Questions & Answers

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What kinds of care do they offer?

• Mental health treatment

  Includes interventions such as therapy or psychotropic medication that treat a person's mental health problem or condition, reduce symptoms, and improve behavioral functioning and outcomes.

• Substance use treatment

  Refers to a broad range of activities or services, including identification of the problem (and engaging the individual in treatment); brief interventions; assessment of substance abuse and related problems including histories of various types of abuse; diagnosis of the problem(s); and treatment planning, including counseling, medical services, psychiatric services, psychological services, social services and follow-up for persons with alcohol or other drug problems (Institute of Medicine, 1990).

• Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

  Housing for individuals recovering from substance abuse that is designed to provide a drug and alcohol-free living environment and appropriate support services to facilitate movement to independent living. Such housing includes transitional living, sober houses, sober living, recovery houses, and 3/4 houses.

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What type of facility is this?

• Outpatient mental health facility

  Facility that primarily provides ambulatory clients/patients with less than 24-hour outpatient mental health services for generally less than 3 hours at a single visit. Services are provided on an individual, group or family basis, usually in a clinic or similar facility. A psychiatrist generally assumes the medical responsibility for all clients/patients or direction of the mental health treatment.

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What types of treatment approaches do they offer?

• Individual psychotherapy

  Focuses on a patient's current life and relationships within the family, social, and work environments through one-on-one conversations with a therapist. The goal is to identify and resolve problems with insight, as well as build on strengths.

• Couples/family therapy

  Are two similar approaches that use discussions and problem-solving sessions facilitated by a therapist to help couples and family members improve their understanding of and the way they respond to one another. This type of therapy can resolve patterns of behavior that might lead to more severe mental illness. Family therapy can help educate about the nature of mental disorders and teach skills to better cope with the effects of having a family member with a mental illness, such as how to deal with feelings of anger or guilt.

• Group therapy

  Involves groups of usually 4 to 12 people who have similar problems and who meet regularly with a therapist. The therapist uses the emotional interactions of the group's members to (1) help them get relief from distress and (2) possibly modify their behavior.

• Cognitive behavioral therapy

  Involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.

• Dialectical behavior therapy

  A cognitive behavioral treatment approach with two key characteristics: a behavioral, problem-solving focus blended with acceptance-based strategies, and an emphasis on dialectical processes. "Dialectical" refers to the issues involved in treating patients with multiple disorders and to the type of thought processes and behavioral styles used in the treatment strategies. DBT has five components: (1) capability enhancement (skills training); (2) motivational enhancement (individual behavioral treatment plans); (3) generalization (access to therapist outside clinical setting, homework, and inclusion of family in treatment); (4) structuring of the environment (programmatic emphasis on reinforcement of adaptive behaviors); and (5) capability and motivational enhancement of therapists (therapist team consultation group). DBT emphasizes balancing behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.

• Integrated Mental and Substance Use Disorder treatment

  Provides combined treatment for mental illness and substance abuse from the same clinician or treatment team. Effective integrated treatment programs view recovery as a long-term, community-based process. The approach employs counseling designed especially for those with co-occurring disorders.

• Telemedicine/telehealth therapy

  The ability for healthcare providers, working from a distance using telecommunications technology, to communicate with patients, diagnose conditions, provide treatment, and discuss healthcare issues with other providers to ensure quality healthcare services are provided. Other names used for this treatment approach are: e-medicine, e-therapy, e-psychiatry, and telepsychiatry.

• Eye Movement Desensitization and Reprocessing therapy

  Also known as ECT, uses low-voltage electrical stimulation of the brain to treat some forms of major depression, acute mania, and some forms of schizophrenia. This potentially life-saving technique is considered only when other therapies have failed, when a person is seriously medically ill and/or unable to take medication, or when a person is very likely to commit suicide. Substantial improvements in the equipment, dosing guidelines, and anesthesia have significantly reduced the side effects.

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• Smoking permitted in designated area

  A designated area in which smoking is permitted.

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What type of setting is this location?

• Outpatient

  Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.

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Who is responsible for the operation of this facility?

• Tribal government

  A governing body of a group of Native American Indians or Alaska Natives that qualifies as an Indian tribal government determined by the Internal Revenue Services.

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What types of payment or funding do they accept?

• Medicaid

  A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.

• Medicare

  The federal health insurance program for people age 65 and older and people with disabilities.

• State-financed health insurance plan other than Medicaid

• Private health insurance

• Federal military insurance (e.g., TRICARE)

• State mental health agency (or equivalent) funds

  Funds designed to finance the cost of treatment for mental health conditions.

• State corrections or juvenile justice funds

• Other State funds

• IHS/Tribal/Urban (ITU) funds

  Direct funds from the Indian Health Service. They consist of tribal funds through "638 contracts" (named after the public law under which they were authorized) and/or urban funds through federal Title 5 grants. These funds are considered part of the India health care system and can be used for programs that provide behavioral health services as well as for programs that provide other health-related services.

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What specific groups are treated here?

• Clients with co-occurring mental and substance use disorders

  Facility has a program or group specifically tailored for persons with co-occurring mental and substance abuse disorders.

• Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)

  Facility has a program or group specifically tailored for LGBT clients.

• Veterans

  Facility has a program or group specifically tailored for Veterans.

• Active duty military

  Facility has a program or group specifically tailored for active duty military persons.

• Seniors or older adults

  Facility has a program or group specifically tailored for Seniors or older adults.

• Clients with HIV or AIDS

  Facility has a program or group specifically tailored for persons with HIV or AIDS.

• Clients who have experienced trauma

  Facility has a program or group specifically tailored for persons who have experienced trauma.

