What services are available?

Prevention - Infant Mental Health helps infants under the age of three and their families.  The goal is to promote family strengths and potential for developing effective, safe, and secure interactions within the family.  

Prevention - Families Together helps families with children who are in kindergarten to third grade.  The goal is to help solve problems to improve school attendance and work. NCMH works with schools and other community organizations in this process.

 Individual and family therapy provides those struggling with mental health issues short-term (usually 6 to 10 sessions) individual and family therapy.  As with all services provided, the treatment is person/family-centered.  This service attempts to empower individuals/families to identify and find solutions to the mental health challenges they encounter.  These services are available for Newaygo County residents of all ages.  

Group Therapy provides peer support and clinical therapy.  The groups offered include anger management, substance abuse education and therapy, and the options continue to grow, based upon the needs of the community.  Groups include but are not limited to:

 Dialectical Behavior Therapy (DBT) is a method for teaching life-coping skills that will help those with Borderline Personality Disorder and other disorders.

 Adolescent DBT- This is the same as the Dialectical Behavior Therapy above but designed for teens.

Adolescent DBT Maintenance- This group builds on and maintains the skills learned in the DBT group

 Anger Management for Adults

 Solutions for Wellness - This is a health focused group not focusing just on mental health but physical health also.

 DBT Didactic

 COD Psycho educational - Co-occurring Disorders group for adults with both mental illness and substance abuse/dependence issues.

 Pain management - Helping to learn skills to manage chronic pain and mental illness.

 Stress Management - Helping to manage stress of daily life and chronic illness.

 Family psycho educational - This group helps individual and families of persons with schizophrenia and bipolar disorder develop stronger family bonds and skills through education and mutual support.

 Recovery- This group is run by Peer Support Specialists specially trained to assist peers/consumers develop and maintain the skills needed to manage long term mental illness including the development of crisis plans and peer support.

 Child/adolescent Respite Care is temporary care provided for the family member who has a developmental disability and/or severe emotional disturbance.  This gift of time can occur in or out of the family’s home, allowing the family to meet other obligations and engage in stress relieving activities.  

Family Subsidy assists families with children who have multiple developmental disabilities.  If the family qualifies, they receive some money each month to help better meet the needs of the child.  Funding for this comes from the Department of Community Health.

 Family Support and Training are family-focused services provided to family members of persons with serious mental illness, serious emotional disturbance  or developmental disability  for the purpose of assisting the family in relating to and caring for a relative with one of these disabilities through training, education  and information about community resources.

 Home-based Services provides a full range of intensive services to children and their families with multiple service needs who require access to an array of mental health services in order to keep families together.  

 School-based Synergy Program helps to improve social behaviors of at-risk youth through a community-based treatment program, which includes the areas of school, home, and community.  The program uses counseling, teaching, and outdoor activities to meet goals.

 Wraparound is a process that wraps services around the child and family who have tried all other resources without solving issues, using formal and informal community supports.

Support Coordination for children provides support, resources, and services to children with development disabilities and severe emotional disturbances that require long-term treatment.

 Crisis/grief Counseling Services are provided to schools, organizations, and the community in the event of a death, trauma, or other disaster.

 24-hour Emergency Services are provided on a 24-hour, 7-days per week basis, accessible through our regular phone numbers.  An answering service is accessible when the office is closed.  Services include crisis assessment, referral, direct intervention, inpatient screening, assessment, and service coordination with other health care organizations.

Crisis Intervention revolves around a crisis situation, which requires immediate attention.  Assessment, referral, and direct therapy can be provided either in person or by phone.  This service is available 24 hours per day, 7 days a week.

 Diagnosis, Assessment, and Referral – all consumers will receive a diagnostic impression from a licensed mental health professional.  A thorough assessment of strengths, challenges, and limitations is done, along with referral to the best type and level of service(s).  These referred services may be internal, external, or a combination of both.

 Crisis Residential is a hospital-based medical and psychiatric supervised facility.  It provides round-the-clock care for individuals who experience some form of psychiatric disorder, may be a risk to themselves or others, and are unable to meet their needs, and require supervision less than that of a secured inpatient unit.

 Assertive Community Treatment (ACT) is a service that provides complete community-based treatment to persons with severe and persistent mental illness.  Goals include keeping people out of the hospital and increasing their ability to maintain independence in the community.  

Case Management Services – the adult services unit of the agency has the capacity to provide support services to those who have severe and persistent mental illness, serious emotional disturbance, and/or developmental disabilities.  These “support” services include an initial and ongoing holistic assessment identifying the consumer’s needs, helping to link with appropriate  resources in the community and ongoing monitoring and assistance to those in maintaining optimal mental/physical health within the community.

 Adult Foster Care placement provides assistance to consumers and/or family members of consumers, as appropriate, with foster care placement within the community.  Foster care would be appropriate for those consumers who have a severe and persistent mental illness, serious emotional disturbance, and/or development disability, and have demonstrated an inability to consistently maintain their daily living needs on their own and/or with existing resources.  

Jail Diversion services assist, whenever appropriate, the diversion to alternative services of those consumers with severe and persistent mental illness, serious emotional disturbance, or developmental disabilities who have been accused of or have committed misdemeanors and/or non-violent felonies who may otherwise be sentenced to jail terms.  In addition, serving those same consumers who may be eligible for or who are presently on parole or probation. 

Substance Abuse Treatment helps those who have various kinds of emotional or mental health problems, in addition to drug or alcohol abuse problems.  Services include individual and group therapy, or you may be referred to other agencies for services if they are more appropriate for your needs.  These services are available to adults.   Children may receive individual counseling also.

