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About Astor Servs For Children And Families

Type of Care

1. Mental health treatment

Facility which provides services including therapy or psychotropic medication to treat a person’s mental health issue, reduce symptoms, and improve behavioral functioning and outcomes.

2. Substance use treatment

Refers to a range of services, including problem identification and diagnosis, brief interventions, assessment of substance use and related problems, treatment planning, counseling, medical services, psychiatric services, psychological services, social services, and follow-up for persons with alcohol or other drug problems (Institute of Medicine, 1990).

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

Refers to treatment services intended to help their clients’ ability to function as a result of substance use and/or mental disorders. By definition, serious mental illness is someone over 18 having (within the past year) a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities. For people under the age of 18, the term ‟Serious Emotional Disturbance” refers to a diagnosable mental, behavioral, or emotional disorder in the past year, which resulted in functional impairment that substantially interferes with or limits the child’s role or functioning in family, school, or community activities.

Facility Type

1. Outpatient mental health facility

Facility that primarily provides clients/patients who are able to receive 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 and 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.

Treatment Approaches

1. 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.

2. Couples/family therapy

An approach that uses 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.

3. 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.

4. 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.

5. Dialectical behavior therapy

Cognitive behavioral therapy 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 emphasizes balancing behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.

6. 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.

7. Telemedicine/telehealth therapy

The ability for healthcare providers, working remotely and 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.

8. Abnormal involuntary movement scale

Facility Smoking Policy

1. Smoking not permitted

Smoking is not allowed.

Service Setting (e.g., Outpatient, Residential, Inpatient, etc.)

1. Outpatient

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

Payment/Insurance/Funding Accepted

1. Cash or self-payment

Payment for treatment is made by the person directly, through cash or other means, rather than using health insurance.

2. 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.

3. State-financed health insurance plan other than Medicaid

4. Private health insurance

5. State mental health agency (or equivalent) funds

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

6. State welfare or child and family services funds

7. Other State funds

8. County or local government funds

Emergency Mental Health Services

1. Crisis intervention team

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.

Special Programs/Groups Offered

1. 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.

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

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

3. Clients who have experienced trauma

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

4. Clients who have experienced intimate partner violence, domestic violence

Facility has a program or group specifically tailored for persons who have experienced domestic violence or sexual abuse.

5. Children/adolescents with serious emotional disturbance (SED)

Facility has a program or group specifically tailored for children/adolescents with serious emotional disturbance.

6. Persons 18 and older with serious mental illness (SMI)

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

7. Persons with post-traumatic stress disorder (PTSD)

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

8. Young adults

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

9. Persons experiencing first-episode psychosis

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

Ancillary Services

1. 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.

2. 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)

3. 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.

4. Suicide prevention services

Services include identifying risk factors; educating staff on 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.

Pharmacotherapies

1. Non-nicotine smoking/tobacco cessation

Medications that do not contain nicotine but are designed to reduce a person's craving for tobacco. Some common examples are Bupropion (Zyban, Wellbutrin) and Nortriptyline (Pamelor). Medications are often prescribed in conjunction with counseling or support groups to provide the best chance for achieving long-term smoking abstinence. (http://www.mayoclinic.com)

2. Clozapine

3. Risperidone

4. Antipsychotics used in treatment of SMI

Refers to medication intended to help clients’ ability to function as a result of serious mental illness (SMI). A mental illness that interferes with a person’s life and ability to function is called a serious mental illness (SMI) for ages 18 and over.

Assessment/Pre-treatment

1. 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.

Education and Counseling Services

1. 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.

Age Groups Accepted

1. Children/Adolescents

Facility accepts children/adolescents (17 or younger) for treatment.

2. Young Adults

Facility accepts young adults (18-25) for treatment.

3. Adults

Facility accepts adults (26-64) for treatment.

Facility Operation (e.g., Private, Public)

1. Private non-profit organization

A charitable organization that does not qualify as a public charity.

Facility Vaping Policy

1. Vaping not permitted

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Contact:
845-419-3535
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Address:
280 State Route 299
NY, Highland, 12528, Ulster