Outpatient Services

ADULT SERVICES PROGRAMS: 

ASL Interpreter services are arranged and available for Deaf and Hard of Hearing individuals.  Specific language interpreting accommodations are reviewed and assessed on an individual basis.

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OUTPATIENT SERVICES

 Outpatient services are available at each of our 10 outpatient location sites.  Outpatient services are typically services of least restriction.  They include individual, group, and family counseling.  It could also include marital therapy and psychiatric evaluation/medication management.  Services are available to all age groups.  Individuals may seek services on their own or may be referred by a primary care provider or other party involved with the individual.

Hours of operation are from 8:00 a.m. to 4:30 p.m., with afterhours appointments arranged in many locations.  Appointments may be scheduled by calling the local office, however, in crisis situations, individuals are encouraged to walk-in to any of our locations.

 

 

TARGETED CASE MANAGEMENT

Targeted case management is defined as services that are furnished to assist adults with serious mental illness in gaining access to needed vocational, medical, social, educational, or other community supports and services.  Case management services are available to several populations groups, including adults with serious mental illness, serious mental illness with a co-occurring substance use disorder, and serious mental illness and co-occurring chronic and complex physical health disorders. Individuals receiving targeted case management services must also be Medicaid eligible adults 18 years of age or older, have significant impairment in the ability to function socially, occupationally, or both, and have clinically significant symptoms which have been present continuously for at least two years or been hospitalized for mental illness more than once in the past two years.

 

Targeted case management services are provided in each of our outpatient service locations.  Individuals may be referred for case management services by their primary therapist, the practitioner managing their medications, or by the psychiatric hospital upon discharge.

We provide all Targeted Case Management Core & Specialty Trainings for CRBH employees. 

We can also provide Targeted Case Management Core & Specialty Trainings for staff of other agencies and organizations. 

If you are seeking TCM training for your organization staff, please contact Greta Baker, Training Coordinator at greta.baker@crccc.org.

Training dates, registration and cost details will be provided.

 

THERAPEUTIC REHABILITATION PROGRAM

Therapeutic Rehabilitation Program (TRP) is a rehabilitative service for adults with serious mental illness designed to maximize reduction of mental disability and restoration of the individual to their best possible functional level.  Services are designed for the reduction in disabilities related to social, personal, and daily living skills, as well as the restoration of these skills.  Services focus on improving daily living skills, self-monitoring of symptoms and side effects, crisis coping skills and interpersonal skills.  TRP is for individuals who require less than twenty-four (24) hours a day care but more than outpatient counseling. The focus of services is on helping clients to develop and maintain a healthy self-esteem.  Individuals in TRP are encouraged to retain the fullest possible control of their daily lives, to set their own rehabilitative goals, and participate fully in decisions affecting their own lives and future.

 

TRP LOCATIONS:

 

The Rainbow Connection 606-528-4381

Hrs: Mon-Fri

8:00 am – 2:00 pm

401 ½ Roy Kidd Ave

P.O. Box 568

Corbin, KY 40702

The Gateway Group 606-256-2129

Hrs: Mon-Fri

8:00 am – 2:00 pm

260 Valley View Lane

Mt. Vernon, KY 40456

New Beginnings 606-549-8140

Hrs: Mon-Fri

8:00 am – 2:00 pm

285 Cemetery Road

P.O. Box 84

Williamsburg, KY 40769

The Hope House  

Hrs: Mon-Fri

8:00 am – 2:00 pm

215 East Tennessee Avenue

Pineville, KY 40977

The Lemonade Stand 606-864-2104

Hrs: Mon-Fri

8:00 am – 2:00 pm

915 N. Laurel Road

P.O. Box 360

Pittsburg, KY 40755

Friendly Village 606-574-0096

Hrs: Mon-Fri

8:00 am – 2:00 pm

134 Comprehensive Drive

Harlan, KY 40831

 

SUPPORTED HOUSING

Supported Housing involves the linking of affordable, permanent, community-based housing options with flexible services and supports such as skills training, assistance in securing subsidies, and housing search activities.  Supported housing focuses on working with individuals to choose, get and keep normal housing in the community.

