Mental Health: Higher Levels of Care

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Sometimes, outpatient therapy isn’t enough. Below are some types of higher levels of care in RI and MA as well as places that provides these services.

LGBTQ+ Specific Higher Levels of Care

The Home for Little Wanderers

Statewide, MA

Outpatient and home based services:

  • Individual therapy sessions for LGBTQ+ youth with licensed and master’s level clinicians
  • Family therapy, group therapy and couples counseling with licensed and master’s level clinicians
  • Life skills support and community resource connections
  • Trauma-informed therapeutic approaches
  • Cognitive Behavioral Therapy (CBT)
  • Professional development, training and consultation services to outside agencies and professionals.
  • Waltham, MA LGBTQ+ Residential Group Home



IRIS Partial Program at Fuller Hospital

Attleboro, MA

The LGBTQIA+ Partial Hospitalization Program (PHP) at Fuller Hospital is a short-term stabilization program specifically designed to meet the unique behavioral, emotional and mental health needs of the LGBTQIA+ community.

This program provides trauma-informed care, focusing on a wide range of mental health conditions and life transition issues, while creating a safe space for members of the LGBTQIA+ community to receive compassionate, non-judgmental treatment in an outpatient setting.

The mission of the program is to provide a safe space for LGBTQIA+ community members to share experiences, process emotions, navigate life transitions and learn effective, evidence-based strategies to manage behavioral health symptoms.


Rainbow Road – Virtual Eating Disorder Treatment for LGBTQ clients from LGBTQ+ providers

Walden Behavioral Care, Waltham, MA

Walden’s Rainbow Road Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are unique day treatment programs that provide eating disorder support for LGBTQ+ patients by LGBTQ+ providers.

Rainbow Road is open to anyone 18+ who identifies as being part of the LGBTQ+ community.

Your Rainbow Road treatment team is made up of eating disorder specialist clinicians who identify as LGBTQ+.

Treatment:

  • Therapeutic meals
  • Individual therapy
  • Group therapy (including queer body nutrition staffed by a counselor and registered dietitian)
  • Case management
  • Weekly meetings with a registered dietitian in PHP and dietetic consultation as needed by request in IOP
  • Psychiatric medication management in PHP

Schedule: Rainbow Road is offered through Walden’s HIPAA-compliant virtual program.  PHP meets 5-6 days per week and IOP groups meet Wednesdays, Thursdays, and Fridays from 11:15 am – 2:30 pm.

Partial Hospitalization and Intensive Outpatient Programs in RI

For Children & AdolescentsFor Adults
Hasbro Children’s Hospital
Medical Psychiatric Partial Hospitalization Program (ages 6-18)

1-855-543-5465 (KIDS LINK)
Rhode Island Hospital Partial Program – Trauma & PTSD Track and Young Adult Track (ages 18-24)

401-444-2128
Bradley Hospital
Pediatric Partial (ages 0-7)
Children’s Partial (ages 7-12)
Adolescent Partial (ages 13-18)
Center for Autism and Developmental Disabilities Partial (ages 5-18)
– Intensive OCD Program (ages 5-18)
SafeQuest – after school hours

1-855-543-5465 (KIDS LINK)
Newport Hospital Partial Program – Mental Health Track and Co-Occuring Substance Use Track

401-845-1910
Butler Hospital
Adolescent Partial Hospital Program (ages 13-17)

1-844-401-0111
Butler Hospital
Young Adult Partial Hospital Program (ages 18-26)
– Young Adult True Self Intensive Outpatient Program (see above)
Substance Use Intensive Outpatient
College Student Intensive Outpatient (18-26 year old college students)
Electroconvulsive Therapy (ECT)
Connect Intensive Outpatient Program (ages 18-26)
Intensive OCD and Anxiety Treatment
CBT Partial Hospitalization Program

Home-Based Therapy in RI

Be Braver Anxiety/OCD Program

RI & MA, in person and virtual

Braver is a personalized, flexible outpatient program built around exposure therapy-the treatment that has been proven most helpful for anxiety and obsessive compulsive disorder.


