After-Care

Continuum of Services

YIS offers a continuum of services, therefore a resident will be able to be stepped-down to Intensive Outpatient Program services as the resident transitions back into the community (considering the resident’s home location).

The case manager will utilize the Hi-Fidelity Wraparound philosophy as a transitional tool to help establish a team of natural and professional supports to help prevent relapse and/or recidivism (regardless of the resident’s home location).

A transition plan and a relapse prevention plan will be established prior to discharge.

The Relapse Plan

The Relapse Plan components will include:

  1. Assessment of high-risk situations
  2. Coping with high-risk situations
  3. Establishing support systems (Wraparound Team)
  4. Lifestyle changes

Individual Transition Plan

An individual transition plan established with the assistance of the Wraparound Team will help the resident transition from one level of care to another.

To prepare an effective transition plan, the resident and his/her team will:

  1. Early into the residential placement begin setting goals, establishing criteria for measuring progress, and identifying activities that will be part of ongoing treatment.
  2. Maintain a working knowledge of the services and resources that are available in the community.
  3. Develop strong working relationships with staff of key agencies (e.g., justice organizations, employers) to facilitate the transition, make special arrangements as needed, and eliminate unnecessary barriers for the resident during transition.
  4. Obtain the resident’s written consent and arrange for the smooth and timely transfer of clinical information or documents to the new treatment program.

Relapse Plan

  • Assessment of high-risk situations
  • Coping with high-risk situations
  • Establishing support systems (Wraparound Team)
  • Lifestyle changes

Transition Plan

  • Set goals, establish criteria for measuring progress, identify activities for ongoing treatment
  • Maintain working knowledge of the services and resources that are available in the community
  • Develop strong working relationships with staff of key agencies to facilitate the transition and eliminate unnecessary barriers for the resident during transition
  • Obtain the resident’s written consent and arrange for the smooth and timely transfer of clinical information or documents to the new treatment program