Cumberland River Behavioral Health’s Supportive Housing Program assists individuals with Severe and Persistent Mental Illness to live with maximum independence in community housing and the location they identify on their person centered plan. Priority is given to those individuals who are in Personal Care Homes and express a desire to move out, as well as individuals with a history of Personal Care Home Placement.

Individuals will decide what supports, if any, they need. Those supports could be traditional case management, TRP, Outpatient therapy, or Assertive Community Treatment. Supports are not required for assistance with Housing.

Referrals can be made by individuals who need services, their family, or others in the community with an interest in the care for an individual.  This program serves all 8 counties served by CRBH and takes referrals from other Community Mental Health Care Centers across the state. Referrals can be made to the program by accessing the Ky ISA Tracking Tool (dbhdid.ky.gov-ISA  ) or contacting the Supported Housing Director at (606) 528-7081 ext. 2046.

 

SUPPORTED EMPLOYMENT

IPS Supported Employment is an evidence-based approach to supported employment for people who have a severe mental illness. IPS stands for Individual Placement and Support. IPS supports people in their efforts to achieve steady employment in mainstream competitive jobs, either part-time or full-time.  This program has a zero exclusion policy and focuses on client strengths.  It uses a multidisciplinary team approach with individualized and long lasting services. The IPS employment specialists work collaboratively with the Office of Vocational Rehabilitation in providing these services.  Follow-along supports are individualized and continued for as long as the client wants and needs the support.  IPS supported employment is based on the truth that work can promote wellness and recovery.

This program is available in Whitley, Knox, Clay, Harlan and Laurel counties.

Referrals can be made by any CRBH staff, clinician or self-referral.  The referral is sent to the Supported Employment Supervisor in the Corbin office and then forwarded on to the Office of Vocational Rehabilitation to assess availability for services. When approved, an employment specialist will contact the consumer.

Eligibility Requirement: Any consumer that wants to work is eligible for services through the Supported Employment Program.  Consumers are not excluded on the basis of readiness, diagnoses, symptoms, substance use history, psychiatric hospitalizations, level of disability or legal system involvement.

 

ASSERTIVE COMMUNITY TREATMENT

Assertive community treatment is a team approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illnesses. ACT is an evidenced-based practice that has been widely implemented in the United States, Canada, and England.  It has also been implemented by the Department of Veterans Affairs across the United States.

ACT services are provided by a team of professionals whose background and training may include social work, rehabilitation, counseling, nursing, and psychiatry.  Among the services ACT teams provide are case management, initial and ongoing assessments, psychiatric services, employment and housing assistance, family support and education, substance abuse services, and other services and supports that are critical to an individual’s ability to live successfully in the community.  ACT services are available 24 hours a day, 365 days a year.

Clients served by ACT are individuals with serious and persistent mental illness, with severe functional limitations, who have not responded well to traditional outpatient mental health services.  Persons served by ACT often have co-existing problems such as homelessness, substance abuse problems, or involvement with the judicial system. The ACT team is located in the Barbourville outpatient office at 704 Pitzer Street, Barbourville, KY. 40906.  The phone number is 606-546-2273.  The ACT team provides services to individuals in our eight county areas, with priority to individuals who are transitioning out of personal care homes or who are at risk of entering a personal care home.   Referrals are accepted from the primary therapist, the practitioner managing the individual’s medication, a discharging psychiatric facility, or other providers involved with the individual.

 

 

DIRECT INTERVENTION; VITAL EARLY RESPONSES TREATMENT SYSTEM (DIVERTS)

DIVERTS services are a package of services that are offered to individuals with serious mental illness (SMI) who are institutionalized or at risk of institutionalization.  The services are designed to assist persons with SMI in transitioning to living in integrated settings in the community while receiving treatment and support services.  The services can also assist with recovery while preventing admission and/or re-admission to psychiatric institutions.

