Our Services

We provide or manage a full array of services to adults and children with mental health/emotional disturbances, persons with substance use disorders, and persons with developmental disabilities. Our Guide To Services (English)  or Guía de Servicios (Español) Booklet may have answers to some of your questions. Contact Customer Services if you have more questions.

Services

I am…

In Need of Access to Services

Services include:

  • Assessment for Treatment of all CMH programs
  • Nursing Home Assessments
  • Crisis Stabilization
  • Crisis Interventions – 24 hours a day/7 days a week
  • Education

Read our service descriptions in the next section

An Adult with Severe and Persistent Mental Illness

Services Include:

  • Mental Health Therapy and Counseling for Adults
  • Assessment
  • Nursing Home Mental Health Assessment and Monitoring
  • Peer-Delivered and Peer Specialist Services
  • Case Management
  • Community Living Supports (CLS)

Read our service descriptions in the next section

A Child with Serious Emotional Disturbance

Services Include:

  • Intensive Home-Based Services
  • Individual and Family Counseling
  • Child Case Management
  • Parent Support Staff
  • PMTO Services
  • Trauma Focused-Cognitive Behavioral Therapy (TF-CBT)
  • Safety and Crisis Planning
  • Wraparound Facilitation
  • Mobile Intensive Crisis Stabilization Service

Read our service descriptions in the next section

A Person with Developmental Disability/Intellectual Disability
  • Community Integration
  • Community Living and Training Supports
  • Day Activity Skill Building
  • Medication Clinic
  • Residential Services

Read our service descriptions in the next section

A Person with Substance Use Disorders

Services Include:

  • Recovery Coaches  
  • Engagement Groups    
  • Individual Treatment Services  
  • Residential Treatment 

Read our service descriptions in the next section

Service Descriptions

Access Services

Initial contact for mental health, intellectual/developmental disability, children’s services, and substance use disorder services through LCMHA.  We have Master level therapists on staff who will do an Initial Assessment to determine your level of care needs.  Once this is determined, our staff will offer recommendations as to the best treatment options for you.  Anyone can request an Initial Assessment/ mental health evaluation regardless of insurance/lack of resources.  Once you and the clinician decide what works best for you, the clinician will help you get started on your road to recovery.  If you disagree with the decision made by our clinician, you have the right to ask for a second opinion or appeal the decision.  Customer Services can help you with this.

Crisis Interventions – 24 hours a day, 7 days a week

Crisis Interventions are services to help reduce or eliminate the impact of unexpected mental health events a person could be experiencing. Our clinical staff are available for you to talk with right away to help cope with unexpected mental health issues causing extreme stress.  If you feel you/family member are in a mental health crisis we are available 24 hours a day/7 days a week, including all holidays.

After Hours Crisis Intervention

When calling the LCMHA After-Hours Crisis Line, you will be connected with a worker from the Access Department to talk about your needs and work on ways to reduce symptoms. When calling to speak with someone, you will first be connected with an answering service. The purpose of this is to make sure everyone gets to the right person/service. If you are in need of a crisis worker, let the answering staff know. If you just need to ask a question or talk and are not in crisis, your call may be sent to another service. Once decided that you need to speak to a crisis worker, your call will be transferred to the After-Hours Clinician. This clinician is someone from LCMHA’s Access Department. He/she will talk with you about your needs, evaluate your symptoms, and recommend a course of action. Most of the time, these calls result in a reduction of symptoms and a safety plan (working on skills, de-escalation techniques, etc.). At times if the need is high enough and safety is a concern, the clinician may call 911 for assistance. It is important to note that this is not common but does happen as we need to make sure that you are safe. This is our number one priority. This After-Hours service is available all of the time; 24 hours per day, 7 days per week, 365 days a year. We hear that people are nervous about calling in the middle of the night for fear of bothering someone. We are happy, ready and willing to speak with you. We understand that crises don’t always happen during business hours and hope that you are comfortable enough to reach out to us when in need. If you have any questions about this process, please contact LCMHA and request to speak with an Access Clinician and we can go over the process in detail with you. As always, you can call Customer Services with your concerns also.

Inpatient Hospitalization

This is used when a mental health crisis is severe and the person in crisis cannot be safely kept in the community. Inpatient hospitalization is used as a last resort in keeping a person safe from harm.

