Mental Health Resource Directory 2017-06-21T13:15:56+00:00

Welcome to CONNECT’s Mental Health Resource Directory for Summit County

Mental disorders are common in the United States, with one in five adults having a mental disorder in any one year. This is equivalent to 43.8 million people.  Mental disorders often occur in combination.  For example, it is not unusual for a person with anxiety to also develop depression, or a person who is depressed to also have a substance abuse disorder (Dual Diagnosis).  Mental health disorders often start in adolescence, with half of all disorders beginning by age 14.

The greatest challenge in coping with a mental disorder is often finding the right kind of treatment and support to meet your needs.  Accessing services can be very challenging and identifying the right treatment is often a trial and error process.  Finding a mental health professional is one of the most important steps in starting on the path toward a successful recovery. As hard as it might be to acknowledge that you need help, the search for a specialist who fits your needs—someone who can serve as your ally—can be even more challenging.  Our directory was created with you in mind. These helpful lists are organized by resource or disorder type.  If you know of a resource and would like it added to our list, please contact us.  If you see an error, please let us know that also.

Please listen to CONNECT’s recent and informative discussion about available mental health resources within Summit County on KPCW: http://kpcw.org/post/summit-county-needs-more-mental-health-professionals

Please review this February 2017 NAMI article on how to find the best mental health professional for you: Click Here.

Note: The content provided on this website, including programs, service providers, and products, is for educational and informational purposes only. The information is not to be relied upon as medical advice or mental health advice. The information is not a substitute for professional medical advice or counseling.  CONNECT does not endorse any of the opinions, advice, programs, products, or services of other individuals or entities identified on this website. Rather this resource is intended to provide you with information to aid you in your research. The list provided is not necessarily complete.

 Crisis Intervention/Emergency Resources

Note: If you are requesting help for a mental health crisis when calling 911 ask for a CIT (“Crisis Intervention Team”) Officer – they are specially trained to help someone experiencing a mental health crisis.

  • SafeUT Mobile APP and Crisis Text Line – The SafeUT Crisis Text and Tip Line is a statewide service that provides real-time crisis intervention to Utah youth through texting and a confidential tip program – right from your smartphone.  SafeUT is free, anonymous, and confidential.   View an Overview and Product DEMO Here.  Download the App from iTunes by searching “SafeUT” (The App is published by Anderson Software).
  • Summit County Crisis Line: (435) 649-8347. Press 1 for crisis. (A Service of Valley Behavioral Health)
  • UNI Crisis Line: (801) 587-3000. Provides 24/7 crisis service staffed by mental health professionals providing emotional support, assistance, crisis intervention, and suicide prevention to individuals experiencing emotional distress or psychiatric crisis.
  • UNI Warm Line: 801-587-1055. This line is for Salt Lake County residents who are not in crisis, but seeking support, engagement, or encouragement.  Certified Peer Specialists offer support and empower callers to resolve problems by fostering a sense of hope, dignity, and self-respect.  Callers may speak with peer specialists daily 9 am to 10 pm.
  • Utah Suicide Hotline 24 hours / 7 days (801) 261-1442.
  • Call the National Suicide Prevention Lifeline at 1-800-273-8255 if you or someone you know is experiencing suicidal thoughts.
  • American Foundation for Suicide Preventionwww.afsp.org
  • Behavioral Health Treatment Services Locator – The Behavioral Health Treatment Services Locator is a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance abuse/addiction and/or mental health problems. 
  • University of Utah Health Care Naloxone Program, Contact Sam Plumb, MPA, MPH, Naloxone Program Manager. Email: [email protected]
  • Naloxone Rescue Kits available by calling 385-495-9050, or by emailing [email protected] Program website: http://www.utahnaloxone.org/.
  • The Trevor Project A national 24-hour, toll free confidential suicide hotline for gay and questioning youth.  Trevor Lifeline: 866-4-U-TREVOR (866-488-7386).
  • The Trans Lifeline at 877-565-8860
  • Utah Pride Empathy Line  1-800-GO-PRIDE 24 hours a day
  • Mama Dragons, http://mamadragons.org
  • I’ll Walk With You, http://ldswalkwithyou.
  • QPR Institute –  QPR stands for Question, Persuade, and Refer – 3 simple steps that anyone can learn to help save a life from suicide. Just as people trained in CPR and the Heimlich maneuver help save thousands of lives each year, people trained in QPR learn how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer someone to help. Each year thousands of Americans, like you, are saying, “Yes” to saving the life of a friend, colleague, sibling, or neighbor. To learn how you can save the life of someone in crisis, please visit http://www.qprinstitute.com/.  Note: Valley Behavioral Health has established a 3-Step “QPR” for suicide prevention.  Call Valley to schedule a QPR training by calling 435-575-1206 or 435-575-1203, or by emailing kathyda@valleycares.com

 

 Mental Health Screenings, Diagnostic Evaluations and Assessments

Despite the high prevalence of mental health and substance use problems, too many Americans go without treatment — in part because their disorders go undiagnosed. Many people have a long delay between developing a mental disorder and receiving appropriate treatment and support.  The longer the delay in getting help, the more difficult recovery might be. Regular screenings in primary care and other healthcare settings enables earlier identification of mental health and substance use disorders, which translates into earlier care.  In some states like Massachusetts, all primary-care providers are required to offer (from birth to 21 years) standardized behavioral-health screenings as part of well child and medically necessary exams. Unfortunately, not all states require primary care providers to conduct mental health screenings as a regular course during annual well child and adult patient visits.  This means that many mental health disorders are not getting diagnosed, or worse, misdiagnosed.  Early intervention programs are key.

To address this problem, several entities have created online screening tools and online resource centers for those seeking more information about their, or a loved ones, mental health.  The entities listed below provide online screening tools as well as tools for specific diagnoses.

The U.S. Substance Abuse and Mental Health Services Administration:  This site provides online screening tools specifically for Depression, Bipolar Disorder, Anxiety Disorders, Drug and Alcohol Abuse, as well as many other assessments.  It is a well-organized and informative resource.

Screening for Mental Health is dedicated to coordinating nationwide mental health screening programs and reducing stigma to increase help-seeking behavior.   Its programs can identify at-risk individuals in minutes and reach individuals at all stages of their life, spanning from teenagers, college students, to older adults.  Its commercial and public screening tools are designed to provide a safe and anonymous way for individuals to check in on their mental health by using online self-assessments to allow users to screen for mood and anxiety disorders, eating disorders, and alcohol use disorders. The online screenings provide an assessment of the user’s mental health, information on whether the user’s assessment results are consistent with a mental health disorder, an overview of the signs and symptoms of treatable mental health disorders, and access and referral to local, quality treatment options.   Click Here to Take an Anonymous Screening.

Mood Swings is an online self-help tool for people with bipolar disorder. Material used in the website is based on effective face-to-face group programs. Qualifying participants may also participate in a research study.

The Child Network is an online tool and research study that allows parents to track their child’s mood and behavior through weekly assessments on a secure web site under a protocol approved by the John’s Hopkins IRB. The tool is specifically intended for parents of children who have mood or behavioral problems (or who are at-risk for problems because the parent has depression or bipolar disorder). The weekly assessment of symptoms of depression, anxiety, ADHD, oppositionality, and mania takes only a few minutes and the results can be printed out to visualize symptom trajectory and response to treatment. This may be very helpful to parents and clinicians in following symptom evolution and improvement, and will provide much needed information on childhood mood disorders.

Advanced Behavior Analysis (“ABA”) creates individualized plans focused on reducing each child’s maladaptive behavior and enhancing pro-social behavior. These skills are taught by implementing techniques learned from our child and adolescent therapy and behavior consultation based in Park City, Utah.  Advanced Behavior Analysis, Inc. provides consultations, assessments, and therapy sessions. ABA consists of many evidence- based practices (practices that are backed by significant research) aimed at increasing positive, useful behaviors and reducing behaviors that are detrimental either physically, socially or academically. ABA therapy is also used to increase language and communication skills, improve attention, focus, social skills, self help skills, memory and academics. Call Clinical Director Brittany Coyle MA, BCBA to make an appointment (Cell: 435-962-3661).

Expansive Horizons Counseling is certified through the state to offer mental health, familial, substance abuse, trauma, and domestic violence services to ages 2-99. A substance abuse assessment is $100. Domestic Violence Assessment is $175. Mental Health Assessments are $175. They have two separate locations:

  • Kamas location: 228 West 200 South Suite 2E Kamas, UT  84036
  • Heber location: 150 Main Street Suite 101 Heber City, UT 84032

Please contact Expansive Horizons at 801-360-6955. Hours are Monday through Thursday: 8am-7pm. Clients can usually get in on the same day.  All insurances including Utah Medicaid are accepted as they are a certified provider in all areas. They offer contractual agreements with several local churches. They also offer payment plans.

Gale and Associates, Center for Assessment and Psychotherapy.  This private practice in Park City, Utah offers a range of specialized neuropsychological and psychological assessment and therapy services, ranging from learning disability assessment to adolescent, adult, and couples therapy.  They specifically provide child and adolescent psychological and neuropsychological evaluations.  A psychological evaluation can lend insight into the effects of a psychiatric condition, Autism Spectrum Disorder or ADHD or comorbid learning disabilities and mental disorders on overall levels of socio-emotional or interpersonal, behavioral, and adaptive functioning.

Jewish Family Service
Jewish Family Service mission is to strengthen individuals and families of all backgrounds through  counseling, advocacy, care management and education.  Mental health evaluations/assessments and counseling are the cornerstone of Jewish Family Service’s services.  Jewish Family Service provides weekly appointments with licensed mental health professionals for individuals, youth, family, and couples counseling. All services are provided on a sliding scale allowing JRF to reach people at all income levels.

People’s Health Clinic
The People’s Health Clinic provides medical services to the uninsured of Summit County. The Clinic does not provide emergency or urgent care. The People’s Health Clinic established collaboration with Jewish Family Services in early 2010 to provide affordable mental health counseling services and psychiatric evaluations by licensed practitioners to patients of the Clinic. Jessica Dell, LCSW,  offers appointments some Thursday evenings. The Clinic has also collaborated with a local bilingual Psychiatrist who has agreed to see one patient per week at her office.  Patients seeking counseling services are also referred to Valley Behavioral Health.  Please call 435.333.1850 to schedule an appointment.

The Mental Health Department at the University of Utah Redstone Health Clinic
Existing patients of the Redstone clinic may make appointments for mental health screenings and assessments, therapy, and other mental health support services at the new Mental Health Department at the Redstone Health Clinic. The Department also offers caregiver and holiday support groups. Open during business hours only (no after hours). For appointments, please call Office: 435-658-9238; Clinic: 435-658-9262.  Appointments can be made with Dr. Lynn Dobias (Thursdays only) or Amanda Wissler.