  • In-Reach/Transition Services: Provides engagement, education and support to inform adults with SMI and are living in facilities, about community-based mental health services and housing options.  This includes receiving referrals, completing an initial face-to-face visit, completing the appropriate documentation and assigning the individual to a transition team.
  • Assessment: Includes gathering information and engaging in a process to establish the presence or absence of a mental health disorder/and/or substance use disorder, determine the individual’s readiness for change, identify individuals strengths and problem areas that may affect the processes of treatment and recovery, and engage the individual in the development of an appropriate treatment relationship.  This could include the biopsychosocial assessments, level of care assessments, functional assessments, strengths assessments, etc.)
  • Person-Centered Recovery Planning: Involves assisting the individual in creating an individualized plan for services needed for maximum reduction of mental disability and restoration to their best possible functional level.  The plan is directed by the individual and must include anyone of the individuals choosing.
  • Assertive Community Treatment: An evidence based practice using a multidisciplinary team of professionals. It is a comprehensive approach to services that includes assessment, person-centered planning, case management, psychiatric services, medication management, family support and basic living skills.
  • Supported Employment IPS (Individual Placement and Support) Model: An evidence based practice designed to assist individuals with SMI to obtain employment in a comprehensive environment using the supports of their mental health team, an employment specialist and benefits counselor. Supported Employment services include:  person-centered job selection, job development and analysis, job acquisition with support, and long term support and follow-up. The principles are planned and implemented through a partnership with the individual and the treatment team members, of which the Employment Specialist is a member, in order to assist the individual in achieving specific employment goals as defined by the Person-Centered Recovery Plan.
  • Supported Housing: Activities covered are those necessary to assist individual with SMI to live with maximum independence in community integrated housing with the goal of increasing community tenure, as identified in the Person-Centered Recovery Plan.  Skills training is designed to reduce mental disability and restore the individual to his/her best possible functional level.  Areas addressed may include improvement in daily living skills, self-monitoring of symptoms and side effects, emotional regulation skills, crisis coping skills and enhancing interpersonal skills.
  • Peer Support: Emotional support that is provided by persons having mental health, substance use, or co-occurring mental health and substance use disorder to others sharing a similar mental health, substance use, or co-occurring mental health and substance use disorder in order to bring about a desired social or personal change. Services are structured and scheduled non-clinical but therapeutic activities with individual clients or groups provided by a self-identified individual who has been trained and certified in accordance with state regulations.
  • Case management: Designed to assist individuals in gaining access to needed medical, social, educational and other services.
  • Community Residential Support (CRS): These services cover activities necessary to assist participants to live with maximum independence in community housing with the goal of increasing community tenure. They are individualized according to the needs identified in the Person-Centered Plan and are available 24/7.
  • Comprehensive Community Support (CCS): Covers activities necessary to allow individuals with mental illness to live with maximum independence win the community.  Activities are intended to assure successful community living through utilization of skills training as identified in the individuals Person-Centered Recovery Plan.  Skills training is designed to reduce mental disability and restore the individual to his/her best possible functional level.
  • Purchased goods: Goods shall be equipment or supplies that are individualized and utilized to reduce the need for assistance with personal care or to enhance independence or safety in the home environment and allow an individual to maintain a stable living environment in the community.  Any good purchased shall be clearly linked to a demonstrated need.

 

PEER SUPPORT SERVICES

A Certified Peer Support Specialist is a person who has experience as a recipient of mental health services and/or substance abuse services and is willing to use and share his/her personal, practical experience, knowledge, and firsthand insight to benefit the team and its consumers.

