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About Va Med/jonathan M Wainwright Mem

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. 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. 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.

7. Abnormal involuntary movement scale

Facility Smoking Policy

1. Smoking not permitted

Smoking is not allowed.

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

1. Residential/24-hour residential

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. 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. Private health insurance

5. 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.

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. Veterans

Facility has a program or group specifically tailored for Veterans.

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. 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).

3. 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)

4. 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.

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. 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. 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.

8. 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.

9. Legal advocacy

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

10. 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).

11. 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.

12. 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.

13. Supported housing

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

14. 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. Aripiprazole

4. Olanzapine

5. Quetiapine

6. Risperidone

7. 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. Metabolic syndrome monitoring

4. 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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Address:
77 Wainwright Drive
WA, Walla Walla, 99362, Walla Walla