Summit Community Counseling
Summit County Counseling offers psychological testing, assessment, diagnosis, and follow-up treatment to determine developmental and intellectual functioning as well as assessment for Autism, Attention-Deficit/Hyperactivity Disorder, and learning problems in young children. To schedule an appointment, please call 801.266.2485. En español: [email protected]

Utah Center for Evidence Based Treatment
The Utah Center for Evidence Based Treatment is committed to excellence in the assessment and provision of psychological services. The Center has a new Round Valley location. They believe that in order to provide quality treatment, it is essential to collaborate with our clients to assess progress and adapt the treatment responsively. The Center is trained in a variety of evidence based psychotherapies for many different clinical conditions, including anxiety, depression, self-injury, personality disorders, physical health concerns, anger, post-traumatic stress disorder, and many other problems in living. Clinical programs include:

The Anxiety and Mood Program
Director: Dr. Robin Lange

The Behavioral Health Program
Director: Dr. Robin Lange

The Dialectical Behavior Therapy Program
Director: Dr. Sheila Crowell (Dr. Crowell is the program founder and director).

The Psychiatry Program
Director: Dr. Jessica Jones

The Trauma, Stress, and Resilience Program
Director: Dr. Ashley Greenwell

Utah Center for Evidence Based Treatment
750 Round Valley Drive, Suite 103, Park City, UT 84060
-and- 164 South 900 East, Salt Lake City, UT 84102
Tel. 801-419-0139

Valley Behavioral Health
Valley provides psychiatric evaluations and assessments for Summit County residents.  To schedule one, please call 435-649-8347 or visit http://www.valleycares.com/Services are offered in both English and Spanish.

Wasatch Pediatrics’ (Summit Pediatrics) Mental Health Program provides evidence-based behavioral medicine for children and adolescents.  Summit Pediatrics also provides mental health screenings and assessments.  They specialize in treating children (ages 2 to 18) that struggle with anxiety, mood, attention, depression, academic, developmental, and behavioral concerns through the following services:

  • Diagnostic evaluations
  • Individual Therapy
  • Group Therapy
  • Parent Training
  • Medication Management

Please call the Park City Office at 435-655-0926 to schedule an assessment (750 Round Valley Drive  Suite 102, Park City, UT 84060).

University of Utah Neuropsychiatric Institute (UNI)
UNI offers patient-centered care to treat all aspects of mental health for children and adults.  The UNI Downtown Behavioral Health Clinic – (801) 585-1212 – offers outpatient services for adults, children, and adolescents. The clinic provides psychiatric evaluation and diagnosis, consultation, and medication management as well as therapy services.

When a child or adolescent is facing complex mental health issues, regular sessions with a psychiatrist or even a weeklong evaluation may not provide enough time and in-depth observation to understand the factors that are contributing to a patient’s challenge. The UNI Comprehensive Assessment Treatment (CAT) Program is an assessment program that targets this population.  The CAT Program’s mission is Focus, Clarity, Direction. In the first phase of the program, our collaborative team will Focus on the child’s primary issues, identify the root of these issues, and work to establish clear and individualized goals for treatment. In the second phase, Clarity is established. The child will receive a comprehensive neuropsychological assessment which will provide diagnostic clarification. In the last phase, the child and the family is provided with Direction. We offer recommendations for the most appropriate setting for the child moving forward.

Utah Center for Evidence Based Treatment
The Utah Center for Evidence Based Treatment is committed to excellence in the assessment and provision of psychological services. We believe that in order to provide quality treatment, it is essential to collaborate with our clients to assess progress and adapt the treatment responsively. Our clinical team integrates research and therapy. As such, we use multiple methods of assessment before, during, and following treatment. We are trained in a variety of evidence based psychotherapies for many different clinical conditions, including anxiety, depression, self-injury, personality disorders, physical health concerns, anger, post-traumatic stress disorder, and many other problems in living. Dr. Sheila Crowell is the program founder and director.

Wasatch Canyons
Wasatch Canyons is IHC’s behavioral health campus located in Taylorsville, UT.  It offers 4 points of service: 1) A 20 bed in-patient unit providing  24 hour care for children and adolescents ages 5-18 with depression, anxiety, bipolar, anger management, and other psychiatric and behavioral issues; 2) A Residential Day Treatment Program; 3) An Outpatient Day Treatment Program; 4) and a Center for Outpatient Counseling where former patients and the general public may receive psychiatric and psychological therapy from a large group of practitioners.  Comprehensive neuropsychological assessments are conducted.


 Mental Health Providers (Psychologists, Psychiatrists, LCSW, other Counseling Services)

Aspen View Counseling, LLC
Becky Price has been a licensed Marriage, Family therapist for over 25 years. Individual: She has years of experience assisting women of all ages with such issues as low self-esteem, anxiety, depression, and dissatisfaction in their relationships. Relationships: She has expertise in assisting couples in premarital, marital and divorce adjustment. Lack of effective communication, loss of intimacy, parenting issues, and stress over finances are some of the issues that typically bring couples to therapy. You may contact Becky via email at [email protected].

Counseling Center of Park City, part of the services offered by the Christian Center of Park City
The six-member Counseling Team at the Christian Center are a team of passionate, professional counselors dedicated to helping with depression, anxiety, trauma, stress, or grief. They have a wide variety of specialties ranging from kids to adults in both English and Spanish. Claire Camp offers therapy to Spanish-speakers. Phyllis Rehn specializes in relationships, while Lauren Hansen works with children and adolescents and Stella Blight prescribes and monitors medications.  AJ Frithiof was recently hired to help teens and people with substance abuse problems. Frithiof’s position was created in response to growing concerns in the Park City community that surfaced after two Treasure Mountain Junior High students died of overdoses.

Fees: It is the Center’s desire to offer affordable counseling for anyone seeking it. They work with most insurance companies and offer a scholarship program to allow people to pay what they are able to afford.  Contact: Feel free to call Leah Harter, Therapist and Director of the Center, to learn more about what is offered and to discuss the best counselor for you needs. This article published in the 12/6/2016 Park Record provides an excellent overview of the Counseling options available at the Center.

The Dell Center for Therapy: Transforming Health and Wellness
Jessica Dell, LCSW
Tel. 801-447-2666
Email: [email protected]
Address: 5532 Lillehammer Lane, Suite 102, Park City, UT 84098

Expansive Horizons Counseling is certified through the state to offer mental health, familial, substance abuse, trauma, and domestic violence services to ages 2-99.  There are three providersDr. Liza Sanderson, PSYD, NCC, NCSP, CMHT, LPC, Clinical psychologist, nationally certified mental health counselor, school psychologist, clinical mental health therapist, and life coach. Travis Sanderson, Clinical mental health therapist. Jenny Gempeler, Clinical mental health therapist.  Fees: A one hour session is $100. A substance abuse assessment is $100. Domestic Violence Assessment is $175. Mental Health Assessments are $175.

They have two separate locations:
•Kamas location: 228 West 200 South Suite 2E Kamas, UT 84036
•Heber location: 150 Main Street Suite 101 Heber City, UT 84032

Please contact Expansive Horizons at 801-360-6955. Hours are Monday through Thursday: 8am-7pm. Clients can usually get in on the same day. All insurances including Utah Medicaid are accepted as they are a certified provider in all areas. They offer contractual agreements with several local churches. They also offer payment plans.

The Greater You – Greater Life Counseling and Coaching

Kwinten Kemp has studied and employs evidence-based methods of guiding people through eating disorders, obesity, and the weight loss process. He is a Certified Therapeutic Weight Management Specialist and adolescent mental health counselor. He has spearheaded work in helping clients work through the underlying emotional struggles that many times underpin weight and body image problems.  His specialty is working with adolescents in the Park City area.  All of the center’s counselors are licensed professionals trained to support and guide each participant through the challenges associated with emotional eating, weight management, eating disorders, and general poor body image. The counselors, including Chris Tittle, work to guide adolescents and adults in working through core mental health challenges that have led to the problems with weight or body appreciation, thereby empowering people to create the healthy lifestyle they so desire.

Harmony Family Therapy

Nancy Sutton, LMFT
Offices in Park City and Midway, UT
Park City office located at 2720 Homestead Drive #10
Tel. 435-513-5708 or 435-654-440
The Healing Group
The Healing Group is a mental health clinic specialized in treating maternal mental health (perinatal mood and anxiety disorders, infertility, reproductive trauma) and sex & intimacy issues. The Park City office is slated to open February 1, 2017 with Sarah Caldwell, CSW and a clinician from Red Will Counseling and Recovery. Sarah specializes in maternal mental health and especially reproductive trauma. She also works with couples using the EFT framework and will be training in EMDR at the end of January 2017. You can find out more about her practice at www.sarahecaldwell.com .

Intermountain Health Care (Park City Round Valley Clinic, Psychiatry & Counseling)

  • Melissa P. Lopez-Larson, MD Psychiatry
    Dr. Lopez-Larson is a Child and Adolescent Psychiatrist and received her M.D. from the University of Cincinnati School of Medicine. Dr. Lopez-Larson performed her adult and child psychiatry training at Harvard Medical School training sites including Massachusetts General Hospital/McLean Hospital and Cambridge Hospital, respectively. Her focus is on brain development in healthy youths and in youths with psychiatric illness with a specific focus on the identification of risk factors for psychiatric illness. Dr. Lopez-Larson is a full time neuroimaging researcher and is studying the effects of development on specific brain networks believed to be involved in cognition and mood regulation in healthy children as well as in youths with bipolar disorder and attention-deficit/hyperactivity disorder. Dr. Lopez-Larson is with the Park City IHC Hospital and is currently only accepting established patients at the Park City Round Valley location.
  • Christine Pembroke, LCSW (3 Days Per Week Only)

Jewish Family Service
Jewish Family Service mission is to strengthen individuals and families of all backgrounds through  counseling, advocacy, care management and education.  Mental health counseling is the cornerstone of Jewish Family Service’s services and is offered through the People’s Health Clinic in Park City.  Jewish Family Service provides weekly appointments with licensed mental health professionals for individuals, youth, family, and couples counseling. JRF does not currently have a psychiatrist on staff. All services are provided on a sliding scale allowing JRF to reach people at all income levels. JRF’s caring and experienced counselors are trained to support and guide those in need through life’s challenges.

Margaret “Peg” Tan, LCMHC
Peg Tan PLLC is located in Park City and offers 3 areas of mental health expertise for children 0-18 years. She has a specialty in early childhood mental health (birth to 5); school-age children most commonly on latency age mental health issues; and success with adolescent issues such as peer conflict, identity questions, substance use, academic functioning struggles, emotion disregulation, anxiety, trauma, body image, and family dischord. Most insurance taken.  Please call Peg at 435-513-4799 to schedule an appointment.