Enhanced Outpatient Services (EOS)

Enhanced Outpatient Services (EOS) is a stabilization program that provides clinical services to children with behavioral and/or mental health care needs. EOS helps families with children with behavioral health care needs to effect meaningful long-lasting positive changes. EOS is more intensive than traditional outpatient services and offers flexible treatment options including psychiatric appointments for medication management, individual/family therapy, and/or group therapy. EOS engages clients where it works best for them – at FSRI offices, in their homes, or elsewhere in the community.

NAFI

Overview
We help families of children with behavioral health care needs to effect meaningful, long-lasting positive changes in their lives so that children can fulfill their potential. Our Formulation focused treatment is designed to help caregivers maintain their children at home with the focus on family, empowering caregivers, and targeting the most relevant issues related to the child’s behavioral problems.

Population served: Ages 2 to 17

Insurance Accepted: NHP, United RItcare Community plan, Tufts RItogether

Referral and Intake
Erica Basilio
Phone: (401) 490-8915
FAX:  (401)384-7659
EricaBasilio@nafi.com
The Fogarty Center

Focus
– Improved Behavioral Regulation
– Improved Family Relationships
– Enhanced Support Strategies
– Stabilization Following Hospitalization
– Prevention of Hospitalization

Eligibility Criteria
– Child has current DSM or corresponding ICD diagnosis
– Child is presenting with moderate to severe behavioral health symptoms and serious impairments across a variety of settings (home, community, school, etc.)
– Child’s needs cannot be adequately met through routine office-based outpatient behavioral health treatment services.
– Child is a member of an insurance plan that participates/provides EOS level of care.

How to Access
– If your child is enrolled in RIteCare or RIteShare (Neighborhood Health Plan or United Healthcare), please contact your Insurance provider.
– Contact Melissa Linicus, Clinical Director of Children’s Services at 401-789-4614, ext. 311 or mlinicus@fogartycenter.org
United Cerebral Palsy of RI

Enhanced Outpatient Services (EOS) is an insurance funded program.  UCP currently has a contract with Neighborhood Health Plan.  The program provides intense short-term, home-based services to children with cognitive disabilities and behavioral disorders who are either being discharged from a psychiatric hospital or who are at risk of being hospitalized.  EOS provides family services which allow children to leave the hospital sooner and stay at home.   Services are designed to meet each individual child and family’s needs and may include family and individual counseling, direct 1:1 treatment in the home, and community integration with the primary goal being stabilization and prevention of re-hospitalization.
Gateway CFTO Program

Gateway Healthcare’s Child & Family Therapeutic Outreach Services are designed to provide crisis stabilization and intensive treatment to children and youth with behavioral health disorders when they are in crisis at home, and in the school and community.  This program is a based on a family systems model which requires a combination of caregiver and child/youth participation to be most effective and to ensure sustainability of interventions.

The goals of the program are to:
– Reduce symptoms and behaviors that seriously disrupt the child’s social and emotional health and the family’s functioning
– Assess the environment and family-child interactions and identify areas to address that will help everyone better understand how to decrease disruptions and improve relationships
– Assist in linking families to needed supports
– Prepare for the transition to longer term outpatient treatment to sustain lasting positive outcomes

In addition to helping children with generalized behavioral health difficulties, the CFTO program has several teams that specialize in treating children and youth with the following challenges:
Trauma and complicated grief
– Early childhood social/emotional difficulties
– Autism spectrum disorders
– Adolescent substance use & co-occurring behavioral health difficulties
– Complex pediatric illnesses, including eating disorders

RiteCare, commercial insurance, and Medicaid are accepted.

To make an appointment, call Kids’ Link RI, 1-855-543-5465.
For more information regarding the program, contact us at 401-722-5573.

Home Based Therapeutic Services (HBTS)

HBTS Definition: Medically necessary, intensive services that can help families of children with moderate to severe behavioral health, developmental or physical disabilities

  • “Medically necessary services” refers to medical, surgical, or other services required for prevention, diagnosis, cure, or treatment of a health-related condition, including such services necessary to prevent a detrimental change in either medical or mental health status. Medically necessary services must be provided in the most cost effective and appropriate setting.

