Arm in Arm is a program designed to provide support and treatment, information, education and access to medical and childcare services for women who are pregnant and/or parenting and who are abusing and/or addicted to alcohol and other drugs. The goal of the Arm in Arm program is to aid recovering moms in their steps to life-long health and well-being.

The Arm in Arm program is designed around each woman’s individual needs. Through goal setting and individual support, each woman served has access to resources than can enhance their quality of life and ability to function independently and live in recovery from substances.

To be eligible for Arm in Arm services, an individual must:

• Be a pregnant and/or parenting female and/or have children in out of home placement with a plan for unification.
• Desire to be in recovery from drugs and alcohol.
• Be willing to work on recovery.

Arm In Arm Referral Form

The Community Support program provides Mental Health and Substance Abuse services and is designed to meet the needs of the individual consumer in his/her efforts to live as independently as possible and to help the consumer in his/her efforts to remain as healthy as possible and thereby reduce the frequency and duration of hospitalization and/or relapse.

An individual assessment is completed to identify needs, strengths, abilities and preferences of the individual and used to develop an individualized service plan. Through goal setting and individual support, each person served has access to resources that can enhance their quality of life and ability to function independently. Services are generally provided in the community and/or at the individual’s residence.

To be eligible for Community Support services, an individual must:

• Be 19 years or older.
• Be diagnosed with a severe and persistent mental illness, and/or diagnosed with an alcohol and/or substance dependency.
• Have an IQ of 70 or above.
• Demonstrate functional impairments which substantially interfere with two or more major life skill areas.

Is there a cost for a person to be in Community Support?

Yes, if the person has Medicaid, we will bill Medicaid for the service, or sliding fee is available through the Division of Behavioral Health.

Who can refer a person to Community Support?

Referrals can be made by anyone, including self-referrals.

How many times will a person in Community Support meet with their care-coordinator?

Contact between a consumer and care-coordinator is based upon need of the person being served and agreed upon between staff and client.

Where will appointments take place at?

Community Support is designed to meet a person in their home, community or their choice of meeting place.

What if a person does not have required diagnosis information for eligibility of Community Support services?

An evaluation or needs assessment will be requested by a licensed clinician to evaluate if eligibility requirements can be met for Community Support services.

Community Support Referral Form

Frontier House and Pioneer House Day Rehabilitation Programs provide a safe, structured environment for adults diagnosed with a severe and persistent mental illness using the clubhouse model. The programs are designed to enhance each participant’s ability to interact and live successfully in the community. The programs offer individuals the opportunity to:

• Attend education and group discussion about mental illness, diagnosis, treatment and recovery, skills related to coping, daily living, community living, nutrition, recreation and healthy living, as well as social skills, vocational skills, etc.
• Decrease hospitalization frequency and duration.
• Gain support, understanding and acceptance of mental illness.
• Enjoy a nutritious breakfast and lunch daily.
• Access public and program transportation.

Frontier House and Pioneer House offer both day rehabilitation and day support services. Day rehabilitation is a structured program in which the participant attends regularly, and for a minimum of three hours per visit. Participants in day rehabilitation have a care coordinator assigned who assists them in developing an individualized treatment plan that includes goals the participant wants to work on while in attendance. Day support is designed as a drop-in service. It is less structured, and participants in day support do not have an individualized treatment plan or goals specific for their attendance and participation. Day support is available any time Frontier House or Pioneer House is open. A day rehab care coordinator can help determine which level of care is appropriate for an individual.

The clubhouses are open Monday through Friday from 8 a.m. to 4 p.m. with activities scheduled from 9 a.m. to 2 p.m. Frontier House also offers evening and weekend hours as announced.

Who qualifies for Day Rehab or Day Support?

To be eligible for Day Rehab or Day Support and individual must:

• Be over the age of 19 (this program is designed for adults).
• Be diagnosed within one year by a licensed and certified Psychiatrist, MD, Psychologist, or Licensed Independent Mental Health Practitioner with an Axis I diagnosis that indicates severe and persistent mental illness.
• Have an IQ of 70 or above. (Staff will assess this on an individual basis and determine if Frontier House can meet individual needs).

