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About Roseburg Va Healthcare System

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.

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.

10. Abnormal involuntary movement scale

Facility Smoking Policy

1. Smoking not permitted

Smoking is not allowed.

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

1. Hospital inpatient/24-hour hospital inpatient

Medical treatment that is provided in a hospital or other facility and requires at least one overnight stay.

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. U.S. Department of Veterans Affairs

Facility operated by the U.S. Department of Veterans Affairs, including general hospitals, and/or residential treatment programs, and/or psychiatric out­patient clinics.

2. Federal 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. Private health insurance

3. U.S. Department of VA 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.

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.

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. Seniors or older adults

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

6. Clients who have experienced trauma

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

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

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

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

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

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. Diet and exercise counseling

Diet and exercise counseling helps a person learn to make decisions about: (1) good nutrition, healthy eating practices, and food choices for health improvement and/or weight management; and (2) choosing physical activities to increase overall health and fitness, with a focus on helping persons reduce their risk for chronic disease and support their recovery.

3. 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.

4. 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.

5. 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.

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. Legal advocacy

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

8. 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.

9. 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.

10. Supported housing

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

11. 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)

3. Chlorpromazine

4. Droperidol

5. Fluphenazine

6. Haloperidol

7. Loxapine

8. Perphenazine

9. Pimozide

10. Prochlorperazine

11. Thiothixene

12. Trifluoperazine

13. Aripiprazole

14. Asenapine

15. Brexpiprazole

16. Cariprazine

17. Clozapine

18. IIoperidone

19. Lurasidone

20. Olanzapine

21. Olanzapine/Fluoxetine combination

22. Paliperidone

23. Quetiapine

24. Risperidone

25. Ziprasidone

26. 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. 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.

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 Type

1. Veterans Affairs Medical Center or other VA healthcare facility

Facility Vaping Policy

1. Vaping not permitted

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