Mental Health Programs in the Northern Shenandoah Valley
How to Make a Referral: Contact us at 540-536-4881, option 1, for our Winchester
Medical Center (WMC) adult programs. Select option 2 for our WMC child
and adolescent programs. Dial 540-459-1262, option 1, for our Shenandoah
Memorial Hospital adult programs. Our Intake team is ready to answer your
questions and will assist in scheduling a new patient appointment.
The
Outpatient Behavioral Health Programs at Valley Health provide support for individuals who are struggling to
manage the symptoms of a mental illness and substance use using an integrated
psychiatric and medical approach to mental health and wellness.
Telehealth services are now offered.
Services for Adults
Psychiatric Medication Management
Our psychiatrists and psychiatric nurse practitioners will assess your
symptoms and determine whether your medications may be necessary to treat
your mental health condition. During your appointment, your provider will
review the risks and benefits of treatment, and will address any questions
you may have. Occasionally, providers may refer you to a higher level
of care that would be appropriate to address your individual treatment needs.
Senior Outpatient Program
This specialized program is designed to increase the quality of life for
individuals aged 65 and older and their families. Services are may be
helpful for individuals experiencing mental health symptoms (depression,
anxiety, trauma, isolation, loss, grief, etc) and who require more support
than individual therapy provides, but do not require the support of the
intensive outpatient program. Services include group therapy, individual
therapy, family therapy, and psychiatric medication management provided
on an individualized schedule based on treatment needs. Programming can
last up to 6 months. Individuals will learn coping strategies, forge bonds
with their peers and participate in activities to promote physical, social,
mental, and spiritual wellness.
Mental Health Intensive Outpatient Care
Our Mental Health Intensive Outpatient Program (MHIOP) is a step down for
those who no longer require the intensity of inpatient hospitalization
or for individuals who require a higher level of care than traditional
outpatient services provide. MHIOP can also be a step up from traditional
outpatient services and offers additional support and structure for those
at risk of psychiatric hospitalization.
MHIOP provides support primarily through group therapy and includes regular individual
therapy, family therapy and medication management during the intensive
outpatient admission. In an intensive outpatient level of care, patients
are required to attend a minimum of 3 days per week, 3 hours each day,
but may attend the program up to 5 days per week if clinically appropriate.
Patients should expect to commit to a minimum of 6 weeks of intensive
outpatient support, with a maximum length of stay of 6 to 10 weeks.
The
MHIOP program clinicians specialize in treating behavioral health disorders such
as anxiety, depression and trauma. Because we provide treatment for only
mental health and not substance use disorders, we have a program requirement
of 90 days of sobriety from all chronic substance use, including cannabis
and alcohol.
After admission, our specialized treatment team begins building a personalized
plan of care for each
MHIOP patient within our morning or afternoon programs. Our physicians, licensed
therapists and support team carefully consider the mental health needs
of each patient, as well as developmental functioning, family involvement,
and behavioral needs.
As a patient’s symptoms and level of functioning improve, our staff
will work to decrease his or her time in the
MHIOP. Once stabilization is achieved, we will facilitate the transition into
a traditional outpatient program or to the care of outside providers.
We do this by establishing appointments for ongoing, outpatient care.
Outpatient Substance Use Disorder Program
The Outpatient Substance Use Disorder Program (OP SUD) provides comprehensive
screening and assessment as well as treatment based on the American Society
of Addiction Medicine (ASAM) matrix model. The program utilizes the CATALIST
model in conjunction with evidence-based approaches to guide treatment.
The OP SUD program offers individual therapy, peer recovery services and
a weekly recovery group, all individualized and based on risk level. The
program is designed to enhance and expand early intervention, treatment
and recovery services to adults 18+ with substance use and/or co-occurring
disorders (SUD/COD).