Mental Health Department at the University of Utah Redstone Health Clinic:

  • Lynn Dobias, M.D.
    Adult Psychiatrist, Resident, with the Mental Health Department at the University of Utah Redstone Health Clinic. Areas of Interest: Chronic mental illness, geriatric psychiatry, telepsychiatry, rural outreach.  Currently available Thursdays only to existing Redstone patients.  Please call the Redstone Health Center at (435) 658‑9262 or (435) 658-9238 to schedule an appointment with Dr. Dobias.
  • Patricia A. Lindsay, PH.D, Clinical Psychologist  
    Areas of interest: Adult Psychiatry. Please call the Redstone Health Center at (435) 658‑9297 to schedule an appointment with Dr. Lindsay.
  • Amanda Wissler, LCSW
    Amanda is a Community Clinics Behavioral Health Integration Program Social Worker available to all patients within the Redstone Health Clinic. Patients may make appointments for mental health screenings and assessments, therapy, and other mental health support. The clinic also offers caregiver and holiday support groups. Open during business hours only (no after hours). Office: 435-658-9238; Clinic: 435-658-9262. Email: [email protected]
  • Amber Margolies, MSW Intern
    Amber is a social work intern serving patients at the Mental Health Department at the University of Utah Redstone Clinic. Please call the Redstone Health Center at (435) 658‑9262  or (435) 658-9238 to schedule an appointment with Amber Margolies.

Open Way Resources
Dr. Katie Grace MacElveen, PhD, LCMHC. Katie specializes in couples therapy as well as supporting strong and mindful families.
Email: [email protected]
Tel. 385-355-1231
Park City Office:
1790 Sun Peak Drive, Suite B-105
Park City, UT 84098

Park City Counseling
Angelique Poncelet, LCMHC
3070 Rasmussen Rd. Suite 160
Park City, UT 84098
Tel:(435) 513-2300
E-mail: [email protected]

Angelique specializes in treating adults with issues related to stress, anxiety, grief, PTSD and exposure to trauma. In addition to private pay, various insurance is accepted.

Park City Psychotherapy
Dr. Donn Peters, Clinical Psychologist
Address: 2720 Homestead Road, Suite 30, Park City, UT 84098
Tel: 435-649-6838
Email:[email protected]
Website: http://www.parkcitypsychotherapy.com/ 

People’s Health Clinic
The People’s Health Clinic provides medical services to the uninsured of Summit County 5 days a week. The Clinic does not provide emergency or urgent care. The People’s Health Clinic established collaboration with Jewish Family Services in early 2010 to provide affordable mental health counseling services and psychiatric evaluations by licensed practitioners to patients of the Clinic.  Jessica Dell, LCSW,  offers appointments some Thursday evenings. The Clinic has also collaborated with a local bilingual Psychiatrist who has agreed to see one patient per week at her office.  Patients seeking counseling services are also referred to Valley Behavioral Health.  Please call 435.333.1850 to schedule an appointment.

Red Willow Counseling & Recovery (Park City Location)
Red Willow Counseling & Recovery provides competent, compassionate, and collaborative therapy and recovery services in the areas of drug and alcohol addiction, relief from depression and anxiety, and trauma/abuse support. Red Willow has opened an office in the Sun Peak area of Park City.  James Ott serves as clinical director of Red Willow and is a licensed therapist specializing in individuals, couples and family therapy; substance abuse interventions, and addiction education. Arch Wright is a ‎Psychotherapist and Treatment Consultant also available in Park City.  James Ott can be reached at [email protected]Arch Wright can be reached [email protected]  For help with postpartum depression and women’s issues, visit Red Willow’s partner clinic: The Healing Group.

Summit Community Counseling

Karen Malm and her team of therapists offer counseling, assessment, and therapy services to toddlers and young children, adolescents, adults, and couples and families.  The Center also offers a youth mentoring program, geriatric services, LGBTQ Services, LDS counseling services, psychosocial rehabilitation services, and EMOSHA therapy for children ages 4-6 and/or in 1-5 grade. EMOSHA incorporates play therapy and Cognitive Physical Conditioning (CPC) to help improve a child’s body and mind.  It teaches children how to use physical activities to deal with stress, struggles, and emotions. Spanish Speaking Services are also offered.  For an appointment at the Park City office, please call 801.266.2485.  En español: [email protected]
Dan Braun, LCSW (sees all ages) (Tel. 801-453-9625)
Nate Ridge, PsyD, PA-C (Practices in SLC but can provide psychiatric services in Summit County) (801-565-1162)
Helen Aioki, APRN (Practices in SLC but can provide medication management in Summit County) (801-565-1162)

Synergism Counseling
Synergism Counseling offers therapy services in Park City by therapist Debra Ayers. As a graduate of the University of Utah, Debra’s experience includes treating depression, anxiety, mood, and personality disorders as well as survivors of trauma and sexual assault. She works with adults, couples, families, and groups and is trained on trauma-informed practice for women-at-risk, substance abuse populations, as well as the chronic and persistently mentally ill. A variety of clinical methodologies are utilized including Mindfulness, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy. During the weekdays, she sees hematology and stem cell transplant patients at the Huntsman Cancer Hospital. Debra is available to see Summit County patients in the evenings and on the weekends for individual and couples sessions. Her professional associations include, the National Association of Social Workers, the Association for Women in Psychology, the Trauma Informed Care Network and the Association of Oncology Social Workers.

Contact Information: Email:[email protected], Phone: 801-913-6057

Office Location: 2720 Homestead Road, Suite 30, Park City, UT 84098

Insurance: Debra accepts the following insurance providers: Aetna, Altius, Coventry, EMI Health, PEHP. For all other insurance providers a “Superbill” statement is available if you wish to be reimbursed directly under your plan.

Trail Talk Park City
Trailtalk is unique in offering the opportunity for “Walk and Talks”with a professionally trained psychotherapist. Trailtalk meets you where you are, on or off the trail. Walk with a professionally trained therapist near your home or office before work, at lunch, or at the end of a long day. Trailtalk is mobile, fluid and open to your needs. Therapylite® is Trailtalk’s model of care. This model recognizes that we all need emotional check ups similar to routine preventive physical care. We all benefit when we “lighten up” by caring for our minds in the same way we care for our bodies. Therapylite® is Trailtalk’s way of shedding light on the stigma of mental illness and the fear of asking for emotional support by creating a model that feels “less clinical.” Trail Talk does not accept insurance; however, many health insurance carriers accept Trailtalk therapists as out-of-network providers.

Utah Center for Evidence Based Treatment

The Utah Center for Evidence Based Treatment is committed to excellence in the assessment and provision of psychological services. The Center is colocated within Summit Pediatrics in Round Valley.  They believe that in order to provide quality treatment, it is essential to collaborate with our clients to assess progress and adapt the treatment responsively. The Center is trained in a variety of evidence based psychotherapies for many different clinical conditions, including anxiety, depression, self-injury, personality disorders, physical health concerns, anger, post-traumatic stress disorder, and many other problems in living. Clinical programs include:

The Anxiety and Mood Program
Director: Dr. Robin LangeThe Behavioral Health Program
Director: Dr. Robin LangeThe Dialectical Behavior Therapy Program
Director: Dr. Sheila Crowell (Dr. Crowell is the program founder and director).

The Psychiatry Program
Director: Dr. Jessica Jones

The Trauma, Stress, and Resilience Program
Director: Dr. Ashley Greenwell

Utah Center for Evidence Based Treatment
750 Round Valley Drive, Suite 103, Park City, UT 84060
-and- 164 South 900 East, Salt Lake City, UT 84102
Tel. 801-419-0139

Valley Behavioral Health
Valley is the largest and most diverse behavioral health service provider in Utah, focusing on outpatient treatment programs. Valley offers a breadth of intensive or structures outpatient services (9 hours per week)  for children and adults in Summit County including: psychiatric evaluations and assessments; medication management; court ordered treatment services; substance abuse testing and treatment; individual, family and group therapy; school-based counseling services; family based counseling services; and case management services. Valley currently has one Child/Adult Psychiatrist available 8 hours per week (there is a 3-6 month waiting list) and one full-time APRN.Services are offered in both English and Spanish.  To make an appointment in Summit County, please call 435-649-8347 or visit www.valleycares.com.  

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Synergism Counseling
Synergism Counseling is located in Heber and specializes in interactive, solution focused, psychodynamic, and cognitive behavioral therapies. Michelle Greene currently serves as a private therapist working with a broad spectrum of clients. Among her areas of expertise are depression, anxiety, and related disorders, PTSD, physical and sexual abuse, autism spectrum disorders, and more. Her five top specialties are that she works with children, teens, and families and is highly experienced in dealing with depression, anxiety, trauma, ADHD, and parenting skills. All insurance accepted. To make an appointment request, please contact Michelle via email at [email protected] or by phone at 801-350-1671.University of Utah Pediatric Behavioral Health Outpatient Clinic
This multidisciplinary outpatient clinic serves children ages 3-18 who are medically complex and have behavioral health-related issues. Services are provided Monday through Friday from 8am – 6pm. at Eccles Primary Children’s Outpatient Services building. Intake evaluations, medication management, individual therapy, psychological and neuropsychological testing, and psycho-educational assessments are provided. The clinic has a variety of practitioners addressing a spectrum of mental health concerns.Utah Center for Evidence Based Treatment
The Utah Center for Evidence Based Treatment is committed to excellence in the assessment and provision of psychological services. We believe that in order to provide quality treatment, it is essential to collaborate with our clients to assess progress and adapt the treatment responsively. Our clinical team integrates research and therapy. As such, we use multiple methods of assessment before, during, and following treatment. We are trained in a variety of evidence based psychotherapies for many different clinical conditions, including anxiety, depression, self-injury, personality disorders, physical health concerns, anger, post-traumatic stress disorder, and many other problems in living. Dr. Sheila Crowell is the program founder and director.Wasatch Canyons – Primary Children’s Center for Counseling
The Primary Children’s Center for Counseling is located in Building G on the Wasatch Canyons Behavioral Health Campus in Taylorsville. The Center serves clients ages 3-18 with a wide range of services Monday through Friday from 8am to 8pm. Intake evaluation, medication management, individual therapy, psychological testing, and psycho-educational assessments are provided.  In addition to hourly appointments with psychiatrists, psychologists, and psychiatric nurse practitioners, the Center offers group therapy and classes on the following topics: Love and Logic (Based on the ideas of Jim Fay), Effective Parenting, and Dialectical Behavior Therapy (DBT) for teens who struggle with mood/emotion regulation and related behaviors such as self-harm, drug/alcohol abuse, and/or chronic suicidal thinking.  DBT is the most intensive outpatient treatment option offered at the Center.  For more information, please call 801-313-7770 and ask for the Outpatient Center for Counseling. 

