Behavioral Health Discharge Disposition Clinical Pathway — Inpatient

Intermediate Acuity

Level of Care Recommendation	Service Description	Accepted Insurance
Crisis Mobile Intensive Services (CMIS)	Short-term, up to 6 weeks, crisis management and therapeutic services May include assessment, crisis intervention, parent education, brief resolution-focused treatment May include linkages to behavioral health and community services 365 days/year with staff providing direct response 7 days/week	Philadelphia Medicaid and uninsured
Intensive O/P	Intensive outpatient services vary by provider Many IOP providers will offer individual and group therapy interventions	Commercial Insurance
Partial Hospitalization	Provides comprehensive, short-term, intensive clinical treatment program With regard to level of treatment, partial hospitalization is a step below inpatient hospitalization but more concentrated than traditional outpatient care Referred generally for 5-30 days for medication management and skill building if safe in the community setting	Medicaid and Commercial Insurance
Blended Case Management Services (BCM)	Assist children, adolescents and their families with a variety of behavioral health/medical needs Builds a strong network of community resources and services	Medicaid
Behavioral Health Rehabilitation Services (BHRS)/Wrap Around	Provides individualized mental health services in the home, school, or community Aims to help keep a child in the home/community	Medicaid
Family Based Services (FBS)	Integrates mental health treatment, family support, and casework Supports families in continuing to care for their children whose emotional and/or behavioral challenges place them at significant risk of out‐of‐home placement Services are provided 24/7 for up to 32 weeks May include assessment, aftercare planning, referral, and service linkage Services are delivered primarily in the family’s home by a two‐person team consisting of a master’s level clinician and bachelor’s level professional	Medicaid

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.