Guide To Services 24 HOUR CRISIS AND INFORMATION LINE (TTY) MAKING A DIFFERENCE

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1 MAKING A DIFFERENCE Mental Health, Substance Abuse, Trauma, Intellectual/ Developmental Disability Services 24 HOUR CRISIS AND INFORMATION LINE (TTY) Guide To Services Providing Trauma Informed Care for Breathitt, Knott, Lee, Leslie, Letcher, Owsley, Perry and Wolfe Counties Issue Date:

2 Table of Contents 1. Making a Difference/Mission Statement 2. Service Information Listing 3. Your Rights as a Client 4. How to Make the Best of Your Visits 5. What to Expect on Your First Visit 6. How to Make a Referral 7. Crisis and Trauma Services 8. Addiction Services 9. Children s Services 10. Adult Services 11. Developmental and Intellectual Disability Services 12. Housing Services 13. Residential Services 14. Locations and Contact 15. Advocacy Information HOUR CRISIS AND INFORMATION LINE (TTY)

3 Mission Statement Kentucky River Community Care, Inc., (KRCC) is a private nonprofit Community Mental Health Center dedicated to improving the health and wellbeing of the people of our region. We help individuals and families in the eight counties of the Kentucky River region by providing mental health, developmental disabilities, substance abuse and trauma services. KRCC seeks to promote public safety, boost economic wellbeing and improve community and individual quality of life. Since 1969, KRCC has been addressing health issues by identifying needs, bringing people together, forming community partnerships, identifying resources to fund solutions and seeking changes in the overall health environment. KRCC has a team of over 536 experienced and caring service providers in 58 operating sites across all eight counties. KRCC provides client centered care designed to ensure that each individual gets the care and attention they need, in a manner that is sensitive to their desires. Our services include: assessment, referral, individual and group therapy, consultation, education, residential treatment, aftercare and case management. Our services are confidential and our priority is to serve our clients, care for their health and honor their individual rights. Transportation can even be arranged for many of our programs. We collaborate with local organizations on innovative solutions, to pool our resources to serve the region. Our work often influences local, state and national policy. KRCC also consistently reinvests in the area through its reliance on local vendors and service providers. 2

4 Service Information Kentucky River Community Care, Inc. (KRCC) operates a variety of programs and facilities in the eight counties of the Kentucky River Region. There are two primary ways to navigate our system of care: CRISIS CARE: If you are experiencing an emergency, you can access our 24-hour Crisis/Information Line to get immediate care , or our 24-hour sexual assault response program SUBSTANCE ABUSE & MENTAL HEALTH CARE: In non-crisis situations, the best way to access our professional services is by contacting the in your County. We provide individual, group, family therapy and medication management services through licensed or credentialed professionals. Referrals and support through other agencies will be made as needed. Contacting the Outpatient Clinic in your county is the first step toward finding the care you need. To learn more about these programs call our Information Line at or (TTY) KRCC accepts Medicaid, Medicare, and most private insurance. We can help you sign up for expanded Medicaid and we can enroll you in the Health Benefit Exchange (TTY) (TTY) (0-3 yrs old)

5 TO LEARN MORE ABOUT THESE PROGRAMS, CALL OUR 24 HOUR CRISIS AND INFORMATION HOT LINE AT (TTY) Adults and youth seeking counseling or other services should contact the closest Outpatient Clinic for appointments: Breathitt County Knott County Lee County Leslie County Letcher County Owsley County Perry County Wolfe County (TTY) (TTY) (0-3 yrs old)

6 As a Client You Have the Right to: adequate treatment, regardless of race, religion, sex, age, ethnic background, or disability. what will be included in your treatment plan. You may also help plan for your discharge and any follow-up treatment. You may include your parents, relatives, and/or guardian if you wish. in reviewing and revising your treatment plan. We will not tell anyone you are receiving our services, or anything about your treatment, without your permission, except as required by law. by competent, qualified staff. with dignity, compassion, and respect at all times. about your treatment plan in your own language so that you may understand your rights and alternatives. a second opinion from an outside consultant or staff review team about your treatment. If you request a consultant, you must pay for this yourself. your bill explained to you. to your medical records to the extent permitted by law. about the risks, side effects, and benefits of medications and treatment procedures. treatment and/or medication to the extent permitted by law. 5

