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PROS

Personalized Recovery Oriented Services (PROS) is a program designed by the New York State Office of Mental Health to provide a comprehensive recovery oriented program for individuals with severe and persistent mental illness.

The goal of the program is to integrate treatment, support, and rehabilitation in a manner that facilitates the individual's recovery. With a large anticipated volume of PROS conversions, OMH has adopted a phased implementation process for the issuance of PROS licenses.

Goals for individuals in the program are to:

• Improve functioning,
• Reduce inpatient utilization
• Reduce emergency services
• Reduce contact with the criminal justice system
• Increase employment
• Attain higher levels of education
• Secure preferred housing
• Mainstream into the community as much as possible and appropriately

OMH has begun to issue PROS licenses in New York City.

More on PROS Overview »

PROS Regulations

Unofficial version - Amendment of Part 512 of Title 14 NYCRR.regulations published in state register 1/27/2010

The PROS regulations (Part 512) are no longer available on the OMH website. Here is a quick guide for accessing the PROS regulations online. Please be advised that the host website can be capricious. For example, it may sometimes flash a false error message regarding an incorrect password. Be persistent in following the instructions and you will gain access.

1)  Go to: http://government.westlaw.com/linkedslice/default.asp?SP=nycrr-1000

2) Click the link: TITLE 14. DEPARTMENT OF MENTAL HYGIENE

(Depending on your web browser settings, a warning page entitled ‘Attention: Pop-Up Blocker Detected’ may appear. If this occurs, click the link: Continue to WebLinks)

3)  Click the box next to Chapter XIII Office of Mental Health to expand the list of subcategories

4)  Click the box next to Part 512 Personalized Recovery-Oriented Services to expand the list of section links

5)  Click various links to open and print each section of the PROS regulations

Please Note: You will need to print each section separately. Westlaw, the company that administers the online regulations, indicates that the only way to print all sections together is to purchase an annual subscription to their service.

PROS Fiscal Tool

The New York State Office of Mental Health developed a PROS County Planning Model Tool to help providers analyze the feasibility of starting a PROS program. To assist providers in using the tool, the Coalition’s Center for Rehabilitation and Recovery created an easy-to-follow instruction sheet.

View PROS Fiscal Tool—Instruction Sheet »
View PROS Fiscal Tool »

PROS Handbook

The Draft PROS Handbook dated January 20, 2005 is available for review at the OMH website. The Handbook is designed to provide guidance to mental health programs converting to a PROS model. However, based on the public comments on Part 512 and feedback from the PROS providers in the seven early adopter counties, substantial revisions are being made to the 1/20/05 Draft PROS Provider Handbook currently posted on the OMH web site. Reviewed sections include PROS Services Definitions/Modalities/Key Features/Anticipated Outcomes, Employment Services and Financing. Please continue to watch this site for the posting of the revised Draft Handbook.

View the Handbook »

PAR Application

The application for Prior Approval Review or PAR for PROS is available on line. This application is in draft form, intended for use by programs converting to PROS in the initial counties, and is not necessarily the same application that will be issued for NYC programs.

More info »

• DOHMH NYC Implementation Plan, 2/8/06
• Spending Plan Guidelines, 9/22/05
• DOHMH Pre-Conversion PROS Consumer Survey, 8/23/05
• List of Proposed NYC PROS Programs, 8/19/05
• Bronx Program Map, 8/2005
• Brooklyn Program Map, 8/2005
• Manhattan Program Map , 8/2005
• Queens Program Map, 8/2005
• Staten Island Map, 8/2005
• County PROS Implementation Plan: Individual PROS Data Sheet - Attachment P-3, 12/22/03
• Draft PROS Standards (PROS Documentation), 12/22/03
• PROS Incentives - Attachment T-8, 12/22/03
• List of PROS-eligible Programs, 12/22/03
• Chart of Co-enrollment Rules, May 2003

• DOHMH PROS Stakeholders Implementation Workgroup Minutes ,11/29/05
• DOHMH PROS Stakeholders Implementation Workgroup Minutes , 6/9/05
• DOHMH PROS Stakeholders Implementation Workgroup Minutes , 2/1/05
• DOHMH PROS Stakeholders Implementation Workgroup Minutes, 11/30/04
• DOHMH PROS Stakeholders Implementation Workgroup Minutes, 9/28/04
• DOHMH PROS Stakeholders Implementation Workgroup Minutes, 7/29/04
• DOHMH PROS Stakeholders Implementation Workgroup Minutes, 6/9/04
• DOHMH PROS Evaluation and Shadow Billing Workgroup Minutes, 5/21/04
• DOHMH PROS Stakeholders Implementation Workgroup Minutes, 4/14/04
• DOHMH PROS Stakeholders Implementation Workgroup Minutes, 2/25/04
• DOHMH PROS Implementation Workgroup Minutes, 1/14/04
• Summary of PROS Meeting with Representatives of SOMH re: Multi-Party Letter, 1/06/04
• DOHMH PROS Stakeholders Implementation Workgroup minutes, 11/13/03

• DOHMH Letter to Clinics, 1/21/04
• Letter to Linda Rosenberg, Senior Deputy Commissioner, OMH on employment issues under PROS, 12/31/03
• PROS Sign-On Letter, 10/29/03
• Stakeholder Letter from Linda Rosenberg, OMH Senior Deputy Commisioner, 5/6/03
• Coalition of Behavioral Health Agencies Report: Summary on Licensing Regulations for PROS, August 2004

PROS Overview (continued)

The following current programs can potentially to convert to PROS: Affirmative Business, Assisted Competitive Employment, Client Worker, Enclave in Industry, Clubhouses, Ongoing Integrated Supported Employment, Psychosocial clubs, Transitional Employment, Supported Education, On-site rehabilitation programs and Intensive Psychiatric Rehabilitation Treatment programs. Continuing Day Treatment (CDT) programs will have the option to convert.

The array of proposed rehabilitation, treatment and support services include: CRS (Community Rehabilitation and Support) - services designed to engage and assist individuals in managing their illness and restoring those skills and supports necessary for living successfully in the community; IR (Intensive Rehabilitation) - a customized package of rehabilitation and support services designed to assist an individual in attaining specific goals (eg. employment, education, housing), and services used to provide targeted interventions to reduce the risk of hospitalization or involvement in the criminal justice system; and ORS (Ongoing Rehabilitation and Support) - supports to assist individuals in managing their symptoms in the competitive workplace.

PROS with Clinical Treatment services are designed to help stabilize, ameliorate, and control disabling symptoms. Clinical Treatment does not include the entire range of services currently provided in OMH-licensed clinics, but provides a recovery focused, disability management approach with medication management, health assessment, clinical counseling and therapy, and treatment for co-occurring disorders, all integrated with PROS rehabilitative service to provide comprehensive care.

There are three, potential licensing options: a comprehensive PROS license containing all the components of CRS, IR and ORS along with Clinical Treatment; a comprehensive license with all components (CRS, IR, ORS) without the Clinical Treatment enhancement: and a Limited License that will provide only ORS and IR.

For more information, please go to the NYS Office of Mental Health's official PROS webpage.