Substance Use Intensive Outpatient Program-Launching in 2025
The Adult Substance Use Intensive Outpatient Program (IOP) is a substance
use/co-occurring program designed to meet the unique substance use/mental
health needs of the at-risk adult. The SU IOP provides comprehensive treatment
based on the American Society of Addiction Medicine matrix model and designed
to treat adults who with a substance use disorder and who may present
with mental health symptoms. Intensive outpatient treatment for substance
use can be used as a follow-up after the detoxification process, as a
primary form of treatment or as part of a continuing care plan for someone
who has completed an inpatient rehab program. The SU IOP offers a level
of intervention that is more structured in both the frequency and the
variety of services offered than traditional outpatient treatment. Individuals
can expect services that are 3 to 4 hours a day, (3 to 5 days a week)
for 9 to 12 weeks. Our SU IOP treats individuals using a combination of
expertly led group, family and individual therapy sessions and includes
peer recovery coaching to further support recovery.
Services for Children and Adolescents
Psychiatric Medication Management
Our psychiatrists and psychiatric nurse practitioners will assess your
symptoms and determine whether medication is necessary to treat your symptoms.
During your appointment, your provider will review the risks and benefits
of treatment and will address any questions you may have. Occasionally,
providers may refer you to a higher level of care that would be appropriate
to address your individual treatment needs.
Case Management Services
Utilized in conjunction with Psychiatric Medication Management and/or a
treatment program, case management services are designed to assist individuals
and their natural supports, as desired by the individual, in accessing
needed medical services that are responsive to the individual’s
needs. Services include assessing needs and planning services; linking
the individual to services and supports; assisting the individual directly
to locate; develop, or obtain needed services and resources; coordinating
services with other providers; discharge planning, and more.
Outpatient Mental Health Therapy
The goal of the Child & Adolescent mental health individual outpatient
treatment is to reduce psychiatric symptoms and improve the young person’s
ability to function more successfully at home, school, and in the community.
The goal is to initiate change promptly, principally through symptom assessment
and individualized planning, interventions, and skill development. Services
are provided by Licensed Professional Counselors (LPC), Licensed Clinical
Social Workers (LCSW). Residents in Counseling, and Supervisees in Social Work.
Mental Health Intensive Outpatient Program
The Adolescent Mental Health Intensive Outpatient Program (MH IOP) is designed
to meet the unique mental health needs of the at-risk adolescent ages
12 to 17 struggling with symptoms related to but not limited to Depression,
Anxiety, PTSD, Bipolar Disorder, Suicidal Ideation and Self-harm. The
Adolescent IOP provides a “step down” level of treatment for
adolescents discharged from inpatient or acute partial hospitalization
settings/residential settings, or a “step up” level of treatment
when traditional outpatient services are not effectively meeting the needs
of the adolescent.
Adolescents can expect services that are 2 to 4 hours a day (3 to 5 days
a week) for 6 to 18 weeks. Our MH IOP treats adolescents and their families
using a combination of expertly led group, family and individual therapy
sessions and includes parent coaching to help ensure the results are sustainable.
Due to this, parent/guardian participation is required. This in office
treatment setting allows adolescents to continue to attend their own schools
during the day and return to their homes in the evening while still receiving
a high level of treatment, structure, and support.
Adolescent Outpatient Substance Use Early Intervention Program
The Adolescent Outpatient Substance Use Program is a co-occurring (substance
use and mental health) program designed to enhance and expand early intervention,
education and treatment to underserved and at-risk adolescents ages 12-17
with known risk of developing substance-related problems or for those
for whom there is not yet sufficient information to document a diagnosable
substance use disorder. Services are offered through a combination of
in office and community treatment. The Outpatient Substance Use Early
Intervention Program provides comprehensive screening and assessment as
well as early intervention based on the American Society of Addiction
Medicine (ASAM) matrix model. The program utilizes the CATALIST model
in conjunction with evidence-based approaches to guide education and early
intervention to include individual therapy, peer recovery services, case
management, and a weekly early intervention group.