What is the cost to the consumer?

The consumer will not be billed for serviced provided by the day rehab programs. Funding is provided through the Regional Governing Board, with funds provided by federal, state and county dollars.

What is the difference between day rehab and day support?

Day Rehab is a structured program in which the participant attends regularly, and for a minimum of three hours per visit. Participants in day rehab have a care coordinator assigned who assists them in developing an individualized treatment plan that includes goals the consumer wants to work on while in attendance.

Day Support is designed as a drop in service. It is less structured, and participants in Day Support do not have an individualized treatment plan or goals specific for their attendance and participation. Day Support is available any time Frontier House is open. A care coordinator at the Day Rehab can help determine which level of care is appropriate.

How do I get referred or make a referral?

Referrals can be made by any number of sources, including physicians, counselors, psychiatrists, case workers and self-referrals. Referral forms are available on this website, or at each location. Staff at either location will be glad to help with this process.

Day Rehab Referral Form

Emergency Community Support, an arm of the Emergency Support Program, is designed to assist individuals who need short term, but ongoing (up to 90 days) support. Through goal setting and individual support, each person served has access to resources that can improve their quality of life. The Emergency Community Support Care Coordinators work closely with the psychiatric unit at the local hospital to assist in discharge planning. Consumers meet with their Care Coordinator on an ongoing basis to work on completion of their goals and to complete referrals to ongoing resources including medication assistance, psychiatrist appointments, counseling appointments, applying for housing assistance, transportation, applying for medication assistance programs, applying for Medicaid and disability, and referrals to vocational rehabilitation.

Emergency Community Support works closely with the Mental Health Boards in Region II participating in the Mental Health Board Hearings and providing supervision of outpatient commitments. This supervision includes reporting progress to the boards on individual’s outpatient commitment plan.

How much does it cost?

The Emergency Support Program is a free service to Region II consumers.

What area do you cover?

The Emergency Support Program serves all 17 Counties in the Region II coverage area.

How long does your program last?

The Emergency Support Program was designed to be a short term, intensive, community support program for up to 90 days. Our purpose is to help alleviate the crisis/emergency and connect people to appropriate services and supports.

Emergency Community Support Referral Form

Emergency Coordination is the networking that occurs between the Emergency Support Program Director and referral sources including but not limited to law enforcement, hospitals, DHHS, County Attorneys and Physicians. The Emergency Support Program Director operates the Emergency Support Program, reports data to the state on a monthly basis (# of EPC’s, MHB commitments, diverted EPC’s), attends statewide Emergency Coordination meetings, and participates in cooperative discharge planning with the Lincoln Regional Center and local psychiatric hospital.

How much does it cost?

The Emergency Support Program is a free service to Region II consumers.

What area do you cover?

The Emergency Support Program serves all 17 Counties in the Region II coverage area.

Emergency Coordination Referral Form

The Emergency Support Program provides support to individuals who are experiencing a mental health or substance abuse emergency. The Emergency Support Program is designed to provide one-time assistance to those individuals in immediate and emergent need to gain access to supports such as medications, physicians, therapy, transportation, etc., to avoid unnecessary hospitalization or other more intense levels of care. If the information gathered indicates an ongoing need, a referral will be made and follow up will be done with the individual. The Emergency Support Program provides services to Law Enforcement including 24/7 crisis response assessments to help determine if an EPC is necessary, mental health training, and a 24/7 emergency mental health number.

The Emergency Support Program provides support to persons who are placed in contract facilities outside of Region II for treatment and will meet with consumers while in treatment and assist in arranging outpatient services to help them experience a seamless discharge and re-entry into their home community.

How much does it cost?

The Emergency Support Program is a free service to Region II consumers.

What area do you cover?

The Emergency Support Program serves all 17 Counties in the Region II coverage area.