7 To Get the Most from Your Visit: from treatment. that you are not denied your rights. We want to hear any and all comments about our services, staff, and facilities. If you have any comments, or feel that your rights have been, or are being denied, please speak with the supervisor on site or you may call or write: Compliance Office Kentucky River Community Care, Inc. PO Box 794 Jackson, KY (606) ext

8 Your First Visit Congratulations You are taking care of yourself and you have made the decision to seek help from Kentucky River Community Care. We know that it took courage for you to act and we are here to help you. Nervous? Many people are, and it s okay. You may bring a family member or a trusted friend to be with your throughout your appointment. You don t have to be alone. To help prepare you for your first visit, which will last about an hour, here are the steps in the process: Check In with the Customer Service Representative. He/She will ask for your name and verify your appointment. Complete Forms that will give us some information about you and any medical issues related to your visit. If you need help with these forms, please let the Customer Service Representative know. You will also be given information about our confidentiality policy and material about the services we offer. 7 Come On In a Customer Service Representative will ask you to come into an office. This private conversation is to develop a financial demographic and address key billing information. Remember that KRCC is committed to providing care to everyone who seeks it.

9 How Do I Pay? KRCC accepts Medicaid, Medicare and most private/commercial insurance. A sliding fee scale is available for those without insurance who meet the eligibility requirements and provide proof of income. We have staff who are available to assist you in obtaining health insurance through the KY Health Benefits Exchange, if you are eligible. We want to make certain that concerns about how to pay for medical care are addressed before you meet with the therapist. That s it, you re ready to go! You will then return to the waiting room until you are called to see the therapist. The therapist will show you to his or her office and talk with you about the purpose for your visit. S/he will talk to you about your options and the services we offer that will best meet your needs. Clinic hours. Evening appointments are available at some locations. You should allow an hour for your first appointment. This is the beginning of a very important journey for you. We are here to help you and look forward to partnering with you on the road to health. 8

10 How To Make A Referral Deciding to make a referral for a family member or a friend is a big step. It is also a skill that requires tact, sensitivity and at times firmness. Your attitude of sincere interest and helpfulness toward the person in need is most important. You should be aware that many people, even if they ask you for your help, are embarrassed and uncertain about asking for help. One way that you can help is to provide support, address their fears and try to point them in the right direction. You should consider making a referral if: to you about it as someone to listen It is usually best to be frank with the person and to tell them that you are going to call KRCC and recommend an appointment. If you are comfortable with the idea, offer to accompany the person to the first visit and call to make an appointment that is convenient for each of you, or encourage them to make the call for the appointment. 9

11 Appointments begin by contacting the outpatient office in the county most convenient to the client. When calling for an appointment, please be prepared to provide the following information about the client: An appointment can be scheduled at the time of the call. Referral information and requests for appointments may also be faxed to the corresponding outpatient office. Releasing Your Client Information Referral sources, concerned friends and family members frequently want to participate in the ongoing care a person receives. To facilitate good communication, yet assure privacy is maintained, clients need to sign releases of information identifying what type of information can be shared about their care, and who can receive this information. 10

12 Crisis Services CRISIS RESPONSE A toll-free, 24-hour telephone intervention and crisis response system is available throughout the region. THE RISING CENTER RAPE (7273) The Rising Center provides support to survivors of all forms of sexual violence: sexual assault, sexual abuse and sexual harassment. These services include a 24-hour crisis line, medical advocacy, legal advocacy and individual, group, family and/or group counseling. The Rising Center also offers community education and a volunteer program. The Rising Center is located at 437 Morton Blvd. in Hazard, Kentucky. CROSSROADS CENTER Crossroads Center is a 24-hour facility for adults and children that specializes in evaluation, assessment, and de-escalation of crises and can help make connections to community resources. Crossroads is located at 118 Willies Way in Hazard, Ky. 11 Features: - Walk-in Crisis Services - Adults 18 up - Children age Access to daily therapeutic services - 24-hour availibility, weekends and Holidays

