All individuals seeking outpatient treatment services will complete an initial clinical evaluation with a mental health services professional to assess psychological and social functioning, presenting problem, symptoms, functioning deficits, and history. Following this assessment, clients and their clinical team will develop an initial plan for subsequent treatment and/or evaluation.    

Outpatient treatment services are categorized in a three-level system:  

• Level I - For clients who need a structured living arrangement, day treatment services, outpatient substance abuse treatment, or residential substance abuse treatment. 
• Level II – For clients who need an outpatient therapist for counseling services due to acute distress, or who require regular individual, group, or family therapy, in-home interventions, weekly substance abuse groups, or basic living skills groups. 
• Level III – For clients with minimal needs, who don't require frequent counseling but need occasional monitoring and medication management, services are coordinated by the County Director or their designee. 

All Outpatient treatment will also include as needed/ordered by psychiatrist an ongoing assessment of the client’s presenting condition and progress being made in treatment.  

Treatment Plans:

• Upon intake, the client and their clinical team will collaborate to create a treatment plan that is specific to the client’s needs and aspirations.  
• Treatment plans are person-centered and recovery-oriented, meaning the client’s treatment plan will focus towards attaining measurable goals while also working to recover from clinical issues.  
• Treatment plans are reviewed and updated every three (3) months, or earlier if needed. 

Face-to-face, one-on-one (including Telehealth) sessions focused toward achieving specific measurable goals and/objectives in the client’s treatment plan.

Face-to-face, one-on-one (including Telehealth), client-focused sessions that may include the client, the client’s family, and focuses towards achieving measurable goals and/or objectives in the client’s treatment plan.

Face-to-face (including Telehealth) counseling sessions consisting of two (2) or more clients in a group setting to assist in achieving specific goals and/or objectives in the client’s treatment plan.

Group settings do not exceed sixteen (16) for adults and ten (10) for children and adolescents.

Face-to-face, one-on-one (including Telehealth) sessions in which a qualified practitioner (physician, a physician's assistant, or Certified Registered Nurse Practitioner) provides psychotherapy, assessments, diagnosis, and/or prescribing medication.

Medical assessments may also be performed to determine the need for inpatient hospitalization.

Face-to-face, one-on-one (including Telehealth) in which the clinician and client review side effects their prescribed medication may cause, monitor compliance with dosage instructions, and assess how the medication affects the client.

The administration of injectable or oral psychotropic medication as directed by a physician or CRNP.

Review and/or revision of the client’s treatment plan by their clinical team that evaluates the client's progress toward treatment objectives, the appropriateness of services being provided, and the need for a consumer’s continued participation in treatment.

Crisis: Any situation in which the client’s symptoms or behaviors put them at risk of harming themselves or others or prevent them from being able to properly care for themselves.

Immediate emergency intervention with the client to resolve a crisis. These services are designed to provide systematic relief, increase knowledge of resources, and facilitate return to pre-crisis routine functioning.

A structured interview process conducted by clinical staff to assess if other less restrictive treatment options are appropriate and available, and assesses a client’s needs for local or state psychiatric hospitalization.

Services that help clients receive services from external service providers/independent practitioners.

Services provided by ADMH-certified adult, youth, or parent peer support specialists that promote socialization, recovery, self-advocacy, development of natural supports, and maintenance of community skills.

Peer Support Specialists actively participate in the treatment planning process to ensure the treatment plan accurately represents the client’s needs and preferences.

Parent (family) peer specialists assist families to participate in the wrap-around planning process, to access services, and to navigate complicated adult/child-serving agencies.

Structured one-on-one intervention to a client and their families that is designed to aid behavioral health conditions that prevent age-appropriate social functioning.

Services are based on an individual treatment plan and are tailored to restoring daily living, social and communication skills adversely affected by a behavioral health condition.

Components include basic living skills, social skills training, coping skills training, assessment, plan review, progress reporting, and transition planning.

The TM cannot provide social, educational, recreational, or vocational services.

Northwest’s crisis team is equipped with crisis training used to intervene in crisis calls.

Services are available 24/7 both face-to-face and over the phone.

Training and assistance in developing/maintaining/restoring basic life skills such as personal hygiene, housekeeping, meal preparation, shopping, laundry, money management, using public transportation, medication management, healthy lifestyle, stress management, and behavior-education appropriate to the age and setting of the client.

Services provided to the families (caregivers, significant others) of clients to assist them in the education and understanding the nature of their family member’s illness, symptoms, management of the disorder and medication, and ways the family members can support the client and cope with the illness.