Phases of Change

Pre-Admission

• Referral is reviewed for admission criteria by the Clinical/Medical Director
• The onsite insurance specialist verify medical/psychiatric insurance benefits

Insurance

• Unlike other residential mental health facilities, we accept most insurances and handle the communication with the insurance company so that you don‚t have to.
• If insurance is denied, we work to create an appeal.

Week One at one of the Leading Residential Mental Health Facilities

• Assessment for self-harm related issues. Does the patient require safety precautions? Do they require a depression test for teens? Is the patient knowing or unknowingly in possession of contraband? Are skin checks required? etc.
• Complete health/physical examination including EKG, Height, Weight, Vitals, nutritional Screen, etc.
• Overview of complete medical history
• Orientation of patient to the milieu via Patient Handbook and staff.
• Complete psycho-social assessment
• Preliminary psychiatric diagnosis conducted by a mental health psychiatrist (necessary for third party payer)
• Utilization Review with managed care (Certification with possible physician to physician review)
• Establish accurate baseline of overall level of emotional and social functioning
• Contact prior caregivers, referral sources, and parents for additional data (i.e. prior testing, clinical impressions, etc.)
• Develop initial treatment plan
• Rapport building (i.e. establishing a relationship with the patient and the staff at residential mental health facilities )
• Define/establish roles and boundaries with the patient
• Establish/reinforce trust with family and the referral source through communication and contacting prior providers for additional data
• Weekly review/update with referral source.

Week Two, Three, and Four

• Core psychological test for teen mental health (psychiatric, neuro-psychological testing, chemical dependency, family system, and recreational/leisure assessment/evaluation)
• Educational tests/evaluations 
• Medication evaluation – Potential changes with medications such as titrating medications, introducing or discontinuing medications. Phone call informing parents and requesting consent for proposed changes
• Determine need and extent of individualized care of the patient
• Develop master treatment plan
• Re-assess patient dynamics within the daily milieu and formal therapy encounters
• Re-assess diagnostic impression. Additional psychiatric and/or psychological testing may be indicated to arrive at a differential diagnosis. (i.e., dietetic evaluation, speech and language assessment, psycho-sexual risk assessment, PDD spectrum evaluation, etc.).
• Weekly review/update with referral source – preliminary testing is shared with referral sources

Wikidata – Your Little Professor

Week Five and Six

• Multi-Disciplinary Team contributes recommendations for the Integrated Multi-Disciplinary Report (MDR)
• Final medication adjustments
• Preliminary testing review with referral source and sent to potential programs
• Formulation of course of treatment by the Multi-Disciplinary Team
• MDR review with parents and referral sources
• Closure with RT
• Surveys: parent and patient