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Psychosocial Support
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HRSA/HAB Category Definition:
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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.
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Source: Definition provided by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB). 2009. Ryan White HIV/AIDS Treatment Modernization Act of 2006 Definitions for Eligible Services. Rockville, Md.: HRSA HAB, August 20, 2009.
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Category Notes:
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Clarifications
The following definition clarifications are a result of a letter from the BCHD's Ryan White Part A Office to the chairs of the Services to Surrounding Counties Committee on May 15, 2008 (Brisueno 2008).
The local standards of care cannot exceed the scope of allowable services as outlined by HRSA; that is the council cannot be more lenient in establishing what is allowable under a category beyond what HRSA establishes; but the council can be stricter by not allowing funds to be sued for all allowable services. The council can choose the service modalities specific to the needs of Baltimore. Actual services under this category are normally delivered to groups or an individual.
The need to fund food at an allowable psychosocial support services must be documented in the work plan and cost clearly outlines in the budget narrative.
The decision on what types and forms of venues psychosocial services could occur would be covered in the development and approval of the work plan by the Grantee.
The following definition clarifications are a result of a conference call involving representatives of the grantee (BCHD), Greater Baltimore HIV Health Services Planning Council (PC), PC support office (IGS) and HRSA on May 28, 2008 (IGS 2008a).
• HRSA identified the following activities as being allowed for HIV-positive individuals only: individual counseling, nutritional counseling and HIV support groups.
• Affected persons can receive caregiver support, pastoral care and bereavement counseling.
• Transportation can be provided in this category.
The following clarification was distributed by HRSA on April 8, 2010 (HRSA 2010a).
Pastoral Counseling
Funds awarded under the Ryan White HIV/AIDS Program may be used to provide “Psychosocial Support Services” that include pastoral care/counseling services, provided that the pastoral counseling is provided by an institutional pastoral care program (e.g., components of AIDS interfaith networks, separately incorporated pastoral care and counseling centers, or as a component of services provided by a licensed provider, such as a home care or hospice provider). Programs are to be licensed or accredited wherever such licensure or accreditation is either required or available. In addition, Ryan White HIV/AIDS Program funded pastoral counseling must be available to all individuals eligible to receive Ryan White HIV/AIDS Program services, regardless of their religious or denominational affiliation.
History
Prior to 2007, there were several contracted providers in the Baltimore EMA that offered adherence services through group and individual counseling. In 2007, these service programs or contracts and their funding were moved to medical case management, as treatment adherence was an integral part of this new core-medical service.
This subcategory was previously under the Early Intervention Services category in FY 2008, but funding will be absorbed into the supportive service category of psychosocial counseling effective FY 2009.
Current Directives
Ratified on August 18, 2009: For the grantee to ensure that the provider of psychosocial support services include consumer input in the development (IGS 2011a).
Ratified on October 20, 2009: To add two bonus points to all applications for the psychosocial support services category that include consumers directly in the development, facilitation, and implementation of the work plan (IGS 2011a).
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