13 24 HOUR CRISIS AND INFORMATION HOT LINE (TTY) THE SEWELL CENTER ** 24-hours a day 7 days a week ** Provides assessment, intervention, and stabilization services for families whose youth are identified with an emotional/behavioral crisis that exceeds current resources and/or are currently at risk of psychiatric hospitalization or out of home placement. The Sewell Center also provides consultation and education to community agencies regarding specific cases, crisis intervention techniques and program planning. Service coordination to children and their families who are in crisis is also available. The Sewell Center is located at Hwy 15 N in Jackson, Kentucky. Features: - 12 beds: Residential Substance Abuse and Crisis Stabilization - 14 days Residential Substance Abuse (FOCUS Program) - Up to 10 days Crisis Stabilization and Assessment - Male and female children ages Access to daily therapeutic services - 24-hour Service - Licensed or Credentialed Providers 12

14 Addiction Services KRCC is a recognized community partner that provides a liaison between individuals, the court system, law enforcement and other community partners dealing with substance abuse. DUI PROGRAM Assessments include a clinical interview, Kentucky Assessment Battery, 20-hour pre-treatment, outpatient therapy (group and individual) and referral to residential treatment, if a higher level of care is needed or another program is requested. DUI services are offered at each KRCC Outpatient Office. Referral by the courts or other DUI program is required. DRUG COURT PROGRAM These services include assessment, referral, individual and group therapy, consultation, education, residential treatment, after-care and case management for individuals determined eligible for Drug Court Services. Referrals must be received from the court officer, usually following alcohol/ drug related charges or testing positive on a drug screen. EARLY INTERVENTION PROGRAM This program targets youth under the age of 21, who have become involved with the courts due to violence and/or alcohol, tobacco or other drugs, or driving while impaired. The mission of the program is to educate adolescents to make low risk choices, improve family relations and reduce the recidivism rate of first and second time juvenile offenders. KIDS NOW Plus Helps pregnant women find the assistance they need to have a happier, healthier pregnancy and baby. Our Enhanced Care Specialist understands how stressful pregnancy can be, and is there to listen and to help find the assistance you and your baby need. You can see a KIDS NOW Plus Enhanced Care Specialist at any time during your pregnancy and for up to two months after delivery. 13

15 24 HOUR CRISIS AND INFORMATION LINE (TTY) REGIONAL PREVENTION CENTER The KRCC Regional Prevention Center provides consultation, training, education and technical assistance to community members, service providers, church and civic groups, in the planning and implementation phases of substance abuse prevention strategies. The Resource Library at the Prevention Center offers an extensive selection of materials and curriculum on substance abuse prevention and treatment, violence prevention, conflict resolution and other mental health related issues. The Regional Prevention Center provides speaking engagements for any group, when For more information, about KRCC s Prevention Center, simply call or The Prevention Resource Library is open from 8 am to 4:30 pm, Monday through Friday, and is located off of HWY 15 N at Grapevine Road in Hazard, Kentucky. 14

16 Children s Services Individual, group, family therapy and medication management services are provided for children, adolescents and adults. Licensed professionals (including psychiatrists, psychologists and clinical social workers) are available at KRCC clinics, schools and other designated sites within the community. Parent and child support groups, art and expressive therapies are also available. KRCC conducts comprehensive psychological assessment for treatment planning and diagnostic clarification. We also provide evaluations to respond to court orders to assess competency and dangerousness or to assist with placement in foster care, for residential treatment, etc... CHILDREN AND ADOLESCENTS SCHOOL-BASED THERAPY School-Based Therapy is a service provided by a KRCC School- Based Therapist and delivered at a particular school. This program offers the majority of therapeutic services for youth regarding mental health and/or substance abuse issues, within the school they attend such as; attending to mental health emergencies, working with families and other agencies to meet the needs of the youth, referring clients to other services as necessary, reporting abuse and neglect when necessary to the Dept. of Community Based Service Division of Protection and Permanency. CHILDREN WITH SEVERE EMOTIONAL DISABILITIES (SED) Family network facilitators are available to all parents with children that have a disability. The facilitator provides families with individual and group support, training, information and advocacy. These services may be provided within the home, the school or other community sites convenient for the families. 15

