Licensed Professional Counselor
Jersey Innovative Services works with a team under PerformCareNJ and management services. We follow Protected Health Information (PHI) Federal, 42 CFR Part 2, State and Health Insurance Portability and Accountability Act (HIPAA) requires appropriate safeguards to protect the privacy of personal health information. We protect your confidentiality and ask permission to release information on you or your family. The provider agrees to interact with my family from a private office/space to promote confidentiality of my family’s services.
Limits to Privacy: Federal law authorizes disclosure of information when there is: harm to self, harm to another or harm from someone. It is our obligation to protect you and others around you.
Program Goals
1. COPING SKILLS:
Learn appropriate ways to manage difficult situations, feelings, conflicts, and behaviors.
2. Increase POSITIVE FAMILY COLLABORATION.
Youth will work collaboratively with family, provider and team.
3. Increase POSITIVE FAMILY COMMUNICATION.
Youth will work on communication needs and positive interactions with family.
4. Linkage(s) to the Community. Team will identify local resources and linkages in the community for the family and identified person’s needs.
Agreement for Services
By starting telehealth visits, I agree to counseling services. I give permission for my clinician to communicate with PerformCareNJ (state insurance) and Care Management Organization-CMO and/or Mobile Response-MRSS (authorizing agency).
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Information
Communicating with the child’s team will be easier with their names, numbers, and their relationship/agency. Provide any information you know below, thank you!
Press submit. Information sent to me confidentially.
*If you have any questions/concerns, families can email info@jerseyinnovative.com or call (732) 614-6145.
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working with families self-efficacy scales
JERSEY INNOVATIVE SERVICES 