Goals of HBTS:

  • Maximizing the child’s ability to live at home
  • Participate as valued members of their family/community
  • Improve the child’s ability to function in the least restrictive level of care
  • Improve the child’s ability to transition to adulthood

Enrollment Criteria:

  • Medicaid eligible
  • Under 21yo and living with family/legal guardian
  • Chronic and moderate to severe cognitive, physical, developmental and/or psychiatric conditions
  • Lack of benefit from other intensive OP services
  • At risk for hospitalization or out of home placement

Programs:

  • United Cerebral Palsy (Cerebral Palsy & other disabilities); Contact Clinical Director Kristeen Rocha at (401) 728-1800 x104.
  • Groden Center (Autism Spectrum Disorder): ABA Therapy and in-home support; Jessica Boettger at 401-274-6310 ext. 1272 or jboettger@grodencenter.org.
  • Perspectives (Children, 3-21 years old, with special health care needs or who are at risk for chronic physical, developmental or behavioral conditions). (401) 294-3990.
  • Seven Hills (Under the age of 21 RI residents who live at home, meet income & resource requirements, and would require care provided by a nursing facility or Intermediate Care Facility); Contact Clinical Director Kerri Nascenzi 401-601-0500.
  • This is just a few examples, for a comprehensive list, see the RI Executive Office of Health and Human Services. https://eohhs.ri.gov/consumer/families-children/children-special-needs

Referrals: The best way to explore if your child qualifies for HBTS is to talk to contact:

Cedar Family Center

401-270-0101 x365

RIPINCedarFamilCenter@ripin.org

www.ripin.org/cedar

Or you can talk to your health care provider.


Groups Therapy Programs in RI

Brown University Health

  • BALANCE Program
    BALANCE is a 16-week after-school program that aims to help young people and their families learn how thinking and feeling can affect everyday behaviors, and how movement and nutrition affect well-being.
  • iFriend: A Social Skills Group
    iFriend helps children in elementary school, 8 to 11 years old, build friendship skills, practice conversation, and learn to cope with challenges through structured lessons, activities and games.
  • Mindful Teen Mindful Teen uses a dialectical behavior therapy approach to help teens with rapidly changing moods manage their emotions and reduce impulsive and self-destructive behaviors.
  • Teen Anxiety Group (TAG)
    TAG uses cognitive behavior therapy to help teens overcome anxiety, stress and worry so that they can achieve the life they want.

RI-CBT

Group topics include:

  • ADHD – Adults
  • Adolescent & Family Dialectical behavior therapy (DBT)
  • Advanced Dialectical behavior therapy (DBT) – Adults
  • Cognitive processing therapy (CPT) for Trauma – Adults
  • Dialectical behavior therapy (DBT) – Adults
  • Girl power – 4th and 5th grade girls
  • Hearing loss support – Adults
  • iLife: Designing your life and career in the time of COVID – Adults
  • Mindful self-compassion: Transform self-worth and build resilience – Adults
  • Teens/High school – 9th through 12th grade
  • Tinnitus skills – Adults
  • Weight – Adults
  • Young adult/College – 18 to 25 years old

Thrive Behavioral Health

Warwick, RI

Group topics include DBT and social skills therapy.

Outside New England

Evolve Treatment Centers*

Multiple locations across California

LGBTQ+ Affirming Mental Health and Addiction Treatment for Teens

In network with BCBS, Anthem, and Health Net and provides out of network benefits for other insurance companies

Programs: Residential, Partial hospitalization, intensive outpatient

Treatment for: Adolescents 12 to 17 years old struggling with mental health,
substance abuse or behavioral issues, such as:
• Anxiety
• Depression
• Suicidality
• Psychosis
• Bipolar Disorder
• Non-Suicidal Self-Injury (NSSI)
• Borderline Personality Disorder
• Substance Abuse / Dual Diagnosis
• Behavioral Disorders
• Other Mood or Personality Disorders