• Clients who have experienced intimate partner violence, domestic violence

  Facility has a program or group specifically tailored for persons who have experienced intimate partner violence, domestic violence.

• Persons 18 and older with serious mental illness (SMI)

  Facility has a program or group specifically tailored for persons with serious mental illness.

• Persons with Alzheimer's or dementia

  Facility has a program or group specifically tailored for persons with Alzheimer's or dementia.

• Persons with post-traumatic stress disorder (PTSD)

  Facility has a program or group specifically tailored for persons with post-traumatic stress disorder.

• Persons with traumatic brain injury (TBI)

  Facility has a program or group specifically tailored for persons with traumatic brain injury.

• Young adults

  Facility has a program or group specifically tailored for Transitional age young adults.

• Persons experiencing first-episode psychosis

  Facility has a program or group specifically tailored for persons with eating disorders.

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What ancillary services are offered at this facility?

• Case management service

  Helps people arrange for appropriate services and supports through a case manager who monitors the needs of clients/patients and their families and coordinates services, such as mental health, social work, health, educational, vocational, recreational, transportation, advocacy, and respite care, as needed.

• Chronic disease/illness management

  A systematic approach to improving health care for people with chronic disease. Central to most CDM approaches are patient self-management, physician education, and organizational support. Among the variety of strategies employed are case management, continuous quality improvement, disease management (DM) and the chronic care model (CCM).

• Court-ordered outpatient treatment

  Known by different terms in different states, such as, ?assisted outpatient treatment (AOT),? ?involuntary outpatient treatment,? or ?mandatory outpatient treatment.? Forty-four states permit the use of court-ordered outpatient treatment as a condition for persons with severe mental illness, who are too ill to seek care voluntarily, to remain in their community. Each state has its own civil commitment laws that establish criteria for determining when court-ordered treatment is appropriate for these individuals. (https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)

• Education services

  Locate or provide educational services from basic literacy through a general equivalency diploma and college courses including special education at the pre-primary, primary, secondary, and adult levels.

• Family psychoeducation

  Helps consumers and their families and supporters, through relationship building, education, collaboration, and problem solving to: 1) learn about mental illness; 2) master new ways of managing their mental illness; 3) reduce tension and stress within the family; 4) provide social support and encouragement to each other; 5) focus on the future; and 6) find ways for families and supporters to help consumers in their recovery.

• Illness management and recovery

  Uses a standardized individual or group format based on five evidence-based practices: 1) Psychoeducation, 2) Behavioral tailoring, 3) Relapse prevention training, 4) Coping skills training, and 5) Social skills training.

• Integrated primary care services

  Address the general health care needs of persons with mental health and substance use problems. These general health care needs include the prevention and treatment of chronic illnesses (e.g., hypertension, diabetes, obesity, and cardiovascular disease) that can be aggravated by poor health habits such as inadequate physical activity, poor nutrition, and smoking. The services include screening, coordinating care among behavioral health care staff and medical staff; and providing linkages to ensure that all patient needs are met in order to promote wellness and produce the best outcomes.

• Suicide prevention services

  Include identifying risk factors; educating staff on identifying the signs of suicidal behavior and using methods to detect risk; and the assessment, intervention, and management of suicidal patients including treatment of an underlying mental or substance use disorder, and use of psychotropic medication, supportive services, and education. Hotlines help individuals to contact the nearest suicide prevention mental health provider.

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What types of screening and assessment methods are used here?

• Screening for tobacco use

  Determines a client's use of tobacco products, such as cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended that providers screen for tobacco use on a regular basis by asking clients, as they are seen, about their current and past use of tobacco products and their exposure to secondhand smoke or tobacco.

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What kinds of education and counseling services are offered here?

• Smoking/vaping/tobacco cessation counseling

  Includes interventions for persons who use tobacco and want help with stopping, including behavioral support or counseling in groups or individually.

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What age groups are accepted here?

• Children/Adolescents

  Facility accepts children/adolescents (12 or younger) for treatment.

• Young Adults

  Facility accepts young adults (13-25) for treatment.

• Adults

  Facility accepts adults (26-64) for treatment.

• Seniors

  Facility accepts seniors (65 or older) for treatment.

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What types of testing do they offer?

• HIV testing

  Determines whether you are infected with HIV, a virus that weakens the immune system and can lead to acquired immunodeficiency syndrome.

• STD testing

  Testing to determine the type of sexually transmitted disease a person may be carrying.

• TB screening

  Skin tests that are used to screen people who are at high risk for TB exposure such as people with diseases or conditions that weaken their immune system.

• Metabolic syndrome monitoring

• Testing for Hepatitis B (HBV)

  Involves blood test that measure HBV (Hepatitis B virus) antigens and antibodies.

• Testing for Hepatitis C (HCV)

  Test for Hepatitis C, which is usually done and recommended for persons currently injecting drugs, ever injected drugs, were prior recipients of transfusions or organ transplants, or have certain medical conditions, including persons: 1. who received clotting factor concentrates produced before 1987 2. who were ever on long-term hemodialysis 3. with persistently abnormal alanine aminotransferase levels (ALT) 4. who have HIV infection

• Laboratory testing

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Do they offer any emergency mental health services?

• Psychiatric emergency onsite services

  A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.

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What specific pharmacotherapy treatments do they provide?

• Antipsychotics used in treatment of SMI

  A multi-disciplinary clinical team approach, helps those with serious mental illness live in the community by providing 24-hour intensive community services in the individual's natural setting.

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Is vaping allowed at this facility?

• Vaping permitted in designated area

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How do I apply for admission at this location?

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Have you been to this facility? What was your experience?

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Is there a wait-list for treatment center?

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Is any payment required?

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