Emergency Support Referral Form

Medication Assisted Treatment combining medication management and evidence based behaviorally-based treatment and counseling for those struggling with opioid addiction.  The MAT program accepts Medicaid, most major insurance and is also available to those without insurance coverage or ability to pay.  Grant funding is available to help those without ability to pay access services and medication.

Includes:

Mediation Management with providers specially trained and licensed to provide MAT

Outpatient Counseling

Substance Abuse Evaluations

Groups

Case Management

Providers/Locations:

Janet Bernard, M.D. at Heartland Counseling Clinic in North Platte, NE  (308) 534-6029

Travis Barkmeier, APRN at Lexington Regional Medical Center in Lexington, NE  (308) 324-5651

The Outpatient Services is a program designed to provide therapy and counseling for persons and families needing help in coping with life adjustment problems, mental illness or substance abuse problems.

Mental Health

• Therapy for individuals, families or group
• Medication Management
• Diagnostic Interviews
• Med Checks
• Medication Support
• Needs Assessments provided through Urgent Outpatient Program

Substance Abuse

• Counseling for individuals, families or group
• Substance Abuse Evaluations
• Needs Assessments provided through Urgent Outpatient Program

Fees for Outpatient Services -- a sliding fee scale is used to determine client cost for those individuals who meet income guidelines. Medicare, Medicaid and most private insurance is accepted.

Providers of Outpatient Services – Clinical Staff is made up of a medical doctor and a nurse practitioner, master level therapists and licensed substance abuse counselors.

Locations of Outpatient Clinics -- Heartland Counseling and Consulting Clinics are in four locations.

Do you offer a sliding fee scale?

Yes. Our sliding scale rates are based on total household income and number of people in the household. You must live in the State of Nebraska and must provide proof of income to be considered for a reduced fee.

Do you accept insurance?

Yes, we accept Medicare, Medicaid, and most private insurance.

How long is a counseling session?

Typically, a counseling session runs 50-60 minutes. Initial Intake Assessments and some regular sessions can take longer.

Can your counselors prescribe medication?

No. Medication can only be prescribed by a physician. Region II has a physician who travels to each of our locations and provides psychotropic medication management for clients in our Medication Management Program.

Are your clients required to be in counseling with one of your therapists in order to receive Medication Management?

No. You may receive Medication Management services independently of any counseling services.

How do I make an appointment?

Find location and number nearest you.

Trained prevention specialists’ work with schools, parents, community coalitions, teens, youth and churches.

Shannon Sell

P.O. Box 1209

110 North Bailey

North Platte, NE 69103

308-534-6029 ext. 152

shannonsell@r2hs.com

Region II Mini Grants

• Grants must be used to prevent the onset and reduce the progression of substance abuse, including underage drinking; reduce substance abuse related problems in communities, & build coalition capacity to continue addressing these problems.

Community Coalitions/Groups

• Provide technical assistance, training, and resource development to community coalitions.
• Funded Coalitions include: Community Connections, Ogallala Public Library and work with the Ogallala Youth Committee, Rooted in Relationships in Dawson Co., and Keith County

Youth Education Programs

• All Stars
• Assets
• Halo

Mental Health First Aid

• Adult Mental Health First Aid- is a 5-step action plan to offer initial help to people with the signs and symptoms of a mental illness or in a crisis, and connect them with the appropriate professional, peer, social, or self help care. 8-hour Mental Health First Aid course is ideal for first responders, teachers, and students, leaders of faith communities, human resources professionals, and caring citizens.
  
  
• Youth Mental Health First Aid- is designed to teach parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis. This is an 8-hour course primarily designed for adults who regularly interact with young people.
  
  
• Mental Health First Aid for Veterans & their families-While military service often fosters resilience in individuals and families, some service members may experience mental health or substance use challenges. Thirty percent of active duty and reserve military personnel deployed in Iraq and Afghanistan have a mental health condition requiring treatment – approximately 730,000 men and women, with many experiencing post-traumatic stress disorder and major depression. Sadly, less than 50 percent of returning veterans in need receive any mental health treatment. The Veterans Administration reports that approximately 22 veterans die by suicide every day.  Mental Health First Aid is a valuable resource that can make a difference in the lives of the more than 22 million veterans, their families, and the communities they live in.

