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About Columbia River Mental Health Services

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. Activity therapy

Includes art, dance, music, recreational and occupational therapies, and psychodrama.

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. Cognitive remediation therapy

A type of rehabilitation treatment offering exercises with an aim at improving attention, memory, language, and/or executive functions. The expected result is an indirect positive impact on functional deficits impacting everyday life. Proper treatment with these therapies can help enhance the social and professional integration of patients.

9. Eye Movement Desensitization and Reprocessing therapy

An interactive psychotherapy technique that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences. During EMDR therapy sessions, people relive traumatic or triggering experiences in brief doses while the therapist directs the patient’s eye movements. This allows the patient to be exposed to the memories or thoughts without having a strong psychological response.

Facility Smoking Policy

1. Smoking permitted in designated area

A designated area in which smoking is permitted.

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. Medicare

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

4. State-financed health insurance plan other than Medicaid

5. Private health insurance

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

7. State mental health agency (or equivalent) funds

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

8. County or local government funds

9. Community Service Block Grants

Provides funds to alleviate the causes and conditions of poverty in communities.

10. Community Mental Health Block Grants

Through individual block grant contracts with community mental health services programs, these resources are focused on development and maintenance of community based services.

Language Services

1. Sign language services for the deaf and hard of hearing

Service provided for persons who are deaf and hard of hearing.

2. Spanish

Staff counselors provide treatment in Spanish.

3. Other languages (excluding Spanish)

Ancillary Services

1. Assertive community treatment

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.

2. Intensive case management

A service that is a key part of the continuum of mental health care and support for persons with serious mental illness. ICM is more than a brokerage function. It involves building a caring, trusting relationship with the consumer, promoting consumer independence through the coordination of appropriate services, and providing on-going, long-term support as needed by the consumer to function in the least restrictive, most natural environment and achieve an improved quality of life. Intensive case managers fulfill a vital function for consumers by working with them to realize personal recovery goals and providing the support and resources that the consumer needs to achieve goals, stabilize his/her life and improve his/her quality of life.

3. 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.

4. 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)

5. 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.

6. Integrated primary care services

These services address the general health care needs of persons with mental and substance use disorders. 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, care coordination with staff, and providing linkages to ensure that all patient needs are met in order to promote wellness and produce the best outcomes.

7. 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.

8. Supported employment

Services include assisting individuals with finding work; assessing individuals' skills, attitudes, behaviors, and interest relevant to work; providing vocational rehabilitation and/or other training; and providing work opportunities.

9. Supported housing

Independent, normal housing with flexible, individualized supportive services that allow individuals to maintain as much independence as possible.

Recovery Support Services

1. Mentoring/peer support

2. Housing services

Are designed to assist individuals with finding and maintaining appropriate housing arrangements.

Pharmacotherapies

1. Nicotine replacement

Administers nicotine to the body by means other than tobacco, without other harmful chemicals found in tobacco. Common forms of nicotine replacement therapy are nicotine patches, nicotine gum or lozenges, nasal spray and inhaler. The goal of nicotine replacement is to prevent cravings in a tobacco user, allowing the person to abstain from tobacco.

2. 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)

3. Chlorpromazine

4. Haloperidol

5. Prochlorperazine

6. Aripiprazole

7. Asenapine

8. Brexpiprazole

9. Cariprazine

10. Clozapine

11. IIoperidone

12. Lurasidone

13. Olanzapine

14. Olanzapine/Fluoxetine combination

15. Paliperidone

16. Quetiapine

17. Risperidone

18. Ziprasidone

19. 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.

4. Seniors

Facility accepts seniors (65 or older) for treatment.

Testing

1. HIV testing

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

2. STD testing

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

3. 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.

4. Metabolic syndrome monitoring

5. Testing for Hepatitis B (HBV)

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

6. 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

7. Laboratory testing

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 permitted in designated area

Other Languages

1. Russian

Staff counselors provide treatment in Russian.

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Contact:
360-993-3000
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Address:
6926 Ne 4th Plain Boulevard
WA, Vancouver, 98661, Clark