Service Standards for Psychosocial Support

Ryan White HIV/AIDS Treatment Extension Act of 2009

Approved October 5, 2021

Prepared by

Service Standards and Integrated Care Plan Committee of the
Middlesex-Somerset-Hunterdon HIV Health Services Planning Council

Psychosocial Support Definition:

Psychosocial support services are the provision of support and counseling activities, child abuse
and neglect counseling, HIV support groups, pastoral care, caregiver support and bereavement
counseling. It includes nutrition counseling provided by a non-registered dietitian, but it excludes
the provision of nutritional supplements.

Key services may include:

  • Individual and group counseling, including drop-in sessions. These counseling sessions
    should be structured, with a plan or curriculum, to move clients toward identified goals.
  • Peer counseling or peer support groups offered by HIV-positive individuals or those with
    similar life experiences who are knowledgeable about HIV and are culturally sensitive to
    the special populations. These support groups should be purposeful, with agendas and a
    plan, to move the group toward identified goals.
  • Nutritional counseling services for HIV-infected clients that include the provision
    of education, but do not include the distribution of nutritional supplement.
  • Assist in management of benefits and referral for services
  • Escort to medical and social service appointments
    Pastoral care/counseling is not provided.

Source: HIV/AIDS Bureau Policy Clarification Notice (PCN) #16-02 (2018)

Staff Service Standards

(Psychosocial Support)

Policy
Number
Activity/IssueMinimum Acceptable Threshold of Service

Accountability Mechanism
1.1Staff hiringAll staff will have necessary skills and experience determined by
*Written application
*Resume
*References
*Personal interview

Application, resume, and communication with personal references are documented in personnel files.
1.2 (a)Staff qualifications Staff will have a high school diploma or GED.100% of staff possess a diploma, certificate or license (if appropriate) or experience documented in personnel file.
1.2 (b)Staff qualifications
Peer Navigator
Peer navigator has a high school diploma or GED, plus two years of social service experience in the HIV community. Peers must demonstrate understanding of HIV services and healthcare service navigation.

100% of staff possess a diploma/GED with the required experience documented in the personnel file.
1.3Staff job descriptions Staff will be given a written job description. The job description includes the definition of psychosocial support.

100% of staff have job descriptions documented in personnel files.
1.4Staff trainingAll staff are trained and knowledgeable on:
*HIV and the affected community including disease process, co-morbidities and psychosocial effects of the disease.
*Cultural sensitivity.
*Entitlement programs, benefits to clients, and community resources/support services
*Client confidentiality, client rights, agency grievance procedures
Training is documented in 100% of personnel files.
1.5Staff continuing educationStaff participate in at least one continuing education training per year that is available and appropriate.
Training is documented in 100% of personnel files.
1.6(a)Staff supervision
Psychosocial Support
All supervisors are knowledgeable about RW HIV psychosocial support services and procedures including fiscal and program.

Staff will receive (at minimum) one hour supervision per week to develop skills.
100% of supervisors are knowledgeable about the Ryan White program.




Supervision is documented in personnel files.
1.6 (b)Staff supervision
Peer Navigator
All peer navigators will receive (at minimum) one hour supervision per week to include patient case conference, peer navigator job performance, and skill development.Supervision is documented in personnel files.

1.7Agency policies and proceduresSigned form is documented in the personnel file.100% of staff agrees to follow agency policies and procedures (See 1.10).



1.8Staff evaluationStaff evaluations are documented in personnel files.100% of staff is evaluated on their performance annually.
1.9DocumentationAll staff will keep written documents of contact with clients in accordance with RW data collection procedures.100% of all contacts are documented in client files.

Client Service Standards

(Psychosocial Support)

Policy
Number
Activity/IssueStandard of Care
Minimum Acceptable Threshold of Service
Accountability Mechanism
2.1Client eligibilityIn order to be eligible for services, individuals must meet the following:
*HIV positive
*Residing or receiving services in the Middlesex, Somerset, Hunterdon TGA
*Income no greater than 500% of the Federal Poverty Level
*Client is recertified every 6 months
90% of clients have documentation of HIV status and income.

2.2Client intakeIntake tool completed within thirty (30) days of initial visit that includes (but is not limited to):
*Identify and obtain appropriate release of information
*Confidentiality and grievance policies
*Client rights and responsibilities
*Medical history
*Current health status
*Review of housing status and health care coverage
90% of clients have an intake tool documented in their file.

2.3DocumentationActivity described meets the following criteria:
*Individual and group counseling, including drop-in sessions. These counseling sessions should be structured, with a plan or curriculum, to move clients toward identified goals.

*Peer counseling or peer support groups offered by HIV-positive individuals or those with similar life experiences who are knowledgeable about HIV and are culturally sensitive to the special populations. These support groups should be purposeful, with agendas and a plan, to move the group toward identified goals.

*Nutritional counseling services for HIV-infected clients that include the provision of education, but do not include the distribution of nutritional supplement.

*Assist in management of benefits and referral for services

*Escort to medical and social service appointments
90% of client files will have date of service and corresponding activity.
2.4Monitoring of individuals client progressEvidence of client progress toward meeting established goals through documentation of activity; such documentation includes sign-in sheets, case notes, support group curriculum, client plan, etc.90% of client files detail each service experience.
2.5ReferralsReferrals to other resources are provided as needed.90% of client files have documentation of referrals to resources provided.
2.6Managing Virtual EnvironmentTo maintain confidentiality, the agency will:
*inform client verbally and in writing of the potential for breaches of confidentiality
*use appropriate security mechanisms to protect client confidentiality
*have a policy on maintaining client confidentiality in a digital environment
90% of client files have documentation of discussion with clients regarding privacy and confidentiality in a virtual environment.
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