Medication Services

Initial Medical Assessment

An Initial Medical Assessment is an evaluation done by a CMH psychiatrist when you first meet with that particular doctor. This assessment will take longer than an average medication review appointment

Medication Review

A Medication Review is the monitoring of medications used to treat a person’s behavioral health condition, their effects and their need for continuing or changing their medications.  Psychiatrists are available as one form of treatment for your mental illness/substance use disorder.

Adult Mental Health Services

Therapy/counseling for adults, case management services, peer support services

Mental Health Therapy and Counseling for Adults

Mental Health Therapy and Counseling for Adults includes therapy or counseling designed to help improve functioning and relationships with other people.

Assessment

Assessment includes a comprehensive psychiatric evaluation, psychological testing, substance abuse screening, Initial/yearly Assessments, or other assessments to determine a person’s level of functioning and mental health treatment needs.

Nursing Home Mental Health Assessment and Monitoring

Nursing Home Mental Health Assessment and Monitoring includes a review of a nursing home resident’s need for and response to behavioral health treatment, along with consultations with nursing home staff.

Peer-Delivered and Peer Specialist Services
  • Peer-delivered services such as drop-in centers are entirely run by consumers of behavioral health services. They offer help with food, clothing, socialization, housing, and support to begin or maintain mental health treatment.
  • Peer Specialist services are activities designed to help persons with serious mental illness in their individual recovery journey and are provided by individuals who are in recovery from serious mental illness.
Case Management

A case manager is a staff person who helps write an individual plan of service and makes sure the services are delivered. His or her role is to listen to a person’s goals and to help find the services and providers inside and outside the local community mental health services program that will help achieve these goals. A supports coordinator or case manager may also connect a person to resources in the community for employment, community living, education, public benefits, and recreational activities.

Community Living Supports (CLS)

Community Living Supports (CLS) are activities provided by paid staff that helps adults with either serious mental illness or developmental disabilities live independently and participate actively in the community. Community Living Supports may also help families who have children with special needs such as developmental disabilities or serious emotional disturbance.

Intellectual/Developmental Disability Services

Supports Coordination for community support and linking to appropriate services etc., Community Living Supports (CLS) services.

Community Living Supports (CLS)

Community Living Supports (CLS) are activities provided by paid staff that helps adults with either serious mental illness or developmental disabilities live independently and participate actively in the community. Community Living Supports may also help families who have children with special needs such as developmental disabilities or serious emotional disturbance.

Supports Coordinator

Supports Coordinator is a staff person who helps write an individual plan of service and makes sure the services are delivered. His or her role is to listen to a person’s goals and to help find the services and providers inside and outside the local community mental health services program that will help achieve these goals. A supports coordinator may also connect a person to resources in the community for employment, community living, education, public benefits, and recreational activities.

Family Support Subsidy Program

Michigan has a program to help families who care for their children with severe disabilities at home.  The Family Support Subsidy Program can pay for special expenses the family has while caring for their child with severe disabilities  The financial support may help prevent or delay placements outside the home.  In other cases, the program may provide the funds necessary to allow children to return from placements outside the home 

Supporting families of children with severe disabilities in this way allows families to stay together.  It gives them flexibility in purchasing special services and saves money by avoiding or reducing the need for more costly placements outside the home. 

WHO IS ELIGIBLE:  Families may be eligble for this program if they have a child under age 18 who has been identified by Michigan’s public school system as having an educational eligibility category of:

Cognitive impairment (CI) – children with an eligibility category of CI may be eligible if their development is in the severe range of functioning as determined by the public school system.

Severe multiple impairment (SXI)

Autism Spectrum Disorder (ASD) – children with ASD much be receiving special education services in a program designed for students with autism or in a program designed for students with autism or in a program designed for students wit  severe cognitive impairment or severe multiple impairments.  Children who attend “Applied Behavior Analysis” (ABA) Centers do not qualify for this program.

In cases in which the child is not receiving special education services or if it is not known if the child is receiving special education services, parents may contact the director of special education at the local or intermediate school district. They can also call Early On at 1-800-EarlyOn or by email to eoreferral@edzone.net.