A Certified Peer Support Specialist functions as a fully integrated team member to provide expertise about the recovery process, symptom management, and the persistence required by consumers to have a satisfying life.  The Certified Peer Support Specialist collaborates to promote a team culture that recognizes, understands, and respects each consumer’s point of view, experiences, and preferences.  The Peer Support Specialist is responsible to maximize consumer choice, self-determination and decision-making in the planning, delivery and evaluation of treatment, rehabilitation and support services. The Peer Support Specialist provides peer counseling and consultation to individual consumers, families, and team staff, acts a liaison with community resources, carries out rehabilitation and support functions, and assists in treatment, substance abuse services, education, support and consultation to families, and crisis intervention, under the clinical supervision of staff with professional degrees.

Certified Peer Support Specialists are eligible to provide services at any agency service location.

 

ADULT CRISIS STABILIZATION UNIT (HAVEN HOUSE)

 

 Haven House  606-878-7013

606-878-7014 fax

 349 Riverbend Rd

London, KY 40744

 

Haven House is an 8-bed adult crisis stabilization unit (ACSU) operated by Cumberland River Behavioral Health.  The primary goal of Haven House is to provide an alternative to inpatient psychiatric hospitalization for individuals experiencing a psychiatric crisis. Haven House provides services to individuals over the age of 18 who meet criteria for admission as defined in Haven House policy and procedure.  Referrals are accepted from CRBH treatment providers and community partners.  While at the unit, individuals receive assessment, recovery planning, therapeutic crisis intervention/skill building, peer support, medication evaluation and medication management in a safe and supportive environment.  The average length of stay is 3-5 days.  Services at Haven House are usually covered by Medicaid, Medicare and other Third Party Payors.  Individuals will be treated during episodes of crisis regardless of their ability to pay.

 

PASRR

The Omnibus Reconciliation Act of 1987 (OBRA) and OBRA 1990 contains provision with major implications for persons with mental illness or intellectual disabilities who are applying to or residing in a nursing facility.  The provisions were designed to eliminate the practice of inappropriately placing persons with mental illness, intellectual disabilities and related conditions in Medicaid-certified nursing facilities.

The ACT mandated the state to establish preadmission screening and resident review (PASRR) for all persons applying for admission to or residing in a nursing facility.  Through the PASRR evaluation, it is determined whether (1) the person requires nursing facility level of care and, if so, (2) whether the person also requires specialized services (active treatment).

Trained PASRR evaluators are available in each of our eight county service areas.

 

COMMUNITY MEDICATION SUPPORT PROGRAM

The Community Medication Support Programs for Adults with a Severe Mental Illness is a joint effort between the Division of Mental Health and the State Hospitals designed to provide the continuity of care to clients who have no means of obtaining needed psycho-tropic medications.

This program provides low cost medications to the client population who live at a standard poverty level and who do not qualify for federal or state assistance. The Cumberland River Behavioral Health, Inc. is to make every effort to assist consumers to obtain medication from other available sources prior to using the Community Medication Support Program.

 

GOALS OF THE PROGRAM:

  1. Assist adults with severe mental illness who have no other means of purchasing medications, to obtain prescribe psycho-tropic medications.
  2. All participating consumers meet the basic eligibility requirements.
  • 18 years of age
  • Have a severe mental illness (diagnosis, disability, and duration)
  • Not eligible for Medicaid or Medicare
  • Not capable of self-pay
  • Do not have a third party payor source
  • Sample meds not available

 

iHOPE (FIRST EPISODE PSYCHOSIS)

The First Episode Psychosis program will provide coordinated specialty care to residents of the CRBH region between the ages of 15-30 who are experiencing first episode psychosis symptoms, at risk of a psychotic episode/disorder, or are within 2 years of the onset of psychotic symptoms.  Coordinated specialty care will include individual and family psychotherapy, individual and family psycho-education, case management, supported employment/education, peer support, psychiatric evaluation/medication management, and occupational therapy.

Location: London Outpatient Office