Services


“What We Do”: We help our clients reclaim their lives!

Leading By Example’s mission is to improve the quality of life for children, adults and families worldwide.

Leading By Example will utilize mental health treatment and education services to produce healing and restoration for our clients and their community.

Leading By Example offers four services: The Psychiatric Rehabilitation Program, in-home Therapeutic Behavioral Services, Targeted Case Management and 1915i. We also provide Health Home Services as an extension of PRP services for qualifying individuals.

All of our services aim to:

  • Prepare our clients to independently manage their mental, emotional and physical health needs.
  • Help our clients to transition and stabilize in their homes and community after leaving hospitals, detention facilities, residential and recovery programs.
  • Prepare our clients to function in a healthy manner within their families and to live safely in their community.
  • Help our clients to develop the capability to independently manage their basic needs such as housing, transportation, nutrition and financial.
  • Help our clients develop education and vocational skills.
  • Help our clients replace destructive unhealthy behavior with healthy productive behaviors.

Our Services

Psychiatric Rehabilitation Services (PRP)

Minors and Adults

PRP services are provided to individuals living with mental illness, and helps those individuals and their families to manage their lives effectively. The PRP services for minors (age 5-18) involves 3-4 one hour visits focusing on that individual’s treatment plan through on- and off- site services and specific activities. Those in the adult program (18+) receive 6 one hour visits per month. The PRP services that we provide include:

  • Rehabilitation Assessments
  • Individualized Rehabilitation Plans
  • Leadership Skills Development and Education
  • Life Skills Development and Education
  • Social Skills Development and Education
  • Conflict Management Skills Development
  • Physical Health Maintenance and Diet Management
  • Medication Management Education
  • Education and Vocation Skills Development
  • Behavior Management Skills Development and Education

Health Home Services

LBE’s Health Home service is a voluntary Medicaid funded service offering care coordination services to clients provided by our medical staff and clinical support staff (i.e. Nurse, Direct Service Workers, Rehabilitation Specialist, Clinical Supervisors, etc.). This program allows us to serve clients suffering from chronic medical, behavioral and substance abuse disorders using a “whole person” approach. The overall mission for Health Home services is to educate our clients about their medical condition, and provide clients with resources, coordination of care, health promotion to ensure the client’s primary care, and behavioral health needs are met simultaneously. A client receiving Health Home services can expect communication from medical staff and clinical support staff at minimum once per month. The list below outlines the specific services rendered to our Health Home clients.

  • Comprehensive Care Management
  • Individual and Family Support
  • Referral to community and social support services
  • Transitional Care from hospitalization
  • Education and health promotion

Therapeutic Behavioral Services (TBS)

The TBS Program is a behavior modification service designed to provide intensive in-home services for minor clients who are at risk of removal from the home. The TBS program are for individuals ages 5-21. The specific TBS services that are provided include:

  • Behavioral Assessments
  • Individualized Behavior Modification Plans
  • One-on-One in home support services

Targeted Case Management

Leading By Example’s Harford County Targeted Case Management Services are provided to assist participants in gaining access to needed medical, mental health, social, educational, and other services. The primary goal is to ensure needs are met and participants are stabilized without the need for higher levels of care.

Eligibility

  • Participants are at least 18 years of age.
  • The participant has a PBHS specialty mental health DSM 5 diagnosis which requires, and is likely to respond to, therapeutic intervention, and either:
    • The participant is at-risk of or needs continued community treatment to prevent inpatient psychiatric treatment Or
    • The participant is at-risk of or needs community treatment to prevent being homeless Or
    • The participant is at-risk of incarceration or will be released from a detention center or prison.

Services

Targeted Case Management Participants receive an initial assessment, and reassessment every 6 months. A collaborative care plan is developed to addresss participants’ specific needs.Participants are designated to be either Level 1 (general) or Level 2 (intensive). Level 1 participants receive 2 hours of service per month; level 2 receive 5 hours of service per month. Hours are a combination of face-to-face or indirect contact, dependent on the specific needs of the participant.

Service time includes:

  • Referral and follow-up
  • Linkage to supports
  • Coordination of care
  • Advocacy

1915i

Leading By Example provides two services under 1915i, in collaboration with Hope Health Systems.

Intensive In-Home Program (IIHS)
Leading By Example’s in-home intervention specialists will provide individualized interventions, based on the ITP for that client and family’s needs. These needs could include services to address aggression, communication, impulsivity, involvement with law enforcement, self-harm, suicidal/homicidal ideation, elopement and defiance. Interventions may include but are not limited to: Coping skills training, creation/implementation of behavior contracts, contingency management strategy training for caregivers, parent education, problem-solving training, in-home structure development and therapeutic role play. Interventions will be informed by the strengths of the client/family, as well as the clinical consultation of the licensed clinical supervisor. These services will focus on specific needs such as assisting the family to transition when a client returns home from an inpatient hospitalization or stabilize after a crisis IHIS will monitor compliance and identify obstacles for treatment compliance and offer possible solutions in order to keep the client and family on track in order to improve outcomes. The purpose of these interventions is to assist the client to remain in his or her home, reduce hospitalizations and out-of-home placements. IIHS interventions will support caretakers’ ability to independently manage their children’s challenging behaviors and decrease the need for in-home treatment interventions.

Mobile Crisis Response Services
MCRS is composed of two fundamental pillars: Crisis response and Crisis Stabilization. Crisis responder will maintain a crisis phone line which will be active 24 hours a day, 7 days per week. Responders will provide phone-based assistance to the caregiver/caller in order to assess safety and the level of crisis response needed. The responder will provide support via phone consultation, but if the crisis has not been deescalated according to the Individual Crisis Plan, the crisis responder coordinator crisis response team to provide community-based, face-to-face crisis support. During crisis support, the crisis responder will assess, deescalate and provide stabilization. This could include in-home therapy, skill training and behavior management interventions. If necessary, the crisis responder will assist the caregiver to contact emergency services if the client has not been stabilized according to the Individual Crisis Plan.

Crisis-stabilizer will provide up to two weeks of support following a crisis which includes: Education, skill building related to crisis prevention, and de-escalation techniques.

Referral for 1915i Services must be done by the local Care Coordination Organization.

Substance Use Disorder (SUD):

Outpatient Substance Use Treatment (for adults and adolescents) and Intensive Outpatient (18+)

Level 1 Outpatient

Leading By Example offers individual and group outpatient treatment, and encourages family involvement.
LBE has partnered with physical wellness experts to ensure holistic healing.

Level 2.1 Intensive Outpatient

LBE’s IOP is designed to incorporate individual and family treatment into group work.
Client’s will be expected to attend a minimum of three groups per week, for a total of 9 hours per week.

Referrals will be accepted from other professionals, or self-referral. At this time, for payment, we accept Medicaid and self-pay.


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