anger, depression, anxiety, poor impulse control, and Attention Deficit Disorders concurrently with chemical abuse. As a treatment team, Merakey offers personalized support, treating each client with dignity and respect. Merakey has an active consumer advocacy group.
To schedule an intake appointment or for more information about substance use disorder services in Philadelphia, please call: 1-866-647-0007.