Families can be headed by birth parents, adoptive parents, or legal guardians.  Foster parents who are also legal guardians are not eligible. 

Under the law, the Michigan taxable income for the family may not exceed $60,000.  In addition the family cannot receive reimbursement from the Medical Subsidy Program for adoptive children if they choose to apply for the Family Support Subsidy.

HOW TO APPLY

You can get and turn in applications for the subsidy program at local offices of Michigan’s community mental health services programs (CMHSPs).  Your local CMHSP determines eligibility for this program. 

CMHSPs are listed on this website or you can find contact info online at www.macmhb.org  (click on “Looking for Services:)  If you cannot find the number call the Family Support Subsidy office in Lansing at 517-241-5774.  The TTY number is 711.

You may get and turn in applications at any time.  Renewals are required every year just before or during your child’s birth month.

The following papers must be turned in wiht your application

  • Copy of the child’s legal birth certificate
  • Your family’s most recently filed Michigan Income Tax Return (MI-1040).

Providing a copy of the child’s Social Security card is encouraged but not mandated.  In addition, you must contract your child’s school and request that they send or fax directly to the CMHSP written proof that certifies the child’s educational eligibility category and programming if the classification is ASD.

PROGRAM BENEFITS:

Many children with severe impairments may not be able to eat, walk, dress or talk on their own.  They often have both mental and physical impairments and need round-the-clock care.  Families that include children with severe disabilities have many expenses other families do not. 

Uses for the subsidy might be the purchase of additional therapies, special equipment, special food, diapers, transportation costs, in-home specialized care, respite care, family counseling, support groups, general households expenses, family recreation and home remodeling to provide for the special needs of the child.

This list is not all-inclusive  A unique feature of the subsidy is that the family decides its use to suit their need.

PAYMENTS

Payments are just over $200 a month.  They are the same for all families and are issued near the end of each month.

 

Children’s Mental Health Services

provides a comprehensive system of care for children ages 0-17 with severe emotional disorders. Services are based on the philosophy of helping caregivers and children build strong relationships and keeping the family unit together. Mental Health services are provided in the family home and in-office which allows for a greater opportunity for success. In order to address the needs of many families, the LCMHA Children’s Services Team continues to develop and provide a number of evidence-based programs. The Children’s Services Team remains committed to helping children and families.

Mobile Intensive Crisis Stabilization Services are available for children and adolescents with serious emotional disturbance (SED) who have Medicaid insurance. A clinical team can meet with you at your home, a hospital emergency department, or another community location. Virtual available. To request this service call our Access Department at (517) 263- 8905 or (800) 664-5005

Intensive Home-based Services

Intensive home-based therapy and case management services bundled together to provide families who need interventions in the home and in the community (including the school setting) to reduce the risk of out-of-home placement. The families in need of intensive home-based services generally experience a high level of chaos and disruption, often lack the needed resources and skills to cope with their difficulties and have not demonstrated an ability to cope with the impact of their child’s problems. They are often involved with multiple systems of care and require coordination of these services. CAFAS scores are typically 120 or higher. Therapy sessions are held with child and parent for at least one hour per week in the family home or agreed upon location. Additional therapy sessions can be held each week depending upon the treatment plan. Parents are expected to attend each therapy session as well as the youth. Typical length of stay is 12 months. Treatment planning is conducted with input from family and youth with therapist assisting in implementation

Individual and Family Counseling

This service is for children who are struggling with emotional and behavioral issues at home, school, or community. They may be involved in multiple systems but are not at risk of out-of-home placement. Youth/families involved in this service meet in the family home and focus on a variety of issues. Often, these children are experiencing functional impairment as well as demonstrating problems in their home and school settings or in their relationships; and require mental health services in order to improve their functioning in these areas. They carry a DSM qualifying diagnosis and exhibit emotional and behavioral problems in either home, school and/or community settings. Once per week in-home therapy sessions of 60 to 90 minutes are conducted with child and parent present. Additional sessions can be held each week per treatment plan.

Child Case Management Services

A child case manager is a staff person who helps write an individual plan of service and makes sure the services are delivered. His or her role is to listen to a person’s goals and to help find the services and providers inside and outside the local community mental health services program that will help achieve these goals. A case manager may also connect a person to resources in the community for employment, community living, education, public benefits, and recreational activities.

