Outpatient Services

Outpatient Services-SUD/Recovery

Program Philosophy: Gratiot Integrated Health Network (GIHN) provides services to build resilience, and to support the recovery or well-being of individuals and the integration of individuals served into the community.  Through service provision, symptoms or needs will be reduced and individuals will experience an improvement in level of functioning in their environment.  The program strives to continually improve service provision in order that individuals served experience an enhanced quality of life.

Program Goals:  The goal of Outpatient Therapy is to assist individuals in becoming self-reliant and improving the quality of their lives through the evaluation of precipitating circumstances that prompted them to seek help, identification of psychosocial conflicts, resolution of these conflicts and significant changes.

Services/Scope of Services:  Outpatient Therapy services include individual, family, and/or group therapy using agency-approved therapeutic methods including: cognitive behavioral therapy, dialectical therapy, play therapy, solution focused therapy, and others.  Collateral contact/consultations with referring agencies and other professionals involved with the individuals may also be utilized.

Populations served include individuals with SUD/co-occurring disorders, developmental disabilities, adults with serious mental illness, and children with severe emotional disturbance.  Services are provided in locations that meet the needs of the person served (i.e. agency offices, individual’s home, and other community setting).

Services are provided Monday through Friday from 8:00 a.m. to 5:00 p.m. and by appointment.  Crisis Intervention, Access, and Customer Service activities are provided 24 hours a day, 7 days a week, allowing those who are accessing services to schedule an appointment, to allow for a message to be left for clinicians or Customer Service Staff, or in an emergency situation to access a crisis worker.

The frequency of services received by persons served is based on individual need and is outlined in the individual plan of service.

Services are initiated at the request of the individual, parent or legal guardian.  Information from referral sources will be accepted after proper consent for release of information is obtained. Services will not be denied based on an individual’s inability to pay for services.  Fees are determined on a sliding fee scale.

Admission/Re-Admission Criteria:  The Access Coordinator, in conjunction with the program supervisor, is responsible for prioritizing the admission/readmission of eligible individuals based on the severity of needs.  Functional assessments may be used to aid in the determination of service eligibility (i.e. ICAP, CAFAS, LOCUS, GAF, etc.).

It is the policy of Gratiot County Community Mental Health to provide services to all eligible consumers in a manner that is sensitive to the cultural and socio-economic needs of the individual in a nondiscriminatory and/or non-threatening manner.  Services are provided to eligible individuals without regard to race, religion, color, national origin, age, sex, marital status, sexual preference, handicap, juvenile justice status or any other protected status as required by law.  The agency endeavors to accommodate individuals with special needs, or refers to providers equipped to meet their needs.

Eligibility criteria for Outpatient Therapy services include individuals who have/are:

  • a primary DSM-V diagnosis of Severe Emotional Disturbance, Serious Mental Illness, SUD/Co-occurring Disorder, or Developmental Disability
  • primary residence in Gratiot County
  • Medical Necessity (clinically appropriate; necessary to meet needs; consistent with diagnosis, symptomatology and functional impairments; most cost-effective option in the least restrictive environment; and consistent with clinical standards of care)
  • the ability to benefit from generally accepted Outpatient Therapy practices
  • a willingness to participate in treatment planning
  • consent to treatment

For a child age 14 or older who is seeking services without parental consent, GIHN will be prepared to offer limited services in accordance with PA 186 with program supervisor approval.

When individuals are found to be ineligible for services, they are given the reason(s) and are directed to alternative or more appropriate services.  In addition, when applicable, the family/support system and/or the referral source are informed as to the reason for ineligibility.  Assistance in contacting alternative services is available upon request.

Transition/Discharge Criteria: An individual may be transitioned or discharged from Outpatient Therapy when one or more of the following occur:

  • Successful completion of the goals set forth in the Individual Plan of Service
  • Individual request
  • Lack of individual participation in treatment
  • Individual requires a different level or type of service
  • Individual no longer meets established eligibility criteria

When an individual is discharged or removed from the program for aggressive and/or assaultive behavior, follow-up will occur within 72 hours to insure linkage to appropriate care.

Regardless of discharge status, any individual may reapply for services by contacting Gratiot Integrated Health Network at 989-463-4971.