Psychiatrists and Therapists at Wasatch Canyons:

  • Dr. Richard Martini, M.D., Division Chief, Division of Pediatric Psychiatry and Behavioral Health, Primary Children’s Center for Counseling, Wasatch Canyons Building G.  Dr. Martini provides consultation services in both inpatient and outpatient settings. His outpatient services focus on the medically ill patients who are in active treatment with a PCMC affiliated physician.
  • Stephanie Creekpaum, PsyD: Primary Children’s Center for Counseling, Wasatch Canyons Building G. https://intermountainhealthcare.org/find-a-doctor/c/creekpaum-stephanie-m/
  • Dr. Jodi Morstein: Jodi sees patients at both University of Utah and Wasatch Canyons Building G: http://healthcare.utah.edu/fad/mddetail.php?physicianID=u0533740

 Hospital Treatment (In-Patient, Out-Patient, Day Treatment Resources)

At this time, there are no dedicated inpatient, out-patient, or structured day treatment programs available within Summit County to treat patients experiencing a mental or behavioral health crisis. Patients experiencing a mental or behavioral health crisis may seek preliminary evaluation at Park City Hospital’s emergency room. However, once stabilized, patients are referred to other facilities as the hospital currently does not have dedicated psychiatric beds or staff.  Additionally, in the absence of detox/substance abuse support services within the County, the jail often becomes the crisis intervention of last resort.

Highland Ridge Hospital in Midvale, UT
Highland Ridge Hospital offers mental and behavioral health acute stabilization crisis services for adults, seniors, adolescents, and the military. Inpatient mental health, dual-diagnosis, detox, rehab, and day treatment programs are offered. For children and adolescents (ages 12-18), the inpatient program is a  2-week crisis stabilization for psychiatric, mental health, behavioral health, and chemical dependency issues. The adolescent inpatient psychiatric program is known as “Breakthru” and offers crisis stabilization in a structured inpatient treatment setting. It is ideal for adolescents who are unable to resolve behavioral or substance abuse issues as it offers therapy and education components to promote increased feelings of accomplishment and self-worth.  Once stabilized, youth are transferred to facilities offering extended recovery.  For adults, outpatient services include day treatment programs for both mental health and chemical dependency. Highland Ridge specializes in treating depression, suicidal ideation, bi-polar, anxiety, self-harm, and schizophrenia. Highland Ridge accepts many forms of insurance. Highland Ridge does not accept Medicaid or the Uninsured. Prospective patients can call Highland Ridge 24-7 for a free mental health screening and assessment – please call 801-569-2153.IHC’s Wasatch Canyons Behavioral Health Campus
Wasatch Canyons is IHC’s adolescent behavioral health campus located in Taylorsville, UT.  It offers 4 points of service: 1) A 20 bed in-patient unit providing  24 hour care for children and adolescents ages 5-18 with depression, anxiety, bipolar, anger management, and other psychiatric and behavioral issues; 2) A Residential Day Treatment Program; 3) An Outpatient Day Treatment Program; 4) and a Center for Outpatient Counseling where former patients and the general public may receive psychiatric and psychological therapy from a large group of practitioners.  The Day Treatment programs offer a daily school curriculum in addition to therapeutic counseling services.  It is staffed with professional teachers who have experience working with adolescents with mental health issues.

University of Utah Neuropsychiatric Institute (UNI)
UNI offers patient-centered care to treat all aspects of mental health for children, adolescents, and adults. Inpatient hospital treatment is offered for adults at the University of Utah Hospital who are suffering from both a medical condition and an acute mental health issue. The hospital offers six distinct units, known as “5 West,” which allows for each unit to sustain an environment appropriate to varying patient needs. The uninsured and Medicaid patients can be seen at 5 West.  Additionally for adults, UNI offers a Wellness Center.  This center is an adult residential program for Salt Lake County residents experiencing an acute mental health issue. It provides a longer stay option for crisis triage and intervention, assessment services, medication intervention, and case management. It is staffed by a collaborative team of psychiatrists, advance practice nurses, physician assistants, and social workers.

Also for Adults, The Transition Clinic is a resource for patients who have discharged from the University Neuropsychiatric Institute (UNI) inpatient hospital within the last 60 days. This clinic is designed to offer continued psychiatric treatment if there is a wait to get established with a long term psychiatric provider after you leave the hospital. This clinic is available on Monday evenings and is staffed with resident physicians who are training in psychiatry. The residents provide care under the direct supervision of board certified psychiatrists.

Treating Children & Teens’ Behavioral Health at UNI:   Inpatient hospital treatment is offered for children and adolescents who are suffering an acute mental or behavioral health issue. The hospital offers three distinct units for youth patients: One for latency aged children, 5–12; and two units dedicated for adolescent patients. Following a comprehensive diagnostic evaluation, a team of child-adolescent psychiatrists, social workers, psychologists, and nurses develop an individual treatment plan centered on stabilization, solution-focused treatment and triage to a less restrictive level of care. Treatment also includes individual and family therapy, medication management, and experiential therapies. UNI also offers day treatment programs in the form of Kidstar Day Treatment Program for children aged 5–12 years of age that assists in clarifying the diagnosis of children with emotional and behavioral challenges. For Teens, UNI offers the Teenscope daily treatment program for adolescents 12–18 that assists in clarifying diagnosis, resolving family issues, and providing treatment for all mental health issues. When appropriate, UNI also addresses chemical dependency issues.  The adolescents are evaluated for medication needs and participate in a psychoeducational assessment and additional psychological testing to provide the best course of treatment.  Teenscope includes a fully accredited education program allowing patients to earn credit toward graduation.  Teenscope now has two locations – Research Park and South Salt Lake.

St. Mark’s Behavioral Health Services
St. Mark’s Behavioral Health Services offers a 16-bed inpatient psychiatric treatment facility for individuals age 18 and up. Treatment focuses on stabilizing the crisis.  Patients will receive a primary psychiatric diagnosis and assessment, group and individual psychotherapy, and medication management with full access to all the medical care offered through St. Mark’s Hospital.  St. Mark’s also offers an intensive outpatient mental health program offering comprehensive treatment for a broad range of mental health issues, including depression, anxiety, and bipolar disorder. To speak to a mental health specialist, call (855) 755-5955. To learn more about the Behavioral Health programs call, 801-268-7433.

Utah State Psychiatric Hospital
Adult and pediatric patients’ are referred for admission to Utah State Hospital by a local mental health authority.  Local mental health authorities are allocated beds by the Legislature based on the population in their areas.  Referrals are accepted for admission if they meet both the admission criteria outlined in Utah Statute and the active inpatient treatment standards identified by the Center for Medicaid and Medicare Services (CMS). Utah State Hospital Adult Services provides the highest level of psychiatric inpatient care with five 30 bed units providing pharmacologic and psychosocial interventions to assist patients in optimal management of their illness and increasing life skills.

The pediatric services offered at Utah State Hospital include 3 units consisting of a co-ed children’s unit with 20 beds, and an adolescent boys’ and girls’ unit serving 12-18 year olds with 26 beds each.  Children with severe mental illness are admitted from around the state through their local mental health authority. The pediatric units are staffed by a team of highly skilled and board certified mental health professionals including psychiatrists, psychologists, nurses, social workers, recreational therapists, occupational therapists, physical therapists, and pediatricians.  After a thorough assessment is completed, the clinical team with input from the child’s family create a comprehensive individual treatment plan based on evidenced based treatment.  Each child is enrolled in a 6 hour per day school program administered through the Provo School District.

Provo Canyon Behavioral Hospital
Provo Canyon Behavioral Hospital offers inpatient, outpatient, and partial hospital mental health and substance abuse services to adults and adolescents. Continuum of care for adolescents aged 12 to 17 years:   Provo Canyon Behavioral Hospital offers innovative programs for the treatment of adolescents who are struggling with addictions, emotional, and/or behavioral problems. Provo Canyon Behavioral Hospital adolescent continuum of care offers a variety of inpatient and outpatient programs targeted to meet the needs of adolescents at a various stages of the continuum.  Each patient receives a comprehensive mental health evaluation. Continuum of care for adults aged 18 to 64 years old: Provo Canyon Behavioral Hospital offers a unique approach to those whom present with dual diagnosis. If you are suffering with both psychiatric illness and substance abuse addiction, their multidisciplinary program and intensive daily schedule support you at each step toward recovery.  Provo Canyon also offers outpatient medication management services to adults and adolescents.

Salt Lake Behavioral Health (“SLBH”)
SLBH is a private psychiatric hospital specializing in mental health and chemical dependency care. SLBH offers an inpatient psychiatric treatment program for adults aged 18 and up. SLBH stabilizes acute mental health symptoms via medication management, group therapy, and development of a crisis prevention plan to prevent relapse. Assessments are confidential and available at no charge. For more information, please call 801-264-6000 24 hours/7 days a week.

Matt’s Place
Matt’s Place is a non-profit center located in Centerville focused on helping families and individuals with behavioral and social struggles associated with intellectual and developmental delays, depression, anxiety, ADHD, Mood disorders and Bipolar disorder, other psychiatric disorders, and those on the Autism Spectrum.  Matt’s Place can assist families and individuals ages 3–21 work through challenging behavioral disorders in a Day Treatment setting, Intensive Outpatient Program, therapeutic after school program, or group therapies. Patients without insurance can apply for needs based, sliding scale, and private payment arrangements. Patients can call 801-614-8400 to make an appointment or to request additional information.

 Specific Disorders and Related Resources

What is Anxiety?
Anxiety disorders are the most common mental health concern in the United States. An estimated 40 million adults in the U.S., or 18%, have an anxiety disorder with a median onset age of 11 years. Approximately 8% of children and teenagers experience the negative impact of an anxiety disorder at school and at home. Most people develop symptoms of anxiety disorders before age 21 and women are 60% more likely to be diagnosed with an anxiety disorder than men.Anxiety can vary in severity from mild uneasiness to terrifying panic attacks.  Most anxiety is caused by perceived threats in the environment.  A person who experiences a high level of anxiety over a long period will often develop depression.  Because of the long-term consequences, it is important that anxiety disorders are recognized early and people get appropriate professional help.  Research shows that both medication and cognitive behavioral therapy (CBT) are effective treatments.According to the University of Utah Department of Psychiatry, there are several anxiety disorders that require the clinical care of a psychiatrist or other mental health professional. Listed below are some of these, for which the University has provided overview links:

RESOURCES

Anxiety and Depression Association of America (ADAA)
ADAA promotes the early diagnosis, treatment, and cure of anxiety disorders.

All About Anxiety: Why Is It Preventing You From Sleep?

Learn ALL the definitions and causes of generalized anxiety disorder, panic disorder, OCD, and other phobias, and most importantly, how they interfere with sleep.

