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About Native American Rehab Association

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. 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.

3. 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.

4. 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.

5. 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.

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. 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. 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.

2. Medicare

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

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. County or local government funds

7. Community Service Block Grants

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

8. 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.

9. IHS/Tribal/Urban (ITU) funds

Direct funds from the Indian Health Service. They consist of tribal funds through "638 contracts" (named after the public law under which they were authorized) and/or urban funds through federal Title 5 grants. These funds are considered part of the Indian healthcare system and can be used for programs that provide behavioral health services as well as for programs that provide other health-related 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 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.

3. 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. 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.

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. Seniors or older adults

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

3. Clients who have experienced trauma

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

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

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

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

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

6. Persons experiencing first-episode psychosis

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. 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. Education services

Locate or provide educational services from basic literacy through a general equivalency diploma and college courses including special education at the pre-primary, primary, secondary, and adult levels.

6. Illness management and recovery

Uses a standardized individual or group format based on five evidence-based practices: 1) Psychoeducation, 2) Behavioral tailoring, 3) Relapse prevention training, 4) Coping skills training, and 5) Social skills training.

7. Legal advocacy

Refers to legal services provided to help protect and maintain a client/patient's legal rights.

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.

Recovery Support Services

1. Mentoring/peer support

2. Housing services

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

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. Young Adults

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

2. Adults

Facility accepts adults (26-64) for treatment.

3. Seniors

Facility accepts seniors (65 or older) for treatment.

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

1. Private non-profit organization

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

License/Certification/Accreditation

1. Federally Qualified Health Center

An entity may qualify as a FQHC if it meets one of these requirements (CMS, 2017): Is receiving a grant under Section 330 of the Public Health Service (PHS) Act or is receiving funding from such a grant and meets other requirements; Is not receiving a grant under Section 330 of the PHS Act, but is determined by the Secretary of the Department of Health and Human Services (HHS) to meet the requirements for receiving such a grant (i.e., qualifies as a FQHC "look-alike") based on the recommendation of the Health Resources and Services Administration (HRSA); Was treated by the Secretary of the Department of HHS for purposes of Medicare Part B as a comprehensive Federally-funded health center as of January 1, 1990; Is operating as an outpatient health program or facility of a tribe or tribal organization under the Indian Self-Determination Act or as an urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act as of October 1, 1991.

Pharmacotherapies

1. 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.

Facility Vaping Policy

1. Vaping permitted in designated area

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Contact:
503-548-0346
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Address:
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OR, Portland, 97202, Multnomah