Navigating the

Mental Health
System in SLC
Mary E. Steinmann, MD
PGY-5
ICC July 19, 2010
 Disclaimer

• This presentation is a compilation of data gathered from

multiple resources in the community. It is intended to be a
starting point and by no means is all-inclusive. We have
elected to include those resources that have been helpful
to our patients over the years, and there are other
resources available.
 Child and Adolescent Service
Intensity Instrument (CASII)
• Level 0: Basic services available to all (prevention, health maintenance)

• Level I: Recovery maintenance and health management (brief crisis

counseling, med management of chronic medical issues)

• Level II: Outpatient services once/week

• Level III: Intensive outpatient services needing several hours/week, may

be multidisciplinary with care coordination

• Level IV: Intensive Integrated Services w/o 24-hr med monitoring

(wraparound, day treatment, active case management)

• Level V: Non-secure 24-hr medical monitoring (group home, foster care,

residential)

• Level VI: Secure 24-hr medical management (inpatient psych, some

highly-programmed residential facilities)
Source - CASII Background Information and Data Analysis
(http://www.aacap.org/galleries/PracticeInformation/CASII%20infor%20and%20data.pdf)
 In Other Words…

 Nonmedical Services  Medical Services

 Self-Help  Outpatient Medical
 Outpatient Therapy Management
 In-Home Therapy  Day Treatment
 Parenting Classes  Wilderness Programs
 Support Groups  Residential Treatment
 School Interventions  State Hospital
 Inpatient psychiatric
hospitalization
 Levels of Care
Inpatient, State Hospital

Residential, State Hospital

Day Treatment

Outpatient Therapy/Med Management

Self Help, School Services, Parenting Classes, Support Groups

 Referral Rules of Thumb

 Consider financial and cultural issues

 In UT, Medicaid funding = Community Mental Health (AKA

Valley Mental Health in SLC)

 Be patient – waiting lists are long

 Everyone should have a crisis number accessible (1-800-
SUICIDE, 1-800-273-TALK)

 The ER or crisis center is your friend in an emergency

 Outpatient Therapists

 Outpatient Therapists – everyone has a favorite

 Find out if they have sliding scale, fee-for-service, or take
only insurance (and which ones)
 Find out if they speak multiple languages
 Generally start by referring patient to their insurance
company to see who is covered
 Listen to your patients – they may be able to tell you about
organizations
 Parenting Classes

 Jordan School District

 Valley Mental Health

 Youth Services

 Utah Youth Village Families First – in home therapy

 Respite Care – The Family Support Center 24 hr Crisis

Nursery
 School Help

 Refer patient to local school district school psychologist

 Tutoring (SEPS, Sylvan, etc.)

 Private or online schools – may be helpful for severe

anxiety or kids that haven’t done well in public school
 Outpatient Medication
Management
 University of Utah Child and
Adolescent Psych Clinic
 Primary Children’s Center for
Counseling
 Valley Mental Health
(Medicaid)
 Private MD’s (check insurance)
 Day Treatment Programs

 AKA “Intensive Outpatient Programs”

 Usually 5 days/week for the whole day, include a school

program; some are ½ day
 Can be step-down from inpatient/residential or step up from
outpatient
 UNI – Kidstar, Teenscope

 PCMC – Wasatch Canyons

 VMH – KIDS, ARTEC

 Residential Treatment

 24/7 supervision, usually with MD available for medication

management, some are locked units

 Wasatch Canyons (PCMC)

 PCMC Residential North

 ARTEC (Valley Mental Health)

 Odyssey House and Lifeline – dual diagnosis

 Inpatient Treatment

 Mandatory if child is threat to self or others

 Secure (i.e. locked units), short-term stabilization,

medication management, individual/family therapy,
disposition planning

 PCMC – Wasatch Canyons, McKay Dee

 U of U – UNI
 Special Populations

 Autism  Substance Abuse

 Carmen B. Pingree  ARTEC
 Developmentally Disabled  Odyssey House
 UNI HOME  Lifeline
 Children with Special
Healthcare Needs
 Developmental Pediatricians
 Preschool Aged kids
 The Children’s Center
 Thank You!!

 Laura Gilley-Hensley

 Travis Mickelson

 Eric Spiegel

 Rachele McCarthey

 Tom Laabs-Johnson

 We would love to hear about any resources we missed that

your patients love!