Suicide Prevention Grant

• QPR (Question, Persuade and Refer) QPR gatekeeper training takes just 1.5-2hours and is taught in a format that is clear and concise. Gatekeepers are given information that is easy to understand and reinforced by a QPR booklet and card complete with warning signs, methods to encourage a person to get help and a list of resources available in your community.
• AMSR training to Behavioral Health Professionals

Parenting Classes

• Circle of Security
• Common Sense Parenting

Drug, Alcohol Education

• Prime for Life (Drug and Alcohol Education)
• All of the educational classes and upcoming training events can be found in our bulletin.

Regional Consumer Specialists provide leadership and support to assist mental health and substance abuse consumers to understand how they may strive for recovery and wellness within the Behavioral Health System.

Regional Consumer Specialists aid the consumer in understanding and accessing services. Regional Consumer Specialists also act as the consumer’s voice to influence policy-making as the behavioral health system transforms to be more consumer and recovery oriented.

WRAP stands for Wellness Recovery Action Plan™. Regional Consumer specialists facilitate WRAP classes which are self-management and recovery oriented systems that introduce new or underutilized wellness tools and recovery strategies. WRAP is developed & managed by you and designed to:

• Decrease and prevent intrusive or troubling feelings and behaviors.
• Increase personal empowerment.
• Improve quality of life.
• Assist people in achieving their own life goals and dreams.
• WRAP is applicable to mental health, substance abuse and gambling.

Peer Support Groups are consumer groups that focus on common struggles and common solutions in the area of mental health and substance abuse. The meetings are an opportunity for peers to come together and have a safe place to openly talk about life. Regional Consumer Specialists encourage consumers to come together wherever and whenever possible to support each other and develop mutual peer support as a culture within Region II.

Regional Consumer Specialists:

Nancy Rippen & Corey Brockway

1013 West 3rd

McCook, NE 69001

(308) 345-2770 ext. 207

Purpose: Develop a system of care which allows families and youth to work in partnership with public and private organizations to design mental health services and supports that are effective, that build on the strengths of individuals, and that address each person’s cultural and linguistic needs.

Region II is partnering with other Regions to conduct a family centered practice (FCP) assessment on each Regionally funded child/adolescent behavioral health provider.

From this assessment, Region II will develop a plan which reflects the focus of youth coordination activities. This plan will include strategies to build on strengths and address system needs identified in the FCP assessment process.

Region II facilitates wraparound transition teams throughout the Region. The teams help youth experiencing behavioral health challenges find resources to assist them when they are transitioning into the adult behavioral health system.

Special Populations program is designed to support consumers to develop independent and community living skills and prevent the need for a higher level of care. Services are designed for consumers with a high rate of inpatient use, including consumers with co-occurring disorders.

To be eligible for Special Populations, an individual must:

• Be an adult with a serious mental illness, including consumers with dual diagnosis.
• Have symptoms and functional deficits related to the primary diagnosis.
• Have presence of functional deficits in two or three functional areas: Vocational/Education, Social Skills, and Activities of Daily Living.
• Reasonably be expected to benefit from mental health/substance use disorder services at this level.

Youth Care Coordination is a wraparound program for high risk children, youth and young adults with severe emotional disturbance.  Our purpose is to assist youth/young adults whose mental health and/or substance abuse issues interfere with daily life at home, school, work and the community.  We help guide families and young adults to service options that help them progress towards a happy, hopeful and productive life.  As we get to know each individual we will help develop a plan that fits their own identified needs.  Using their strengths a plan is formed to connect the family and young adult to community resources that are available.

What we do?

• Offer hope

• Provide Support throughout the process

• Help create a strength based plan that creates positive change

• Find resources to help achieve the most important and meaningful goals

• Help identify or build specific skills to be successful in future planning and problem solving

Youth Care Coordination Referral Form