Benson-Henry Institute for Mind Body Medicine (BHI) Since 2006, BHI has been integrating the field of mind/body medicine into Massachusetts General Hospital’s clinical care, research and training programs. BHI accomplishes its objectives of integrated health care by:

  • Documenting and furthering the understanding of Mind Body Medicine through research
  • Providing treatment that reduces the physical and emotional impact of stress
  • Training health care professionals, medical students, post-doctoral fellows, and educators

BHI sees the Mind Body Medicine as the third leg of a three-legged stool, the first leg being surgery, the second leg, pharmaceuticals and the third leg, self care, in which patients learn techniques to improve their own health through Mind Body Medicine, nutrition and exercise. The Stress Management And Resiliency Training (SMART) program teaches self-care practices that help buffer daily stress, making participants less emotionally and physically vulnerable to it.

e-Couch
e-Couch is a self-help interactive program with modules for depression, generalized anxiety & worry, social anxiety, relationship breakdown, and loss & grief. It provides evidence-based information and teaches strategies drawn from cognitive, behavioral and interpersonal therapies, as well as relaxation and physical activity.

Freedom From Fear (FFF)
FFF is a national not-for-profit mental health advocacy association. The mission of FFF is to impact, in a positive way, the lives of all those affected by anxiety, depressive and related disorders through advocacy, education, research, and community support. This website contains valuable information based on research findings on anxiety and depressive illnesses and the treatments that work.

International OCD Foundation
Obsessive compulsive disorder (OCD) and related disorders affect more than 1 in 100 people around the world — but there is hope. Learn about treatment, research, and other resources that can help.  Find Help: Search the Site’s Resource Directory for therapists, clinics & programs, treatment programs, support groups, and organizations (such as affiliates and global partners) specializing in OCD and Related Disorders in your area.  Click here for OCD Fact Sheets and Brochures (in multiple languages).

Project Hope and Beyond (PHB)
PHB is a program of Psych Central Community Connection, a nonprofit run by Psych Central, the Internet’s largest and oldest independent mental health social network. PHB is an online community for persons with unrelenting depression and anxiety, as well as their families and friends who want to better understand them. Its purpose is to offer support and hope to people whose conditions are lasting or difficult to treat, and those who often fall through the cracks of today’s healthcare system.

Valley Behavioral Health Articles on Generalized Anxiety
http://screening.mentalhealthscreening.org/valley-behavioral-health/resources/category/generalized-anxiety

NAMI Resources on Anxiety Disorders
http://www.nami.org/Learn-More/Mental-Health-Conditions/Anxiety-Disorders

What is Depression?
Major (or clinical) depression is much more than having a bad day or even coping with a serious loss such as a death in the family or other stressful life circumstances. Major depression involves disturbances in mood, concentration, sleep, activity, appetite, and social behavior. Unlike typical emotional experiences of sadness, loss, or passing mood states, major depression is a persistent mental illness that is estimated to affect 19 million American adults (or approximately 10 percent of the U.S. adult population) annually. It is the leading cause of disability in the U.S. and many other developed countries. Because the outward behavior of depressed individuals can seem relatively normal and rarely disrupts the lives of others to the extent that some other serious mental illnesses do, major depression is often misdiagnosed or not diagnosed at all. Left untreated, however, it can lead to severe disability and suicide.  As devastating as this illness may be, it is highly treatable; treatment is successful in 80 percent of clinically-depressed individuals.

RESOURCES

DO YOU FEEL DEPRESSED? Take a brief online assessment at: http://www.mentalhealthamerica.net/mental-health-screen/patient-health

PRA Health Sciences Paid Depression Studies in Salt Lake City
PRA Health Sciences is currently seeking paid volunteers aged 21-64 to participate depression studies in Salt Lake City, Utah. Individuals who suffer from depression that are currently on medication may apply here: http://volunteers.prahs.com/usa/studies/details.phtml?study=101&clinic_location=Salt Lake City&team=crilt

Hope for Depression Research Foundation
The mission of the Hope for Depression Research Foundation (HDRF) is to fund cutting-edge, scientific research into the origins, diagnosis, treatment and prevention of depression and its related mood and other emotional disorders – bipolar disorder, postpartum depression, post-traumatic stress syndrome, anxiety disorder and suicide. HDRF was founded in April 2006 by Audrey Gruss in memory of her mother, Hope, who suffered from clinical depression. In 2010, HDRF launched its Depression Task Force (DTF) – an outstanding collaboration of seven leading scientists, at the frontiers of brain science, from different research institutions across the U.S. and Canada. These scientists have developed an unprecedented research road map that integrates the most advanced knowledge in genetics, epigenetics, molecular biology, electrophysiology, and brain imaging. Each is executing a piece of the research plan in their own lab. To accelerate breakthrough research, they share ongoing results, in real time, at a centralized data bank, the HDRF Data Center. See HDRF-funded Research Publications at this link. Please See Depression Treatment Resources by State Here.

Project Hope and Beyond (PHB)
PHB is a program of Psych Central Community Connection, a nonprofit run by Psych Central, the Internet’s largest and oldest independent mental health social network. PHB is an online community for persons with unrelenting depression and anxiety, as well as their families and friends who want to better understand them. Its purpose is to offer support and hope to people whose conditions are lasting or difficult to treat, and those who often fall through the cracks of today’s healthcare system.

Mayo Clinic Managing Depression Newsletter
Depression can be a heavy burden in anyone’s life. But you are not alone. Get guidance from Mayo Clinic experts to help you better understand depression, treatment options and how to cope. Click Here to enter your email address to subscribe to the Mayo Clinic’s FREE Managing Depression e-newsletter

Valley Behavioral Health Articles on Depression
http://screening.mentalhealthscreening.org/valley-behavioral-health/resources/category/depression

NAMI Resources on Depression
http://www.nami.org/Learn-More/Mental-Health-Conditions/Depression

What is Bipolar Disorder?
Bipolar disorder, also known as manic depression, is a serious medical illness that affects more than two million adults in the United States. It is characterized by extreme shifts in mood, energy, and functioning. People with bipolar disorder experience alternating episodes of mania (severe highs) and depression (severe lows). These episodes of abnormally intense moods may last for days, weeks, or even months, and are often separated by periods of fairly normal moods. Bipolar disorder is a chronic condition with recurring episodes that often begin in adolescence or early adulthood. It generally requires ongoing treatment. Treatment is successful in 80% to 90% of all cases, depending upon individual response and responsibility. There is considerable disparity in treatment among ethnic groups for this disease; African Americans, Asians and Latinos with bipolar disorder often go undiagnosed and untreated for reasons that range from cultural barriers to lack of parity in healthcare.

Beyond the occasional reference to Types I and II, bipolar disorder is usually grouped as one condition. Ignoring the spectrum prevents the public from better understanding the complexity of this illness, and what’s worse is the prevalence of misdiagnosis. Studies have found 40% of patients with bipolar disorder were initially diagnosed with unipolar (major depression). With bipolar II disorder specifically, depression is usually the most common or stronger symptom of the high/low mood scale, whereas manic symptoms may go unreported to a doctor because the elevated (or increased) mood is not severe enough to affect the person’s life. With bipolar I, the mania is usually quite clear. In bipolar II, the mania is “milder.” Depression is usually present in both, and may be more severe and prevalent in bipolar II. However, these conditions rarely feature across-the-board symptoms for everyone. It’s the cluster of symptoms that need to match up for a diagnosis.  For more information on the bipolar spectrum, check out the book: “Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder” by Jim Phelps.

RESOURCES

IMHRO Guide to Understanding Bipolar Disorder, including how to tell if someone might be developing bipolar disorder, the symptoms, the causes, and possible treatments, new research, and cures.

International Bipolar Foundation
International Bipolar Foundation (IBPF), formerly known as California Bipolar Foundation, was founded in June 2007 in San Diego, California by four parents with children affected by bipolar disorder. Well aware of the trauma that bipolar disorder causes for consumers and their families, these parents felt compelled to do something constructive to help. The mission of International Bipolar Foundation is to improve understanding and treatment of bipolar disorder through research; to promote care and support resources for individuals and caregivers; and to erase stigma through education.

International Society for Bipolar Disorders
The mission of the International Society for Bipolar Disorders (ISBD) is to foster international collaboration in education and research. The intent of this collaboration is to advance the treatment of bipolar disorders and to improve outcomes and the quality of life for those living with bipolar disorder and their caregivers. Specifically please see the Link to Patient Resources.

NAMI Resources on Bipolar Disorder
http://www.nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder

Valley Behavioral Health Resources on Bipolar Disorder
http://screening.mentalhealthscreening.org/valley-behavioral-health/resources/category/bipolar

The Bipolar Disorder Survival Guide, by Dr. David J. Miklowitz
Getting an accurate diagnosis is the first step toward reclaiming your life from bipolar disorder. But if you or someone you love is struggling with the frantic highs and crushing lows of this illness, there are still many hurdles to surmount at home, at work, and in daily life. This book offers sage advice for the following areas:
* How can you distinguish between early warning signs of bipolar mood swings and normal ups and downs?
* What medications are available, and what are their side effects?
* What should you do when you find yourself escalating into mania or descending into depression?
* How can you tell your coworkers about your illness without endangering your career?
* If you have a family member with bipolar disorder, how can you provide constructive help and support?
UCLA physician, Dr. David J. Miklowitz, offers straight talk, true stories, and proven strategies that can help you achieve greater balance and free yourself from out-of-control moods. The updated second edition of this bestselling guide has the latest facts on medications and therapy, an expanded discussion of parenting issues for bipolar adults, and a new chapter, “For Women Only.”

What is Psychosis?

A person who is suffering from an episode of psychosis can experience alteration in their perceptions of reality and can have difficulty thinking clearly as they normally would. When someone is affected in this way they may have unusual or strange ideas, they may hear or see things which are not there and they may have problems managing their emotions.  Psychosis is most likely to occur in young adults and is quite common. Around 3 out of every 100 young people will experience a psychotic episode. Most make a full recovery from the experience.

What is First Episode Psychosis?

First episode psychosis simply refers to the first time someone experiences psychotic symptoms or a psychotic episode. People experiencing a first episode may not understand what is happening. The symptoms can be highly disturbing and unfamiliar, leaving the person confused and distressed. Unfortunately negative myths and stereotypes about mental illness and psychosis in particular are still common in the community.

A psychotic episode occurs in three phases, with the length of each varying from person to person.

Phase 1: Prodome

The early signs may be vague and hardly noticeable. There may be changes in the way some people describe their feelings, thoughts and perceptions, which may become more difficult over time. Each person’s experience will differ and not everyone will experience all of the following “common signs”:

  • Reduced concentration
  • Decreased motivation
  • Depressed mood
  • Sleep disturbance
  • Anxiety
  • Social withdrawal
  • Suspiciousness
  • Deterioration in functioning
  • Withdrawal from family and friends
  • Odd beliefs/magical thinking

Phase 2: Acute

The acute phase is when the symptoms of psychosis begin to emerge. It is also known as the “critical period.” Clear psychotic symptoms are experienced, such as hallucinations, delusions or confused thinking. During this phase, the person experiencing psychosis can become extremely distressed by what is happening to them or behave in a manner that is so out of character that family members can become extremely concerned and may start to seek help. Before this stage the individual may have been experiencing a more gradual decline.

