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Outpatient Behavioral Health Services

Mental Health Programs in the Northern Shenandoah Valley

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.

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. Individuals will be able to apply the skills and coping strategies they are learning in therapy to their everyday lives. Patients may be experiencing a variety of mental health issues including but not limited to:

  • Depression
  • Anxiety
  • Loss and grief
  • Trauma
  • Lack of motivation
  • Difficulty focusing or concentrating
  • Co-occurring medical conditions
  • Post-partum depression
  • Workplace stress
  • Suicidal thoughts
  • Irritability, anger, isolation, panic, or fear
  • Sleep and appetite disturbances
  • Social withdrawal
  • Loss of interest in appearance
  • Hallucinations
  • Confusion
  • Cognitive impairment due to depressive symptoms

About the Program

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.

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
  • Cognitive Behavioral Therapy (CBT)
  • Dialectal Behavioral Therapy (DBT)
  • Solution-Focused Therapy
  • Peer Recovery Services

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)
  • Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
  • Motivational Interviewing (MI)
  • Solution-Focused Therapy
  • Peer Recovery Services
  • Trauma-Informed

Professional Treatment Team

  • Psychiatrists
  • Psychiatric Nurse Practitioners
  • Licensed Clinical Social Workers
  • Licensed Professional Counselors
  • Residents in Counseling
  • Supervisees in Social Work
  • Registered Peer Recovery Specialists
  • Qualified Mental Health Professionals

Admissions Criteria & Scheduling

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.

Our Outpatient Team

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