OVERVIEW OF SERVICES


MEDICATION MANAGEMENT

Medication Management is provided by CSEUC's psychiatrist to determine whether a medication would be helpful for the child, adolescent or adult and works with the individual over time to assess effectiveness of the medication. Proper medication can assist the individual in being better able to positively affect their mental health and fully utilize all aspects of their treatment. Common conditions treated with medication regimens are ADHD, Depression, Bipolar Disorder, PTSD, Anxiety and Psychotic Disorders.


psychiatric Evaluations

Psychiatric Evaluations are a process of gathering information about a person within a psychiatric service. The evaluation is usually the first stage of a treatment process, but psychiatric evaluations may also be used for various legal purposes. The evaluation includes social and biographical information, direct observations, and data from specific psychological tests. It is typically carried out by a psychiatrist, but it can be a multi-disciplinary process involving nurses, psychologists, occupational therapist, social workers, and licensed professional counselors.


CLINICAL ASSESSMENT 

Clinical Assessments are a face to face evaluative review by a qualified licensed practitioner, of an individual's: medical, psychological, familial, social and psychiatric treatment history; current mental status and functioning, strengths, natural supports, current treatment and medication regime, for the purpose of developing a diagnostic formulation of the recipient’s treatment needs and treatment plan. It is a requirement for all individuals to have a relevant clinical assessment completed before engaging in most other services.


INDIVIDUAL THERAPY

Individual Therapy is a process through which a person works one-on-one with a trained therapist—in a safe, caring, and confidential environment—to explore their feelings, beliefs, or behaviors identify aspects of their lives that they would like to change, better understand themselves and others, set personal goals, and work toward desired change.

People seek individual therapy for many of the following reasons:

  • coping with major life challenges or childhood trauma,
  • dealing with depression or anxiety,
  • desiring personal growth and greater self-knowledge

The therapeutic process may last as few as five or six sessions or as long as several years, depending on the individual's unique needs and personal goals for therapy.


FAMILY THERAPY

Family therapy is a process through which individuals and family members seek to reduce distress and conflict by improving the systems of interactions between family members. While family therapists often seek to have all family members (affected by the problem) in the room, that is not always possible or necessary. Family therapy views problems as patterns or systems that need adjusting, as opposed to viewing problems as residing in one person.

People seek family therapy for many of the following reasons: 

  • when a child is having a problem such as with school, substance abuse, or disordered eating
  • a major trauma or change that impacts the entire family (i.e. relocation to a new house, natural disaster, incarceration of a family member)
  • unexpected or traumatic loss of a family member
  • adjustment to a new family member in the home (i.e. birth of a sibling, adoption, foster children, a grandparent entering the home)
  • domestic violence
  • divorce conflict

GROUP THERAPY

Group therapy is a process through which a small group of people (generally six to ten) meet face-to-face with a trained group therapist to talk about a particular issue with which all individuals are struggling—such as grief/bereavement, anger management, eating disorders, living with chronic depression or anxiety, recovering from childhood trauma, etc.

Under the direction of the group therapist, members share and explore their feelings and behaviors, hear different points of view and coping strategies, and receive encouragement from others facing similar issues. Group therapy provides participants a powerful opportunity to share and learn from others in a safe and supportive environment while working toward healing and change.


INTENSIVE IN-HOME (iih)

Intensive In-Home (IIH) service is a team approach designed to address the identified needs of children and adolescents who, due to serious and chronic symptoms of an emotional, behavioral, or substance use disorder, are unable to remain stable in the community without intensive interventions. This service may only be provided to individuals through age 17. The IIH team provides a variety of clinical rehabilitative interventions available 24 hours per day, 7 days per week, 365 days per year. This is a time-limited, intensive child and family intervention based on the clinical needs of the individual. The service is intended to accomplish the following:

  • reduce presenting psychiatric or substance use disorder symptoms
  • provide first responder intervention to diffuse current crisis
  • ensure linkage to community services and resources, and
  • prevent out of home placement for the individual.

IIH services are authorized for one individual child in the family. The parent or caregiver must be an active participant in the treatment. The team provides individualized services that are developed in full partnership with the family. IIH services are delivered to children and adolescents, primarily in their living environments, with a family focus.


COMMUNITY SUPPORT TEAM (cst)

Community Support Team (CST) services consist of community-based mental health and substance abuse rehabilitation services and necessary supports provided through a team approach to assist adults* in achieving rehabilitative and recovery goals. It is intended for individuals with mental illness, substance use disorders, or both, who have complex and extensive treatment needs. The individual’s clinical needs are evidenced by the presence of a diagnosable mental illness, substance use disorder, or both, with symptoms and effects documented in the comprehensive clinical assessment and the PCP. This service is only available for individuals 18 and older. This is an intensive community-based rehabilitation team service that provides direct treatment and restorative interventions as well as case management. CST is designed to:

  • reduce presenting psychiatric or substance use disorder symptoms and promote symptom stability,
  • restore the individual’s community living and interpersonal skills,
  • provide first responder intervention to deescalate the current crisis, and
  • ensure linkage to community services and resources.

