Behavioral Health in MATand

Mental Health ResourcesIn Nevada

Why Behavioral Health?

• High prevalence of co-occurring disorders• 47.3% Lifetime prevalence of Bipolar Disorder and Substance Use• 60.3% Lifetime prevalence of Major Depression and Substance Use• 40.3% Lifetime prevalence of Major Depression and Alcohol Use Disorder• 17.2% Lifetime prevalence of Major Depression and any Drug Use Disorder

Pettinati, O’Brien, Dundon (2013). Current status of co-occurring mood and substance disorders: a new therapeutic target. American Journal of Psychiatry.

“The recovery process is the way in which a person actively manages their substance use disorder with efforts to reclaim a full and meaningful life in the community. Recovery is a personal process of growth and change which embraces hope, autonomy and the elements that result in re-establishing a satisfying and productive life.”

Kresina, Lubran (2011) Improving public health through access to and utilization of medication assisted treatment.

Levels of Care

Types of Therapy

• Individual Psychotherapy• Family Therapy• Group Therapy

• Psychoeducational• Support• Process• Skill Building• Cognitive-Behavioral

Finding Resources in Nevada

Things to consider

• What is your patient’s need?• Safe housing/shelter, food, mental health support

• Is your patient in crisis or can it wait?• Safety and stability

• What barriers might they have to access services?• Financial, transportation, child care, no insurance

• What resources are available in your community?

M.O.S.T.Washoe County

Human Services Agency

MOBILE OUTREACH SAFETY TEAM

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CRISIS INTERVENTIONMOST clinicians ride along with law enforcement officers from the three Washoe County jurisdictions (Reno Police Department, Sparks Police Department and Washoe County Sheriff’s Office) to provide crisis intervention services.

EVALUATION & SERVICESMOST evaluates individuals who may be experiencing a mental health crisis and refers them to the appropriate resources and community agencies.

FOLLOW-UPThe MOST Case Manager conducts follow-up visits in person or via phone to encourage clients to connect with available resources and assist with any difficulties.

MOST OBJECTIVES

CRISIS INTERVENTION

EVALUATION& SERVICES

FOLLOW-UP

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CONTACT INFORMATION

MOST EMAIL most@reno.gov

LAW ENFORCEMENT OFFICERSKelle Harter, RPD Officer Sergeant Wade Clark

CLINICIANSChristy Butler, MOST SupervisorAshley Racine, Clinician Susanne Ketring, ClinicianLarisa Renner, ClinicianApril Lang-Barroga, Clinician

CASE MANAGER Sandy McKinnon, Case Manager

(775) 250-3578

(775) 501-2204

(775) 328-2775

Nevada 211 - Nevada’s most comprehensive, free connection to

critical health and human services. Information telephone line.

2-1-1 services include places to find:• Emergency food• Housing and emergency shelter locations• Children’s services• Support for seniors, older persons, and people with disabilities• Mental health and counseling services

Call or click –• www.nevada211.org• 1-866-535-5654

Crisis Call Center – www.crisiscallcenter.org

Northern Nevada Hopes

• Medical and Wellness Services

Our clinic offers a range of services, including primary care, pediatrics, chronic disease management, women’s health services, behavioral health counseling, medically assisted treatment, pharmacy ,radiology case management.

https://www.nnhopes.org/patients/services/

Mental Health Services in Northern Nevada

• Inpatient• West Hills Hospital

• 775-323-0478• Senior Bridges at Northern Nevada Medical Center (if patient is senior)• Behavioral Health Services at Carson Tahoe Reginal Medical Center

• Outpatient• No insurance – can walk into Northern Nevada Adult Mental Health Services,

Building 5• Mobile Crises can be a big help in emergent situations• Enliven is great for patients with first break psychosis from 15 to 24 Years old• Children’s Cabinet takes kids without insurance

• Almost all outpatient services seeing kids have waiting lists

Mental Health Services in Northern Nevada, Con’t.• UNR supplies residents and attending for inpatient consults at

Renown • UNR Outpatient Clinic• St. Mary’s has telepsychiatry in the ER• Carson Tahoe has:

• The Mallory Crisis Triage Unit – walk in any time 775 Fleischmann Avenue• Inpatient Behavioral Health – 775 Fleischmann Avenue• Outpatient Clinic – 775-445-7754

Rural Nevada Clinics• Adult Mental Health Services - SNAMHS East Las Vegas Clinic - Sahara Adult Mental

Health Services - SNAMHS Henderson Clinic - Sunset Adult Mental Health Services -SNAMHS North Las Vegas Clinic - Las Vegas Blvd. Adult Mental Health Services -SNAMHS West Las Vegas Clinic - Charleston Counseling/Mental Health Services - Battle Mountain Counseling/Mental Health Services - Carson City Counseling/Mental Health Services - Dayton Counseling/Mental Health Services - Douglas Counseling/Mental Health Services - Elko Counseling/Mental Health Services - Ely Counseling/Mental Health Services - Fallon Counseling/Mental Health Services - Fernley Counseling/Mental Health Services - Hawthorne Counseling/Mental Health Services -Lovelock Counseling/Mental Health Services - Pahrump Counseling/Mental Health Services - Panaca Counseling/Mental Health Services - Silver Springs Counseling/Mental Health Services - Tonopah Counseling/Mental Health Services -Winnemucca Counseling/Mental Health Services - Yerington Desert Regional Center (DRC) Las Vegas - 7th Street Satellite office Desert Regional Center (DRC) Las Vegas -Flamingo Satellite Office Desert Regional Center (DRC) Las Vegas - Jones Main Office Dini-Townsend Psychiatric Hospital - NNAMHS Reno Disability Support - Sierra Regional Center (SRC) - Reno