Adolescent Outpatient Substance Use Program
The Adolescent Outpatient Substance Use Program is a clinic and community
based program designed to enhance and expand early intervention, treatment
and recovery services to underserved and at-risk adolescents ages 12-17
with substance use and/or co-occurring disorders (SUD/COD) and their primary
caregivers. The Outpatient Substance Use Program provides comprehensive
screening and assessment as well as treatment based on the American Society
of Addiction Medicine (ASAM) matrix model. The program utilizes the CATALIST
model in conjunction with evidence-based approaches to guide treatment
to include individual therapy, peer recovery services, case management,
and a weekly youth recovery group.
Adolescent Substance Use Intensive Outpatient Program – Launching
Winter 2024
The Adolescent Substance Use Intensive Outpatient Program (IOP) is a substance
use/co-occurring program designed to meet the unique substance use/mental
health needs of the at-risk adolescent. The SU IOP provides comprehensive
treatment based on the American Society of Addiction Medicine matrix model
and designed to treat young people who may be experiencing substance use
and who may present with mental health symptoms. Intensive outpatient
treatment for substance use can be used as a follow-up after the detoxification
process, as a primary form of treatment or as part of a continuing care
plan for someone who has completed an inpatient rehab program. The SU
IOP offers a level of intervention that is more structured in both the
frequency and the variety of services offered than traditional outpatient
treatment. Individuals can expect services that are 2 to 4 hours a day,
(3 to 5 days a week) for 6 to 18 weeks. Our SU IOP treats adolescents
and their families using a combination of expertly led group, family and
individual therapy sessions and includes peer recovery coaching to further
support recovery. Parent/guardian participation is required. This treatment
setting allows adolescents to continue to attend their own schools during
the day and return to their homes in the evening while still receiving
a high level of treatment, structure, and support.
Intensive Outpatient Treatment Components
Group Therapy 3-5 days per week
Individual Therapy as needed
Family Therapy as needed
Psychiatric Medication Management
Crisis Intervention
Individualized Treatment Planning
Care Coordination
Discharge Planning
Evidence-Based Treatment Approaches
Cognitive Behavioral Therapy (CBT)
Dialectal Behavior Therapy (DBT)
Eye Movement Desensitization and Reprocessing (EMDR)
Admissions to the outpatient behavioral health program are based on the
following:
Individuals requiring mental health support within an intensive structured
afternoon setting.
Individuals who are discharging from inpatient, residential or partial
hospital programs.
Individuals who are receiving outpatient mental health treatment, and are
in need of additional support to help manage symptoms.
Individuals experiencing high levels or acute depression, anxiety or additional
life stressors who need stabilization and support.
90 days of sobriety from all chronic substance use, including cannabis
and alcohol.
Commitment to attending the program a minimum of 3 days per week, for 3
hours each day.
Assessments & Referrals
Referrals to our program may be made by a family physician, nurse, mental
health professional, assisted living facility and others concerned about
the welfare of their family member, friend or loved one. Patients can
also self-refer into the program. If you are calling on behalf of a family
member or friend, please be aware that we need to speak with the patient
directly to begin the intake process. If this individual is not available,
we are happy to provide information and answer any questions you may have,
and they can call back at any time during business hours to begin the
intake process.
The first step of the intake process is to complete a confidential assessment.
Our program utilizes questionnaires that are sent via text message or
email. You may also schedule a time to use one of the devices at the program
to fill out these questionnaires. The purpose of these documents are so
that program staff can obtain a greater understanding of your needs and
in turn identify the best supports for you. Once this questionnaire is
completed and reviewed by one of our clinical team, our staff will reach
out to discuss your treatment.
For more information about the services we offer, contact us at
540-536-4881, option 1 for our WMC adult programs, option 2 for our WMC child and adolescent
programs, or
540-459-1262, option 1 for our SMH adult programs.
Insurance
Services are covered by Medicare, Medicaid and many commercial insurance
providers. Visit the Valley Health page on accepted
insurances and health plans for more information
If you are uninsured, or have any concerns about the potential out-of-pocket
costs for treatment, Valley Health financial counselors will work with
you to answer your billing questions, and can help complete a
financial assistance application if you would like to apply for assistance with your medical bills.
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