Parent Support Staff

This is a staff member who has personal knowledge of the struggles families face and knows the mental health system. This person will be able to help families understand and navigate the mental health system.

PMTO Services

Developed by Gerald Patterson and colleagues at the Oregon Social Learning Center, recognizes the vital role parents play as being the primary change agents within their family. Parents are supported and encouraged as they learn skills they can utilize to provide appropriate care, instruction, and supervision for their children. Clinicians utilize role-play and problem solving to promote the development of parents’ skills. Sessions with parents are structured yet flexible to deal with specific family needs and crises as they arise. PMTO is taught with parents in individual sessions in the family home. Sessions are once per week for approximately 55-90 minutes. PMTO includes learning skills in five core areas: encouragement, setting limits/discipline, supervision/monitoring, positive parental involvement, and family problem solving. Parents will also learn supporting parenting practices including emotional regulation, giving effective directions, tracking, and positive communication skills. PMTO is typically a 16-20 week program but it is dependent upon parent learning skills, parent participation, and parent application. Pre/post CAFAS and Caregiver Wishlist will be completed during this program

Trauma Focused-Cognitive Behavioral Therapy (TF-CBT)

Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) is a structured therapy provided for youth who display signs that trauma is having negative impact on their behavior or emotions. TF-CBT is designed to help youth and families manage feelings, talk about trauma, and develop plans for feeling safe in the future. Trauma is defined as an unexpected or sudden event that creates feelings of extreme fear or helplessness. Many different kinds of trauma including physical assault, car accidents, exposure to violence, fires, tornados, or sexual assault can be addressed with this type of treatment. Youth and families learn about common reactions to stress, coping skills, relaxation tools, cognitive restructuring, safety planning as well as write a trauma narrative. TF-CBT can be completed within 15-20 sessions but is dependent upon the learning style of each youth/family. TF-CBT can take place in the family home during weekly sessions of approximately 45-90 minutes. Youth and caretakers will complete pre/post assessment tools.

Safety and Crisis Planning

Crisis services available 24 hours a day from LCMHA as appropriate to stabilize and resolve crisis situations. Call 517-263-8905 or 1-800-664-5005

Family Support Subsidy Program

Michigan has a program to help families who care for their children with severe disabilities at home.  The Family Support Subsidy Program can pay for special expenses the family has while caring for their child with severe disabilities  The financial support may help prevent or delay placements outside the home.  In other cases, the program may provide the funds necessary to allow children to return from placements outside the home.

Supporting families of children with severe disabilities in this way allows families to stay together.  It gives them flexibility in purchasing special services and saves money by avoiding or reducing the need for more costly placements outside the home. 

WHO IS ELIGIBLE:  Families may be eligble for this program if they have a child under age 18 who has been identified by Michigan’s public school system as having an educational eligibility category of:

Cognitive impairment (CI) – children with an eligibility category of CI may be eligible if their development is in the severe range of functioning as determined by the public school system.

Severe multiple impairment (SXI)

Autism Spectrum Disorder (ASD) – children with ASD much be receiving special education services in a program designed for students with autism or in a program designed for students with autism or in a program designed for students wit  severe cognitive impairment or severe multiple impairments.  Children who attend “Applied Behavior Analysis” (ABA) Centers do not qualify for this program.

In cases in which the child is not receiving special education services or if it is not known if the child is receiving special education services, parents may contact the director of special education at the local or intermediate school district. They can also call Early On at 1-800-EarlyOn or by email to eoreferral@edzone.net.

Families can be headed by birth parents, adoptive parents, or legal guardians.  Foster parents who are also legal guardians are not eligible. 

Under the law, the Michigan taxable income for the family may not exceed $60,000.  In addition the family cannot receive reimbursement from the Medical Subsidy Program for adoptive children if they choose to apply for the Family Support Subsidy.

HOW TO APPLY

You can get and turn in applications for the subsidy program at local offices of Michigan’s community mental health services programs (CMHSPs).  Your local CMHSP determines eligibility for this program. 

CMHSPs are listed on this website or you can find contact info online at www.macmhb.org  (click on “Looking for Services:)  If you cannot find the number call the Family Support Subsidy office in Lansing at 517-241-5774.  The TTY number is 711.