17 EARLY CHILDHOOD MENTAL HEALTH PROGRAM The Early Childhood Mental Health Program was created to promote the social and emotional development of young children ages birth to five. Early Childhood Mental Health Specialists are employed by the Regional Community Mental Health Centers across the state to provide a variety of services to children and their families, as well as other agencies that serve young children. We provide assessments of mental health needs of children, age birth to five currently within the region. We provide therapeutic treatment services to children and/ or their families. We collaborate with other service providers to assess the needs of children and their families. We foster community awareness of the need for mental health services. We provide outreach and instructional programs to caregivers and families through public and private child care centers and other organizations/providers. IMPACT (Interagency Mobilization Program for Adolescent and Child Treatment) provides resource development and service coordination to children and their families who have been accepted into the IMPACT program by the Regional Inter-Agency Council. The program provides support to a child in the least restrictive environment possible and establishes a community support system. 16

18 Children s Services SUMMER SPLASH KRCC also offers an intensive summer program of therapeutic interventions, social skill practice activities and learning opportunities for children and youth with severe emotional disabilities. RECLAIMING FUTURES Works to ensure an integrated system of care for youth involved with, or who are at-risk of, involvement with the courts because of substance abuse through a grant funded by the Robert Wood Johnson Foundation. The program works to provide links between the legal community, service providers and community partners. THE SEWELL CENTER (Focus Recovery Center) Provides residential treatment for male and female children ages Services include individual, group and family counseling, alcohol/drug education, relapse prevention, recreation, referrals and case management. (See also under CRISIS SERVICES) 17

19 Adult Services DAY TREATMENT KRCC provides a Therapeutic Rehabilitation (TR) program for people with serious mental illness (SMI), who require less than 24 hours of care a day but more than outpatient counseling. Services are designed to promote social, personal adjustment and daily living skills. Adults in the program are encouraged to retain control of their lives, to set their own goals and to participate fully in decisions affecting their future. TR Centers are located in Breathitt, Letcher, Wolfe, and Perry Counties. CASE MANAGEMENT KRCC provides Case Management services to assist consumers with their medical, education, social and other support needs. Recipients must be at least 18 years of age, have an Axis I Diagnosis of severe mental illness and not be in immediate danger to themselves or others. They must not be actively using substances. MOVING BEYOND DEPRESSION This program is a home visiting program providing In-Home Cognitive Behavior Therapy for pregnant women, or women up to 18 months post partum with a diagnosis of Major Depressive disorder. All clients are referred by the HANDS home visitors with the local health departments. This program allows a licensed, Masters level therapist to provide 15 sessions of In-Home CBT to women who are suffering from maternal or post-partum depression. Sessions are 1 hour per week for 15 weeks, with a Booster session 1 month later. PROJECT A.D.D.V.A.N.C.E. Offers an intensive outpatient program of comprehensive treatment services to women who have experienced domestic violence, substance abuse, childhood abuse or other trauma. The program serves women who may not need, or who are stepping down from, hospitalization and require more intensive care than regular outpatient services can offer. Project A.D.D.V.A.N.C.E. is located near Hazard, Kentucky. 18

20 Adult Services INCREDIBLE FAMILIES The Incredible Families Program is a home visiting services model designed to work with families caring for children birth to 18 with limited resources. The program also works with foster families caring for children from birth to 18, families with children placed out of home, and first time expectant parents who need support. Our program provides individual treatment, family intervention, and parenting skills. Every family enrolled in the Incredible Families Program will receive a minimum of 2 hours per week of services. SOLUTIONS Solutions works with other community agencies in a professional team setting to provide quality complete treatment. Solutions is a program for women that provides compassionate, innovative, and quality client care in a safe and supportive environment. Intensive treatment is offered for women addicted to alcohol and/or other drugs who may also be struggling with mental health, trauma, and/or behavioral health issues. Women are empowered to obtain their optimal health. Education related to personal and family safety is offered as well as access to Domestic Violence Advocacy services. 19

21 24 HOUR CRISIS AND INFORMATION LINE (TTY) INTEGRATED SERVICES PROGRAM Integrated Services Program (ISP) is the coordination of providing behavioral health and physical health services. Through ISP, we can provide better healthcare by caring for people s needs as a whole. We focus on behavioral health while taking into consideration all factors that may affect one s physical health. Referrals can be made between KRCC staff and all KRCC partners. FAMILIES IN SAFE HOME NETWORK (FISHN-I) FISHN-I works with families and community partners to ensure families receive the treatment they need while providing a care coordinator to help them navigate the process. Participating families will include at risk families who are working toward healthy, happy and permanent relationships with their children. Servicers are offered in all 8 counties served by Kentucky River Community Care, Inc. You can learn how, here. 20

