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About Deschutes County Stabilization Center

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.

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. Activity therapy

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

8. 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.

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. Partial hospitalization/day treatment

Facility offers outpatient treatment services that may include group counseling, individual therapy, and access to medical care. These services are ideal for people who do not require 24-hour supervision, but who would still benefit from a high level of support.

2. Outpatient

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

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

1. Local, county, or community government

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. Other State funds

9. County or local government funds

10. Community Service Block Grants

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

11. 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.

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.

2. Psychiatric emergency walk-in services

Designed to provide accessible, professional, cost-effective services to individuals in psychiatric crisis, and strive to stabilize consumers on site and avoid psychiatric hospitalization whenever possible.

3. 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.

4. Psychiatric emergency mobile/off-site 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.

Payment Assistance Available

1. Sliding fee scale (fee is based on income and other factors)

Variable prices for services based on a person’s ability to pay.

2. Payment assistance (check with facility for details)

A program which helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical bills.

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.

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. Veterans

Facility has a program or group specifically tailored for Veterans.

4. Active duty military

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

5. Members of military families

Facility has a program or group specifically tailored for Military families.

6. Criminal justice (other than DUI/DWI)/Forensic clients

Facility has a program or group specifically tailored for clients referred from the court/judicial system.

7. Seniors or older adults

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

8. Clients with HIV or AIDS

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

9. Clients who have experienced trauma

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

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

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

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

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

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

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

13. Persons with traumatic brain injury (TBI)

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

14. Young adults

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

15. Persons with eating disorders

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

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. 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).

5. 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)

6. 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.

7. 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.

8. Psychosocial rehabilitation services

This service is offered individually or in groups. It provides therapeutic or intervention services such as daily and community-living skills, self-care, and skills training (grooming, bodily care, feeding, social skills training, and basic language skills).

9. 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.

10. 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.

11. Supported housing

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

12. Therapeutic foster care

Provides treatment for children within the private homes of trained families. The approach combines the normalizing influence of family-based care with specialized treatment interventions, thereby creating a therapeutic environment in a nurturing family home.

13. Vocational rehabilitation services

Services include job finding/development; assessment and enhancement of work-related skills (such as writing a resume or taking part in an interview), attitudes, and behaviors. Transitional employment is also included.

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)

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. Metabolic syndrome monitoring

Facility Type

1. Certified Community Behavioral Health Clinic

Responsible for directly providing (or contracting with partner organizations to provide) nine types of services, with an emphasis on the provision of 24 hour crisis care, utilization of evidence-based practices, care coordination and integration with physical health care. (https://www.thenationalcouncil.org)

Facility Vaping Policy

1. Vaping permitted in designated area

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Contact:
541-585-7210
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Address:
63311 Ne Jamison Street
OR, Bend, 97701, Deschutes