You may get and turn in applications at any time.  Renewals are required every year just before or during your child’s birth month.

 The following papers must be turned in wiht your application

  • Copy of the child’s legal birth certificate
  • Your family’s most recently filed Michigan Income Tax Return (MI-1040).

Providing a copy of the child’s Social Security card is encouraged but not mandated.  In addition, you must contract your child’s school and request that they send or fax directly to the CMHSP written proof that certifies the child’s educational eligibility category and programming if the classification is ASD 

PROGRAM BENEFITS:

Many children with severe impairments may not be able to eat, walk, dress or talk on their own.  They often have both mental and physical impairments and need round-the-clock care.  Families that include children with severe disabilities have many expenses other families do not. 

Uses for the subsidy might be the purchase of additional therapies, special equipment, special food, diapers, transportation costs, in-home specialized care, respite care, family counseling, support groups, general households expenses, family recreation and home remodeling to provide for the special needs of the child.

This list is not all-inclusive  A unique feature of the subsidy is that the family decides its use to suit their need.

 PAYMENTS

Payments are just over $200 a month.  They are the same for all families and are issued near the end of each month.

 

Wraparound Facilitation

The mission of Wraparound it to help children and families realize their hopes and dreams. Wraparound’s goal is to keep emotionally and behaviorally challenged children with their family and community in the most normal and least restrictive environment. The program works to increase the family’s ability to meet the youth’s special needs and improve the child and family’s functioning across all identified life areas. Wraparound services are child/family centered; strength-based, and provided within the community. Typically, families are often involved in multiple systems including juvenile court, DHS, schools, and mental health. Representatives of these systems meet as a team in which decisions are reached by team consensus whenever possible. All members of the team have input into the plan. Teams meet regularly and address a full-range of life needs that could affect the child and family. Teams assist in the development of crisis/safety plans and focus on achieving attainable goals.

Substance Use Disorder Services

Individual Treatment services, Engagement groups, Recovery Coaches, Pathways Engagement Center

Recovery Coach

A Recovery Coach is someone who has lived experience in receiving services and/or supports for a substance use condition. They serve as a guide to initiate, achieve, and sustain long-term recovery from addiction including medication assisted, faith based, 12 step and other pathways to recovery. Recovery coaches provide connections in navigating recovery supportive systems and resources including professional and non-professional services.

Engagement Groups

Engagement Groups are group services for the person who is in the contemplative stage of recovery to help them understand the system and determine treatment options

Individual Treatment Services

Individual Treatment Services are meetings with a qualified treatment professional to work on addiction issues.

Residential Treatment

There are times when a person will need inpatient treatment to start their road to recovery.

Community Education

  • SafeTALK – Suicide prevention
  • Mental Health First Aid for Adults and Youth
  • Narcan
  • Stigma Reduction and Education
  • Mental Health
  • What is Community Mental Health

Call Customer Service at 517-263-8905 or 1-800-664-5005, for more info on these, and other trainings

Prevention

  • Lenawee Substance Abuse Prevention Coalition  
    Contact: Jackie Bradley
  • Suicide Prevention Coalition 
    Contact Stefanie Mineff

Bids

  • RFP – There are no bids at this time. 

For questions, email: rfpadministrator@lcmha.org

LCMHA Contract Provider Services

You can view the list of providers on our website by going to the Provider page at https://www.cmhpsm.org/provider-network, click on CMHPSM Provider List PDF.

If you are interested in learning how to apply to one of the regional panels within the CMHPSM, please go to https://www.cmhpsm.org/provider-manual or contact Shar Dunbar directly at 517-263-8905 or via email at sdunbar@lcmha.org

Bids

  • RFP – There are no bids at this time.

For questions, email rfpadministrator@lcmha.org

Call 517-263-8905 or 1-800-664-5005 to speak to our Customer Service staff.

 

If you’re in crisis, call this number 517-263-8905 or 1-800-664-5005
For a list of current resources, call 2-1-1

Call Customer Service

517-263-8905
800-664-5005

Monday – Friday
8:30 AM – 5:00 PM

1040 S. Winter Street
Suite 1022
Adrian, MI 49221

Translate »