 Nursing Home Consultation and Training provides consultation to nursing home staff to assist in providing the best and most appropriate treatment for residents who are struggling with adjustment and/or problem behaviors.  Ongoing training is also provided to family, caregivers, and nursing home staff to assist them in dealing with those who may have mental health issues.  

 Psychiatric Hospitalization, screening, discharge, planning, and coordination services are arranged for consumers with severe and persistent mental illness and for children and adolescents with severe emotional disturbances.

 Psychiatric Evaluations include a comprehensive, face-to-face evaluation by a psychiatrist for adults with severe and persistent mental illness and children with severe emotional disturbances.  The focus of the evaluation is to determine the mental status, including the presenting problem, history of illness or previous psychiatric history, and medication history to provide a comprehensive assessment to help formulate a person-centered plan in the overall care.  

Psychological Assessment uses standard objective tests and IQ tests provided by a credentialed psychologist.  .  The assessment looks at medical, family, and emotional history in helping to develop a holistic look at the individual.  These tests are provided for guardianship proceedings as requested by the Probate Court; under specialized contracts with the courts for adolescents; and at the request of NCMH treating psychiatrist.  Others requesting such testing must pay for the costs as insurances do not cover these tests.  Medicaid does provide reimbursement if the tests are deemed medically necessary by the NCMH psychiatrist.

 Medication assessment is provided by a psychiatrist or physician and is aimed at providing face-to-face contact and ongoing monitoring regarding the implementation and effectiveness of medication treatment.  

 Interdisciplinary Health Screening for older adults geriatric screening is available to older adults to assess their level of functioning in five areas: medical, social, thinking, hearing/vision, and nutrition.  Results of the assessment help a team of professionals make a recommendation as to whether the older adult can live independently and still be safe.  

 Nursing Home screening provides screening of individuals being placed in nursing home facilities for possible mental health problems.  Recommendations are made for appropriate treatment and placement.

 Habilitation Supports Waiver (HSW)

This program requires application to the Michigan Department of Community Health and is only available if there is an available slot.  HSW beneficiaries must be enrolled through the MDCH enrollment process completed by NCMH. To qualify the person must have Medicaid; has a developmental disability (as defined by Michigan law); is residing in a community setting such as foster care; and if HSW services were not available would require placement in a state facility.  The services available are intended for those with the greatest medical needs.

 Children’s Waiver Program (CWP)

The CWP enables Medicaid to fund necessary home- and community-based services for children with developmental disabilities who reside with their birth or legally adoptive parent(s) or with a relative who has been named legal guardian under the laws of the State of Michigan , regardless of their parent's income.

NCMH is responsible for assessment of potential waiver candidates and completion of the state assessment documents.  Approval for enrollment is made by the Michigan Department of Community Health and slots are very limited throughout the state. The services available are intended for those with the greatest medical needs.

 Additional Medicaid Services

These specialized services are provided based upon medical necessity and as outlined in the Person Centered Plan.  These services include:

 Assistive Technology is an item or set of items that enable the individual to increase his ability to perform activities of daily living with a greater degree of independence than without them; to perceive, control, or communicate with the environment in which he lives.

 Community Living Supports are used to increase or maintain personal self-sufficiency, facilitating an individual's achievement of his goals of community inclusion and participation, independence, or productivity.  The supports can be provided in the beneficiary's residence or in community settings.  Coverage includes: 1) assisting, reminding, observing, guiding, or training the beneficiary with meal preparation; laundry; routine, seasonal and heavy household care and maintenance; activities of daily living; and shopping; 2) staff assistance, support and/or training with activities such as money management; medications; non-medical care; socialization and relationship building; transportation; participation in regular community and recreational opportunities; attendance at medical appointments; and acquiring or procuring goods; and staff assistance with preserving the health and safety of the individual in order that he/she may reside or be supported in the most integrated, independent community setting.

 Enhanced Pharmacy items are physician-ordered, nonprescription "medicine chest" items as specified in the individual's plan of service.

 Environmental Modifications are physical adaptations to the beneficiary's own home or apartment and/or work place.

 Housing Assistance is assistance with short-term, interim, or one-time-only expenses for beneficiaries transitioning from restrictive settings into more independent, integrated living arrangements while in the process of securing other benefits (e.g., SSI) of public programs (e.g., governmental rental assistance and/or home ownership programs) that will become available to assume these obligations and provide needed assistance.

 Peer Delivered or Operated Support Services are programs that provide individuals with opportunities to learn and share coping skills and strategies, move into more active assistance and away from passive patient roles and identities, and to build and/or enhance self-esteem  an self-confidence. NCMH has Peer Support Specialists and provides funding to the Empowerment Network a drop-in center in Fremont .

 Skill Building Assistance consists of activities that assist a beneficiary to increase his economic self-sufficiency and/or to engage in meaningful activities such as school, work, and/or volunteering.  The services provide knowledge and specialized skill development and/or support.  Skill building assistance may be provided in the beneficiary's residence or in community settings.

 Supported/Integrated Employment Services provide job development, initial and ongoing support services to assist beneficiaries to obtain and maintain paid employment that would otherwise be unachievable without such supports.  Coverage includes: job development, job placement, job coaching, and long-term follow-along services required to maintain employment; consumer-run businesses; and transportation provided to and from beneficiary's place of residence to the site of the supported employment service.

    10/09

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