Phase 3: Recovery

With effective treatment most people will recover from their first episode of psychosis and may never have another episode. It is important to remember that psychosis is a treatable condition and if help is sought early, an individual may never suffer another episode. Initially, some of the symptoms that are apparent in the acute phase may linger in the recovery phase but with appropriate treatment most people successfully recover and return to their normal, everyday lives.

RESOURCES

Yale University Specialized Treatment Early in Psychosis (STEP) Program: Click Here to View All Aspects of this Program. To View STEP Publications & Research, please click here.

Fact Sheet: Early Warning Signs of Psychosis Learn the early warning signs of psychosis in this fact sheet from the NIMH RAISE team.

Johns Hopkins Early Psychosis Intervention Clinic (EPIC) is a specialized treatment program offering both outpatient treatment and a consultation service for people who are currently experiencing a psychotic episode or who have recently received a diagnosis of a psychotic disorder within the past eighteen months.  For more information, please click here.

BC Early Psychosis Intervention Program
This website was created with the intent of providing a collective resource about Early Psychosis Intervention (EPI) for the province of British Columbia (BC). It is now being used worldwide. Please see the 13 Part Dealing with Psychosis Toolkit . Help promote Early Psychosis Intervention by downloading and printing the EPI posters for display in areas visited by youth, their parents or other adults. Please also see the 14-part Early Psychosis documents and the 18-part Early Psychosis medical treatment worksheets.

Although widely feared and misunderstood, schizophrenia is actually a highly treatable brain disorder that affects more than two million Americans in a given year. Many people with schizophrenia experience hallucinations and delusions, which often occur for the first time in the late teens or young adulthood. Because the disorder causes unusual, inappropriate, and self destructive or, in rare cases, dangerous behavior, people with schizophrenia are often unnecessarily shunned and stigmatized. However, almost all people with the disorder are not dangerous when they are in treatment, although their behavior can be unpredictable. Research has shown that people with schizophrenia who attend structured, psychosocial rehabilitation programs and continue with their medicinal treatment manage their illness best.

Schizophrenia is a mental illness characterized by periods of psychosis. An individual must experience psychotic symptoms for at least six months in order to be diagnosed with schizophrenia. However, a person may experience psychosis and never be diagnosed with schizophrenia, or any other mental health condition. This is because there are many different causes of psychosis, such as sleep deprivation, general medical conditions, the use of certain prescription medications, and the abuse of alcohol or other drugs.

Understand the signs, symptoms, causes, and state of the art research and cures for schizophrenia from The One Mind Institute, and the National Institute of Mental Health: https://www.nimh.nih.gov/health/publications/schizophrenia-basics/index.shtml

There is a great deal of research being conducted with respect to schizophrenia treatment options.  The Recovery After an Initial Schizophrenia Episode (“RAISE”) program was launched in 2008 by the NIMH. RAISE supports coordinated specialty care (“CSC”), a recovery-oriented treatment program for people with first episode psychosis (FEP). CSC uses a team of specialists who work with the client to create a personal treatment plan. The specialists offer psychotherapy, medication management geared to individuals with FEP, case management, family education and support, and work or education support, depending on the individual’s needs and preferences. The client and the team work together to make treatment decisions, involving family members as much as possible. The goal is to link the individual with a CSC team as soon as possible after psychotic symptoms begin.  You can learn more about RAISE by listening to Dr. John Kane answer questions  about first episode psychosis. You can hear Dr. Lisa Dixon talk about her personal interest in RAISE  and about developing first episode psychosis treatment programs in communities. You can watch this video  of Dr. John Kane talking about treating first episode psychosis.

This fact sheet, developed by the NIMH RAISE team, includes an overview of coordinated specialty care (CSC) treatment for first episode psychosis. It also has a checklist of the key components of a CSC treatment program.

In addition, the RAISE Early Treatment Program (ETP) is a research study that compared two different ways of providing treatment for people experiencing the early stages of schizophrenia and related illnesses. Both types of treatment emphasized a comprehensive initial evaluation at the earliest point after symptoms appear. ETP treatments included medication, psychosocial therapies, and supportive services that address the multiple problems associated with these illnesses. Click here to learn how to participate in RAISE ETP: https://raiseetp.org/forfamilies/participate.cfm. Members of the RAISE Early Treatment Program team are available for consultation regarding the implementation of coordinated specialty care approaches for first episode psychosis. To arrange a consultation, contact via email,[email protected] or contact Patricia Marcy at 347-439-8035.

NAVIGATE is a comprehensive program designed to provide early and effective treatment to individuals who have experienced a first episode of psychosis.  It was developed with support from NIMH and has been implemented at 20 sites throughout the U.S. and one in Canada, including urban, suburban, and rural settings, and has provided treatment to people from diverse ethnic and cultural backgrounds.  NAVIGATE is one of the options for implementing Coordinated Specialty Care (CSC) for early psychosis. When individuals are enrolled in the NAVIGATE program, they and their families first meet with the Program Director, who explains the program and answers any of their questions.  The program director then introduces them to the other team members, and first appointments are set up with each of them.   The individual then begins to work with the prescriber to evaluate the role of medication, with the Individual Resiliency Trainer (IRT) to promote individual resiliency by enhancing illness management and building strengths, with the Family Education (FE) clinician to learn how to work together as a family to support the individual’s recovery, and with the Supported Employment and Education (SEE) specialist to pursue employment and educational goals. All of the NAVIGATE manuals and videos are available free of charge here:  http://navigateconsultants.org/materials/If you are interested in exploring implementing NAVIGATE at your agency or in your state, a free one hour phone consultation is available.  You can set one up by e-mailing Susan Gingerich at: [email protected]

Schizoaffective disorder symptoms look like a mixture of two kinds of major mental illnesses, namely mood (affective) disorders such as uni-polar or bipolar depression and schizophrenia. Because of this, the disorder may often be misdiagnosed, and therefore not effectively treated. One study showed that 33 percent of a group of roughly 1,000 persons with a severe psychiatric disorder were originally given diagnoses of depression but had final diagnoses of schizophrenia. Schizoaffective disorder is a lifelong illness for most people. As with schizophrenia, there is no known cure, but the disorder can be managed with a continuum of treatment so that sufferers can lead productive, fulfilling lives.RESOURCES

Learn more about schizoaffective disorder, including available treatment and support, here: http://www.nami.org/Learn-More/Mental-Health-Conditions/Schizoaffective-Disorder

Postpartum depression, or PPD, is just one in a group of illnesses than can affect women either during pregnancy or after birth. Together these illnesses are called perinatal mood and anxiety disorders. One in every seven women gets a perinatal mood or anxiety disorder like PPD.  Perinatal mood and anxiety disorders can show up any time during pregnancy or in the first 12 months after birth.  And if you don’t get treated, the symptoms can last even longer, especially if your illness is moderate to severe. Here is a list of certain perinatal mood and anxiety disorders:

Pregnancy Depression — If you have symptoms like the ones listed above for PPD but you are pregnant, you could have antenatal depression, also called pregnancy depression. This is just as common as PPD.

Postpartum Anxiety — Maybe you’re not feeling depressed, but instead very anxious. Postpartum anxiety symptoms include constant worries and fears. Maybe you can’t sleep or eat. Maybe you are worried all the time that something terrible is going to happen to you or someone you love. You could have postpartum anxiety. To learn more about these symptoms, click here.

Postpartum OCD — Postpartum obsessive compulsive disorder, or postpartum OCD, is a form of postpartum anxiety that has a symptom that is pretty hard to ignore: intrusive thoughts. Intrusive thoughts are scary “what if” thoughts that come into your head. You don’t want to have them, but they keep coming anyway. They may involve you harming someone you love, including your baby. You might also have compulsions, which means you feel the need to do things like clean, organize, check and recheck, or count.

Postpartum Panic Disorder — This is another form of postpartum anxiety that involves having panic attacks, which can include shortness of breath, chest pain, heart palpitations and numbness or tingling in your arms or legs.  Some women having panic attacks often worry that they are having a heart attack or have come down with a serious disease.

Postpartum Post-Traumatic Stress Disorder — Moms with postpartum PTSD have often had a traumatic pregnancy or childbirth experience. Maybe you had hyperemesis or were put on bedrest.  Symptoms can include nightmares and flashbacks.

Postpartum Psychosis — Women with postpartum psychosis, the most serious of all perinatal mood and anxiety disorders, may have delusions, hallucinations, paranoia or mania. What does that mean? You might be hearing or seeing things that no one else can see. You might be afraid that everyone is out to harm you or get rid of you. You might also have a much greater amount of energy than normal and feel like you don’t need sleep and can take on the world. These are just some of the symptoms of postpartum psychosis — to learn more, click here.  It’s very important that you get help right away if you have these symptoms.

RESOURCES

The Healing Group (Salt Lake City)
The Healing Group specializes in counseling services addressing the challenges of postpartum depression, Pregnancy Depression and Anxiety, Postpartum Blues, Depression, Anxiety, OCD, PTSD, and Pregnancy Ambivalence.

Centers for Disease Control and Prevention – Maternal Depression FAQ 
This online feature focuses on depression among women before, during, and after pregnancy. It includes symptoms of depression and how to seek treatment.

Postpartum Progress
Postpartum Progress is a national non-profit working to vastly improve awareness of perinatal mood and anxiety disorders like postpartum depression, and to provide peer leadership and support for the women who have them. They are the leading awareness raising, patient advocacy organization for maternal mental health in the United States.

Postpartum Support International (PSI)
The mission of Postpartum Support International is to promote awareness, prevention and treatment of mental health issues related to childbearing in every country worldwide. Postpartum Support International has members throughout the world, including professional care givers, mothers, fathers, and other families members, public health professionals and researchers. The purpose of the organization is to increase awareness among public and professional communities about the emotional changes that women experience during pregnancy and postpartum. Approximately 15% of all women will experience postpartum depression following the birth of a child. Up to 10% will experience depression or anxiety during pregnancy. There is a dedicated member PSI Support Network for the United States. You can find area volunteers by choosing an option from the drop down menu here, (scroll to find your state) or by clicking on the map.  PSI volunteers will support you and help you find local providers.  Additionally, PSI has Perinatal Mood & Anxiety Disorders Resources in Other Languages at this link: http://www.postpartum.net/professionals/multi-language-resources/

Co-occurring mental health and substance abuse disorders are common. On average, more than half (52%) of persons surveyed in the past few years who have ever been diagnosed with alcohol abuse or dependence have also experienced a mental disorder at some time in their lives. An even larger proportion (59%) of people with a history of other drug abuse or dependence also had experienced a mental disorder.  Mental health problems often predate substance abuse problems by four to six years; alcohol or other drugs may be used as a form of self-medication to alleviate the symptoms of the mental disorder. In some cases, substance abuse precedes the development of mental health problems. For instance, anxiety and depression may be brought on as a response to stressors from broken relationships, lost employment, and other situations directly related to an alcohol and/or drug-using lifestyle.