This team service includes a variety of interventions that are available 24 hours a day, 7 days a week, 365 days a year, and are delivered by the CST staff, who maintain contact and intervene as one organizational unit.


ASSERTIVE COMMUNITY TREATMENT TEAM (actT)

Assertive Community Treatment (ACT) team consists of a community-based group of medical, behavioral health and rehabilitation professionals who use a team approach to meet the needs of an individual with severe and persistent mental illness. An ACT team assists an individual in advancing toward personal goals with a focus on enhancing community integration and regaining valued roles (example, worker, daughter, resident, spouse, tenant, or friend). Because an ACT team often works with individuals who may passively or actively resist services, an ACT team is expected to thoughtfully carry out planned assertive engagement techniques including rapport-building strategies, facilitating meeting basic needs and motivational interviewing techniques. These techniques are used to identify and focus on the individual’s life goals and what he or she is motivated to change.

It is the team’s responsibility to monitor the individual’s mental status and provide needed supports in a manner consistent with the individual’s level of need and functioning. The ACT team delivers all services according to a recovery-based philosophy of care. The team promotes self-determination, respects the person receiving ACT as an individual in his or her own right who can recover from mental illness and regain meaningful roles and relationships in the community.


Suboxone (Buprenorphine & Naloxone) Treatment

Suboxone (Buprenorphine & Naloxone) Treatment is a dependence recovery treatment for individuals looking to withdraw from opiates safely and comfortably. Suboxone, a medication that virtually stops withdrawal symptoms from opiate drugs such as Vicodin, heroin, codeine, morphine, and OxyContin is utilized during the detoxification period to assist in stabilizing the recovering individual. Individuals are assessed by our physicians to assess their need for Suboxone and determine the appropriate course of treatment.

Suboxone has unique pharmacological properties that help:

  • Lower the potential for misuse
  • Diminish the effects of physical dependency to opioids, such as withdrawal symptoms and cravings
  • Increase safety in cases of overdose

Suboxone is an opioid partial agonist. This means that, like opioids, it produces effects such as euphoria or respiratory depression. With Suboxone, however, these effects are weaker than those of full drugs such as heroin and methadone.

 


SUBSTANCE ABUSE COMPREHENSIVE OUTPATIENT TREATMENT (SACOT)

Substance Abuse Comprehensive Treatment (SACOT) is a time-limited periodic service with a multi-faceted treatment approach for adults who require structure and support to achieve and sustain recovery. Our SACOT program is a service emphasizing discontinuation in the use and abuse of substances and/or continued abstinence and the negative consequences of substance abuse. 

Program Assists with the Following: 

  • Vocational skills leading to work activity by reducing substance abuse as a barrier to employment
  • Social and interpersonal skills
  • Improvement in family functioning 
  • Understand the disease of addiction

SACOT CLASSES ARE 5 DAYS A WEEK, 4 HOURS PER DAY


SUBSTANCE ABUSE INTENSIVE

OUTPATIENT PROGRAM (SAIOP)

Substance Abuse Intensive Outpatient Program (SAIOP) means structured individual and group addiction activities and services that are provided at an outpatient program designed to assist adults and adolescents to begin recovery and learn skills for recovery maintenance. The program is offered at least 3 hours a day, at least 3 days a week, with no more than 2 consecutive days between offered services. The individual must be in attendance for a minimum of 3 hours a day.

SAIOP services shall include a structured program consisting of, but not limited to, the following services:

  • . Individual counseling and support;
  • b. Group counseling and support;
  • c. Family counseling, training or support;
  • d. Biochemical assays to identify recent drug use (e.g. urine drug screens);
  • e. Strategies for relapse prevention to include community and social support systems in treatment;
  • f. Life skills training;
  • g. Crisis contingency planning;
  • h. Disease Management; and
  • i. Treatment support activities that have been adapted or specifically designed for individuals with physical disabilities; or individuals with co-occurring disorders of mental illness and substance use; or an intellectual and developmental disability and substance use disorder.

SAIOP services also:

  • a. inform the individual about benefits, community resources, and services;
  • b. assist the individual in accessing benefits and services;
  • c. arrange for the individual to receive benefits and services; and
  • d. monitor the provision of services.

Individuals may be residents of their own home, a substitute home, or a group care setting; however, the SAIOP must be provided in a setting separate from the individual’s residence.

The program is provided over a period of several weeks or months. A service order for SAIOP must be completed by a physician, licensed psychologist, physician assistant or nurse practitioner according to their scope of practice prior to or on the day that the services are to be provided.