22 Adult Services KRCC provides a broad array of programs to meet the needs of adults with intellectual or developmental disabilities. These programs and services are designed to: Provide services for adults with intellectual disabilities who are 18 years or older. Educate each individual on the issues of abuse and neglect so they can protect themselves. Educate the public about persons with intellectual disabilities and inspire them to accept each person within their community. Assist the medical professionals within the community in understanding the persons we serve. Help individuals in obtaining the medical assistance they require to live happy and healthy lives. RESIDENTIAL SERVICES Our goal at the Journeys Program is to provide a supportive home environment within the community for the people we serve and to assist them with achieving independent living skills. We serve individuals in all eight counties of the Kentucky River Region. We provide residential homes in which we serve up to three individuals. Each of our Residential Houses include 24-hour per day staffing. 21

23 24 HOUR CRISIS AND INFORMATION LINE (TTY) ADULT DAY HABILITATION Available in Letcher, Breathitt and Perry counties. Program Opportunities include: SUPPORTED EMPLOYMENT We match and encourage the individual s skills with proposed job duties and the employers with the individuals. Each individual has an on-site job coach to assist them in their duties. The job- coach encourages good work ethics. The job-coach is provided at no cost to the individual or the employer. We follow up with the individual and the employer to ensure the placement is appropriate and the individual is accomplishing his/her duties. Work independence is the key for the individuals in our program. We inspire each individual to work independently within his/her community. ADDITIONAL SERVICES/OPPORTUNITIES: Case management Community Living Support (CLS) Behavioral Supports Respite Individual and group counseling Co-occurring therapeutic Rehabilitation For more information and referrals please call: (Option #4) 22

24 Adult Services CONSUMER DIRECTED OPTION Consumer Directed Option (CDO) gives Medicaid waiver members more choices in the way some of their Medicaid services are provided. With CDO, you can choose who will provide the services that you need, as well as how, when and where the services will be provided. SUPPORTS FOR COMMUNITY LIVING Supports for Community Living (SCL) waiver provides adult day training, community living supports, respite and supported employment for persons with intellectual and/or developmental disabilities. MICHELLE P. WAIVER Michelle P. (MP) waiver is a combination of the HCB and SCL waivers. It provides adult day training, attendant care, community living supports, homemaker, personal care, respite and supported employment for persons with intellectual and/or developmental disabilities. 23 KRCC s Assertive Community Treatment Teams (ACT) The Assertive Community Treatment Assertive Community Treatment is a team treatment approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illness such as schizophrenia. Services are provided by a team of professionals with backgrounds in social work, rehabilitation, counseling, nursing and psychiatry. ACT is an evidenced based practice which has been extensively researched and evaluated and has proven clinical and cost effective. KRCC has an ACT Team for the Northern Counties: Breathitt, Lee, Owsley, and Wolfe and an ACT Team for the Southern Counties: Knott, Letcher, Leslie, and Perry.

25 Housing Services The Mission of the Housing Options Division of KRCC, Inc. is to increase availability of and access to safe, decent, and affordable housing for families in the Kentucky River Region. We further commit to contribute to the development of healthy local communities by increasing housing opportunities, increasing employment opportunities, improving living standards, decreasing homelessness, and strengthening local economies by investing our knowledge, income and resources. INDEPENDENT LIVING Since 2007, we have developed several apartment complexes, including: Ivy Court Apartments, Rose Building Apartments, Dahlia Court Apartments and Pin Oak in Breathitt County. Marigold Apartments in Lee County. Eilerman Apartments in Owsley County. Sun Valley Apartments and Linden Tree Apartments in Knott County. Rose Circle Apartments and Back Street Apartments in Wolfe County. Lilac Court Apartments in Letcher County. Coming Soon- in Perry County. TOWNVIEW A 17-unit apartment building in Breathitt County that provides independent living for people with intellectual/developmental disabilities, who have the skills necessary to live independently and require limited assistance with daily living skills. 24