At this time, there are no dedicated detox or drug rehabilitation facilities, including structured inpatient or outpatient resources, available to individuals in crisis within Summit County.  Detox is not available within the Park City Hospital’s ER Department.  The Summit County Jail serves as the default detox facility within the County. Additionally, and for individuals and families with limited resources, according to a representative from Odyssey House, “each county has their own subsidized resource for individuals with behavioral health issues. If an individual has no resources they must obtain services or a referral from their county – Valley Behavioral Health is the authority for Park City and Tooele.”  According to Valley Behavioral Health and the Utah State Legislature, Summit County only matches 20% of Medicaid funding; Salt Lake City matches at 100%.  Summit County only spends slightly more than San Juan County to match Medicaid spending, which is the lowest: See 2016 Medicaid Statewide Spending Issue Brief.

RESOURCES

Alcoholics Anonymous, Alanon, and Narcotics Anonymous in Summit County

University Neuropsychiatric Institute (UNI) Addiction Recovery Services
UNI’s inpatient medical detoxification program ensures safe withdrawal and the beginning of the recovery cycle. Patients are detoxified under the care of a psychiatrist, nurses, social workers, and psychologists who provide medication, monitoring, and support during the withdrawal process. Additional treatment includes group therapies and activities throughout the day to address the disease of addiction. To ensure continued success when the patient leaves the hospital, we create discharge plan outlines with the patient and family for appropriate follow-up care (Tel. 801-583-2500). UNI also offers Recovery Works – Intensive Outpatient Treatment Program (801) 587-3235. Recovery Works is an intensive outpatient program for adults struggling with drug and alcohol problems. Patients work in a group therapy setting four nights a week for eight weeks. To ensure success after completion of treatment, continued weekly aftercare support is available for participants. To be included in Recovery Works, individuals must be medically clear and detoxified from alcohol and drugs. Regular attendance is required. Finally, UNI also offers The Outpatient Recovery Clinic for adults seeking ongoing alcohol and drug addiction and dual diagnosis treatment and support. The clinic is staffed by board certified psychiatrists who have additional training in addiction psychiatry. Senior psychiatry residents as well as licensed clinical social workers also provide services. Services include consultation and evaluation, group and individual therapy, medication management, Suboxone and Vivitrol injection therapy, and outpatient detoxification, if medically appropriate.  Please call the Outpatient Recovery Clinic at (801) 585-1575 for more information.

First Step House (Salt Lake City) (Wait List for Non-Salt Lake Residents)
First Step House was incorporated in 1958 by members of Alcoholics Anonymous, who focused on rehabilitating those struggling with alcohol abuse.  First Step currently serves adult males, ages 18 years and older, who have been diagnosed with substance use disorders. They offer  residential treatment, outpatient treatment, long-term recovery support services, and transitional housing for active clients and graduates. They provide targeted services for veterans, people with little to no income, fathers, those who are legally involved, and individuals who are homeless or have unstable housing.  Call an admissions specialist at 801-359-8862. They will answer your questions, discuss available funding options, and help you determine if First Step House is the right choice for you or your loved one. If their programs do not fit your specific needs, they will refer you with another provider. First Step works closely with many community organizations and work hard to connect people with the resources they need.

House of Hope Salt Lake City
Residential, day treatment, intensive outpatient, and outpatient substance use disorders treatment is provided for women, pregnant women, and mothers with children. The House of Hope is located in downtown Salt Lake City, Utah and serves women from Salt Lake County and other areas of the state. House of Hope also serves women with co-occurring mental health disorders. Children go to the Hope Center for Children while their mothers attend treatment. Here they receive therapeutic day treatment services.

Odyssey House (Salt Lake City) (Wait List for Non-Salt Lake Residents)
Odyssey House’s unique Modified Therapeutic Community (TC) approach surrounds those struggling with an addiction with a community of their peers, including servicing teens, adults, and parents. 

At Odyssey House, they treat the underlying causes of substance abuse. With our specialized Dual Diagnosis Enhanced program, we treat common co-occurring mental health disorders such as depression, anxiety, post-traumatic stress disorder, antisocial personality disorder, mood disorders and more. By treating both physical and mental health, we can remove some of the barriers to overcoming an addiction.  Our status as a non-profit organization allows us to receive funding from a wide variety of sources, from government aid to personal donations. This allows us to keep Odyssey House open to everyone regardless of financial situation. Odyssey House also operates various programs that wrap as much support around individuals as possible. From support groups to counseling, activities, and more, patients are given a strong support structure to help them through their struggles. Without strong and continuous support, individuals newly out of treatment are highly susceptible to relapse and risk undoing all of the hard work and dedication they put into their treatment.

Utah Support Advocates for Recovery Awareness (USARA)
USARA focuses on the reality of long-term recovery from addiction to alcohol and other drugs for individuals and their families in Utah. USARA’s Addiction Recovery Management for Families program (ARM) provides FREE recovery management planning for persons with a history of drug and alcohol addiction and their family members. The primary goals of ARM are to reduce barriers impacting recovery; to improve family relationships and social supports; and to increase job readiness by connecting individuals to employment resources. ARM may provide participants with limited financial assistance for qualified recovery services based upon need. Eligibility requirements for ARM listed here: http://www.myusara.com/recovery-support/addiction-recovery-management/

Facing Addiction in America
Facing Addiction Inc. is a national non-profit organization dedicated to finding solutions to the addiction crisis by unifying the voice of the over 45 million Americans and their families directly impacted by addiction. Organizations that make up the Facing Addiction Action Network represent diverse areas of interest across the spectrum of substance use and addiction issues. From recovery community organizations to family advocacy groups, prevention and education networks, public health agencies, labor partners, faith leaders and many more. Their vision is to bring together the best resources in the field in order to reduce the human and social costs of addiction, every year, until this public health crisis is eliminated. The Concert to Face Addiction–on the National Mall at the foot of the Washington Monument–featured passionate and unforgettable performances from Joe Walsh, Steven Tyler, Sheryl Crow, Jason Isbell, The Fray, Jonathan Butler, John Rzeznik and Tommy Sims, with special messages from President Obama, Sir Paul McCartney and Ringo Starr. Major funding support to bring this special to life was provided by the Morgan le Fay Dreams Foundation. The Facing Addiction Action Plan can be downloaded here and includes action items. You can also learn how to have tough yet compassionate conversations about drugs at the dinner table here.

DrugRehab.com
DrugRehab.com is a web resource provided and funded by Advanced Recovery Systems (ARS). ARS is an integrated behavioral health care management organization dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues.  ARS uses a three-pronged approach scientifically proven to help people overcome their addictions: Therapeutic Learning, Cognitive Healing, and Medication Assistance. The site also provides thorough explanations of various types of addition here: https://www.drugrehab.com/addiction/.  They also have a U.S. treatment finder here: https://www.drugrehab.com/treatment-centers/

RehabCenter.net

You don’t have to fight addiction alone. RehabCenter.net is the Web’s most comprehensive guide to quality rehab centers and addiction treatment. They offer free and confidential information about the many effective and empowering rehab options available today. RehabCenter.net provides a vast library of educational articles on recovering from alcohol and drug abuse and many treatment and support options. You can customize searches for rehab centers and treatment around the U.S., or contact one of their professional counselors who can answer all your questions and get you started on your new drug-free life.

Among the successful treatment options available on their website are:

According to NAMI, “Traumatic events, such as military combat, assault, an accident or a natural disaster, can have long-lasting negative effects. Sometimes our biological responses and instincts, which can be life-saving during a crisis, leave people with ongoing psychological symptoms because they are not integrated into consciousness… This resulting damage to the brain’s response system is called posttraumatic stress response or disorder, also known as PTSD.”

PTSD affects 3.5% of the U.S. adult population—about 7.7 million Americans—but women are more likely to develop the condition than men. About 37% of those cases are classified as severe. While PTSD can occur at any age, the average age of onset is in a person’s early 20s.  Symptoms of PTSD usually begin within 3 months after a traumatic event, but occasionally emerge years afterward. Symptoms must last more than a month to be considered PTSD. PTSD is often accompanied by depression, substance abuse or another anxiety disorder.

According to NAMI, PTSD is treated and managed in several ways:

  • Medications, including mood stabilizers, antipsychotic medications and antidepressants.
  • Psychotherapy, such as cognitive behavioral therapy or group therapy.
  • Self-management strategies, such as “self-soothing”. Many therapy techniques, including mindfulness, are helpful to ground a person and bring her back to reality after a dissociative episode or a flashback.
  • Service animals, especially dogs, can help soothe some of the symptoms of PTSD.

Though PTSD cannot be cured, it can be treated effectively. Read more on NAMI’s treatment page.

RESOURCES

National Institutes of Mental Health
NIMH provides an overview of symptoms, treatments and therapies, and clinical trial opportunities for those suffering from PTSD.

The Peace House Park City, Utah
Peace House operates a licensed domestic violence shelter that is staffed by qualified Victim Advocates and Case Managers 24 hours a day, every day of the year.  They also offer counseling services to those who have experienced trauma and associated PTSD. Peace House support services are designed to empower a victim to leave an abusive situation and not return to it or enter into another that is equally abusive. Resources may include government agencies and other nonprofits that can provide them with legal, medical, housing, transportation, financial and other services necessary for them to start their lives anew. All services are provided free of charge.

 Insurance and Patient Financial Issues

When it comes to our well-being, mental health is just as important as physical health. Unfortunately, insurers haven’t always seen it that way.  In the past, many health insurance companies provided better coverage for physical illness than they did for mental health disorders.

A law passed in 2008, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (also known as the mental health parity law or federal parity law) requires coverage of services for mental health, behavioral health and substance-use disorders to be comparable to physical health coverage.

According to NAMI, mental health parity describes the equal treatment of mental health conditions and substance use disorders in insurance plans. When a plan has parity, it means that if you are provided unlimited doctor visits for a chronic condition like diabetes then they must offer unlimited visits for a mental health condition such as depression or schizophrenia.

Whether or not a plan is covered by federal parity law depends on the kind of health plan a person is enrolled i.  Health plans that must follow federal parity include:

  • Group health plans for employers with 51 or more employees.
  • Most group health plans for employers with 50 or fewer employees unless they have been “grandfathered,” which means it was created before the federal parity laws went into effect.
  • The Federal Employees Health Benefits Program.
  • Medicaid Managed Care Plans (MCOs).
  • State Children’s Health Insurance Programs (S-CHIP).
  • Some state and local government health plans.
  • Any health plans purchased through the Health Insurance Marketplaces.
  • Most individual and group health plans purchased outside the Health Insurance Marketplaces unless “grandfathered.”