26 Residential Services CANEY CREEK REHABILITATION COMPLEX (CCRC) CCRC is a specialized personal care facility in Knott County that offers 24 hour direct care services for adults with severe mental illnesses. Residents practice interpersonal skills daily living skills, and learn work skills and how to manage their illness. The goal is to help each person achieve the most independent living environment possible. SUN VALLEY A residential independent living program for adults with a serious mental illness, who possess daily living skills but may benefit from additional support. Sun Valley is located in Knott County. SUPPORTED COMMUNITY LIVING (SCL) Provides 24-hour supervision and training in activities such as laundry, routine household care, self- care, shopping, money management, and socialization and leisure activities. No more than three individuals receiving waiver services can live in any single residential setting. 25

27 Come and visit one of our seven locations: Breathitt County Outpatient Clinic 3770 KY Highway 15 South Jackson, KY (fax) Knott County Outpatient Clinic 35 KY River Road Highway 80 West PO Box 185 Emmalena, KY (fax) Perry County Outpatient Clinic 115 Rockwood Lane Hazard, KY (fax) Wolfe County Outpatient Clinic 605 South KY 15 PO Box 881 Campton, KY (fax) Letcher County Outpatient Clinic 3367 Highway 119 N PO Box 700 Mayking, KY (fax) Lee & Owsley County Outpatient Clinic 1200 Center Street PO Box 128 Beattyville, KY (fax) Leslie County Outpatient Clinic 28 Fire House Lane PO Box 587 Hyden, KY (fax) Clinic Hours are Monday through Friday 8:oo am to 4:30 pm. Evening appointments are available at some locations. 26

28 Advocacy Information VOLUNTEERING We have several programs that accept people as volunteers, provided that they pass our screening process. Almost all our programs have volunteer opportunities, including. You can volunteer to help with special events or for certain activities within a center or program. Some examples include: helping decorate a facility, monitoring phones or aiding our consumers during an event (such as the Special Olympics or a conference). As long as the Program Director approves the position for which you are volunteering, you may apply as a volunteer. has an outstanding volunteer opportunities for community members. You must be over the age of 20 and attend the required 40-hour training program. All applicants are screened to ensure the confidentiality and safety of our clients. Call The Rising Center at (RAPE) if you are interested in becoming a volunteer. ADVOCACY Our clients come first, so it is important to offer services to fight for the rights of our clients that are being ignored. Persons who are victims of interpersonal violence or who may not know the proper process may benefit from support provided through the following: MEDICAL ADVOCACY Rape victims are encouraged to seek medical attention and to receive support after an assault. The Rising Center s trained crisis counselors are available 24 hours a day to provide this support at any of the hospitals in the Kentucky River Region. LEGAL ADVOCACY A rape victim is faced with making decisions regarding talking to police and reporting the crime. The Rising Center s Victim Advocate offers information regarding legal processes associated with rape. The Advocate can assist a victim in applying for and receiving financial compensation through the OVC Crime Victims Fund. 27

29 OUR MISSION Kentucky River Community Care, Inc. (KRCC), the regional behavioral health care provider and planning authority for community-based services, is committed to developing and offering integrated systems of care to meet individual and community needs. 24-Hour Crisis & Information Line Hour Hearing Impaired Line (TTY) 24-Hour Rising Center Line RAPE (7273) Clinic Hours are Monday through Friday 8 am to 4:30 pm (Evening Appointments available at some locations) KRCC is one of the Regional Mental Health/Mental Retardation Boards also known as Community Mental Health Centers (CMHCs), CMHMRCs or Comprehensive Care Centers which are private, non-profit organizations mandated by statute (KRS ) as independent non-state agencies. Together they serve all 120 Kentucky counties. KRCC is a member of the Kentucky Health Regional Alliance. Kentucky River Community Care, Inc. 115 Rockwood Lane Hazard, KY Hour Crisis and Information Line (TTY)

30 KRCC belongs to and is a part of the community. Our concerns include the social and emotional health of our friends and neighbors. We strengthen the community by connecting people to the services and resources they need to meet their basic needs, including housing, crisis services and health care. This institution is prohibited from discriminating on the basis of race, color, national origin, sex, age and disability. Funded in part or in whole through Federal, CHFS and/or State funds.

31 Making a Difference Providing Trauma Informed Care

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