Health plans that do not have to follow federal parity include:

  • Medicare (except for Medicare’s cost-sharing for outpatient mental health services do comply with parity).
  • Medicaid fee-for-service plans.
  • “Grandfathered” individual and group health plans that were created and purchased before March 23, 2010.
  • Plans who received an exemption based on increase of costs related to parity.

By law, when employers offer coverage for mental health, the benefits must be comparable to medical coverage. To learn more about the law and your rights, check out this insurance FAQ from the American Psychological Association. If you are unsure about what type of plan you have, ask your insurance carrier or agent, your plan administrator, or your human resources department.   (See more at: http://www.nami.org/Find-Support/Living-with-a-Mental-Health-Condition/Understanding-Health-Insurance/What-is-Mental-Health-Parity#sthash.nyHVy1RK.dpuf).

To find out how to file a complaint if you believe your employer is not following the law, see this parity guide from the American Psychiatric Association.

The Council on Healthcare Systems and Financing works to foster parity and nondiscriminatory mental health coverage by monitoring and participating in activities generated through state and federal agencies, private insurance carriers, and the business community at large. The council advocates for adequate funding and reimbursement for psychiatric and other mental health services and works to foster integration of psychiatric and mental health services with the delivery of primary care services.

Check your description of plan benefits — it should include information on behavioral health services or coverage for mental health and substance-use disorders. Unlike some state parity laws, the federal parity law applies to all mental health and substance-use disorder diagnoses covered by a health plan. However, a health plan is allowed to specifically exclude certain diagnoses — whether those diagnoses are considered to be in the physical/medical realm or behavioral/mental health. Any exclusions should be made clear to you in your plan’s description of mental health benefits. If you are uncertain ask your insurance company.  According to NAMI, these are likely signs that a health plan may be violating parity requirements:

  1. Higher costs or fewer visits for mental health services than for other kinds of health care.
  2. Having to call and get permission to get mental health care covered, but not for other types of health care.
  3. Getting denied mental health services because they were not considered “medically necessary,” but the plan does not answer a request for the medical necessity criteria they use.
  4. Inability to find any in-network mental health providers that are taking new patients, but can for other health care.
  5. The plan will not cover residential mental health or substance use treatment or intensive outpatient care, but they do for other health conditions.

If you think your plan has violated parity requirements, speak with a senior plan administrator. The reason for denials of coverage must be made available by your insurance company upon request. If your treatment is denied and you disagree, contact your plan’s customer relations division right away (you will likely need to ask for a senior staff member). You may file a written formal appeal (ask your plan for details) or use NAMI’s template letters if your informal attempts are not successful.

Beware: A lot of health-insurance plans have what are called “phantom networks” — they’ll claim to cover your needs, but fall short when you try to make an appointment with a real human. A health-insurance company will send you a long list of providers, which will look impressive at first, but then when you try to call them, you’ll find out that they don’t actually exist — they retired, they stopped taking insurance, or they aren’t taking new patients. If the providers that are offered have a months-long waiting list, or they’ve moved to a different area, it’s technically fraud on the insurance company’s part. You can report them to a state regulatory body.

The American Psychological Association has created an excellent and informative guide to mental health insurance benefits for consumers. Please view a PDF of that guide here.

In the United States, there are for-profit hospitals and non-profit hospitals. Most hospitals in the US are non-profit hospitals. This means they are not allowed to make profits in the same manner that a business would. Hospitals often charge insurance companies lower medical rates than they charge the general public. This results in the public paying higher medical costs than the insurance companies.

The Affordable Care Act (ACA), enacted March 23, 2010, added new requirements that hospital organizations must satisfy in order to keep their nonprofit status.  These new requirements continue the IRS focus on the activities and policies of tax-exempt hospitals and the implication that tax-exempt hospitals must be required to “justify” their tax-exempt status, especially with regard to serving patients unable to pay for the costs of their medical care. IRS Rule 501(r) that takes effect as early as January 1, 2016 not only adds specific requirements for hospitals to qualify for tax-exempt status, it adds restrictions for how they can pursue payment for care provided.  Specifically, section 501(r) states that individuals must be charged the same rate or less than the insurance industry. To charge people more then insurance is engaging in profit making. The amounts billed to patients without insurance must not exceed the amounts generally billed to individuals who have insurance or less for specific services. The most an individual can be charged is no more than the hospitals HMO would be charged.

The 501(r) rules primarily govern how hospitals can bill patients for medically necessitated emergency care and has four main components:

•   501(r)(3) – Establishes the requirement to conduct a Community Health Needs Assessment (CHNA)

•   501(r)(4) – Governs financial assistance policies (FAP)

•   501(r)(5) – Sets limits on charges and defines average general billing (AGB) and methodologies for calculating the limitations

•   501(r)(6) – Sets communication requirements, timetables and restrictions for billing and collections.

Hospital organizations must comply with all four components to qualify for tax-exempt status.

RESOURCES

Parents For Care
Parents for Care is an organization for care givers of the seriously mentally ill. It offers support, friendship, and education to the families of those suffering serious psychiatric disorders such as schizophrenia, bipolar disorder, major depression or depressive disorders, and PTSD. GoFundMe is used to award small grants to families struggling to stay afloat financially while dealing with the demands of care giving. Every penny of every donation goes toward families of those with serious mental illnesses in the form of small grants and products to help those who find themselves in financial straits while caring for a loved one with mental illness. Parents For Care’s popular monthly support meeting for care givers is accessible both in person and via Skype, with educational topics and a chance to meet other care givers who can support you in the demands you face assisting your family.

The Partnership for Prescription Assistance can help qualifying patients without prescription drug coverage get the medicines they need through the program that is right for them. Many will get their medications free or nearly free. For more information, visit http://www.pparx.org/ or call 1-888-477-2669.

Blink Health:  Blink Health is the new way for all Americans to save on their prescriptions. Everyone now has access to one, low negotiated price on over 15,000 medications including most mental health prescriptions. Simply pay online before you pick up at your pharmacy to save up to 95%.  Having insurance doesn’t mean you pay the lowest price. When the Blink Price beats your copay, pay with Blink Health instead. If you have multiple prescriptions, you can use Blink to pay for some, or all of them at your pharmacy.  With Blink, even if you’re uninsured, you pay one low price online and pick up at any pharmacy. New users enjoy $5.00 off at checkout!

At GoodRx.com, you can search by drug name to find the lowest prices at pharmacies in your area, plus find coupons.

NeedyMeds.org is a national nonprofit organization that offers free information on programs that help people who can’t afford their medications (or other health-care costs).

The comprehensive database at RxAssist.org lists patient assistance programs set up by drug companies for those who have trouble affording their medications.

Patients report that mental-health claims are denied more frequently than medical ones. If that happens to you, appeal to your insurer. You can find sample letters in the National Council of Behavioral Health’s parity toolkit.

You may also want to hire a billing advocate to help (they’ll charge a fee or a percent of what they recoup on your behalf). The Alliance of Claims Assistance Professionals has a search tool that lets you look up claims professionals by state. Medical Billing Advocates of America is a nationwide billing advocate.

Don’t overlook government help. The U.S. Department of Health and Human Services has a new website to help consumers who need assistance with mental-health or addiction coverage.

Resources
How to Appeal a Health Insurance Denial
This helpful guide from the Wall Street Journal offers a strategy for challenging your insurance company when you believe they have erroneously denied your claim.

New York Times Magazine Article: How to Afford Mental Health Care
Since Election Day 2016, the prospect of affordable mental health care is looking about as grim as women’s physical health care. With the future of the Affordable Care Act on shaky ground, the odds of getting coverage for psychological needs (and much more) may veer into dodgy territory as soon as Trump takes office. Read this informative article with links, advice, and tips, here: http://nymag.com/thecut/2016/11/how-to-afford-healthcare-for-mental-illness.html

60 Minutes Broadcast: When insurance companies deny the mentally ill the treatment their doctors prescribe, seriously ill people are often discharged, and can be a danger to themselves or others. The following link contains the rebroadcast and script from “Denied” which aired on December 14, 2014, and was rebroadcast on August 2, 2015. 60 Minutes found that the vast majority of mental health claims are routine but the insurance industry aggressively reviews the cost of chronic cases. Long-term care for mental health is often denied by insurance company doctors who never see the patient. As a result, some seriously ill patients are discharged from hospitals over the objections of psychiatrists who warn that someone may die. In fact, the young woman in this broadcast did die when her insurer refused to continue her treatment.

Utah Disability Law Center
The Disability Law Center (DLC) is a private, non-profit organization designated by the governor as Utah’s Protection and Advocacy (P&A) agency.  Its mission is to enforce and strengthen laws that protect the opportunities, choices and legal rights of Utahns with disabilities.

Match & Farnsworth LLP – Social Security Disability Attorneys
Their office can help you when you have become mentally or physically disabled and need to get benefits including disability insurance and SSI payments. Because they only handle Social Security Disability claims, they have the tools necessary to successfully appeal your case.  Read about the Disability and Special Needs Trust processes here: http://matchfarnsworth.com/the-disability-process/

  • Administrative Law Courts: Our lawyers are expert at handling cases at the Administrative Law Court level. If you are involved in a dispute concerning the exercise of public power, please give us a call.
  • Appeals: If your previous claim or case has been denied, give our Social Security attorneys in Salt Lake City, UT a call. We can reevaluate your case and help you apply for an appeal.
  • Applications: Our attorneys are also adept in the application process for insurance and Social Security claims. Please contact us for more information.
  • Disability Benefits: Our Social Security attorneys are the best in the game when it comes to helping you or your loved one obtain the disability benefits you need and deserve.
  • Disability Insurance: Applying for Disability Insurance can be a complicated process. Give our Social Security attorneys a call to get the guidance you need.
  • Federal Court: If your case has been taken to Federal Court, give us a call right away. Our experienced and knowledgeable Social Security attorneys will help you build your case.
  • Hearings: We’ll help you prepare for your court hearing and make sure that your rights are protected.
  • Social Security Disability: If you’re applying for Social Security disability insurance, give Match and Farnsworth a call! Our Social Security attorneys have experience in the field and know what it takes to get the process started. We’ll see your claim through from start to finish.
  • Supplemental Security Income (SSI): If you or a loved one are low-income and 65 years or older, blind, or disabled, you may be eligible for SSI. Contact our Social Security attorneys for more information and begin building your claim.

Match & Farnsworth Disability Attorneys will offer you a free initial consultation to discuss the merits of your case.

 Law Enforcement/Criminal Justice

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