Why do I need an assessment?
In order to determine what services would be most beneficial for you to live your own best life, we need to get a snapshot of who you are. A clinician will help you to identify how to get to where you want to be. Maybe your goal is to have less anxiety, maybe you experience depression, or maybe you are struggling with addiction.
The whole assessment process can take up to 3 hours, so please plan to come on a day when you can be available for that length of time. Walk-in hours for assessments are 8:00 am – 1:00 pm Monday through Thursday. You will be seen on a first come, first served basis.
Please have available your photo ID, any insurance cards, and a list of medications if you are currently taking any.
Please know that childcare is not available during your assessment. If you have any questions please contact reception, 907-463-3303.
If you need a more focused assessment to get into treatment for addiction we have a substance use assessment.
What kind of services can receive once I have an assessment?
Psychotherapy or talk therapy is a way to help people with a wide variety of mental health disorders or emotional difficulties. This therapy aims to enable patients or clients to understand their feelings and what makes them feel positive, anxious, or depressed.
Therapy models used include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), Sensorimotor, Moral Reconation Therapy, Narrative Exposure Therapy, and more evidence-based and emerging practices.
We offer both individual and group therapy options.
Targeted and Intensive Case Management
Case managers help people live their own best lives by assisting them with identifying strengths and needs, providing necessary supports to access resources, and teaching necessary life skills that lead to improved functioning in the community. Areas with which case managers frequently assist people include: applying for, obtaining, and maintaining housing; applying for financial and medical benefits (such as Medicaid, Social Security Benefits, General Assistance); coordinating medical and health needs; and obtaining food, clothing and transportation.
Case managers help people complete and keep track of paperwork and support them through coordination with other agencies and advocacy. Case managers also help people develop the skills they need to increase their functioning and independence. This may include developing budgeting, communication and time management skills through training, prompting and practicing these at JAMHI, in the person’s own home, and in the community.
Substance Use Services
JAMHI offers a variety of substance use treatment programs that reflect the varying stages of change endemic to addiction. While substance use issues are not new to the population served by JAMHI, local and national spikes in drug usage suggest the need for a more focused and specific response. Incorporating substance use treatment into the array of JAMHI services also allows greater integration into the larger pursuit of overall health and wellness.
JAMHI’s Substance Use or Integrated Behavioral Health Assessment identifies substance use problems and determines the most appropriate ASAM level of care. If a client requires residential treatment, a referral will be made to the local 3.5 treatment facility at Bartlett Regional Hospital. If a lower level of care is indicated, however, JAMHI can provide the following:
ASAM Level .5 Early Intervention Services
Participants are considered at risk for further problems with alcohol or other drugs and could benefit from education to stop the progression. This is provided by our Alcohol & Drug Information School (ADIS) operated through the Juneau Alcohol Safety Action Program (JASAP) that is a part of JAMHI.
Our outpatient substance use treatment is best provided in a group setting, though individual therapy is also available to treat substance use disorders.
The substance use group JAMHI offers is based on a biopsychosocial model and incorporates strategies from several evidence-based therapies, including:
- Cognitive-Behavioral Therapy
- Dialectical Behavior Therapy
- Moral Reconation Therapy
- Gottman Method Couples Therapy
- Motivational Enhancement Therapy
The program uses a topical rotation of five modules and is designed in such a way that new group members can start at any point in the rotation. Treatment is based on a total abstinence approach to recovery, although the prescribed use of Sublocade, Vivitrol and other medications to treat addiction is welcomed.
ASAM Level 1 Outpatient
Motivational Enhancement Therapy (MET)
Admission criteria match ASAM Level 1. Participants are not at risk for severe withdrawal symptoms, are able to at least temporarily abstain from alcohol and other drugs, but need motivation and support to help nurture and sustain recovery. Therapy occurs in a group format, 1-hour per week, with a curriculum that averages 8 weeks.
Twelve Step Facilitation (TSF)
Admission criteria match ASAM Level 1. In addition to a need for motivation and structure, this program serves as a bridge between treatment and natural supports in the community. Therapy occurs in a group format, 1-hour per week, with a curriculum that averages 6 weeks.
ASAM Level 2.1 Intensive Outpatient
Cognitive Behavior Therapy (CBT)
Admission criteria match ASAM Level 2.1. Participants are at high risk of relapse, any withdrawal symptoms can be managed on an outpatient basis, but need frequent structure, education and support for recovery. Therapy occurs in a group format, 2-hours daily, Monday through Friday, with a curriculum that averages 4 weeks. Individual and/or family sessions occur at least monthly.
While some people may start with Motivational Enhancement Therapy, step up to Cognitive Behavior Therapy, and then finish with Twelve Step Facilitation, each therapy is distinct and does not require a linear progression. In design, MET utilizes a harm reduction approach, whereas total abstinence is the goal for CBT and TSF. The curriculum for all three therapies draws on evidence-based practices from the following sources:
- Hazelden/Dartmouth Medical School Integrated Co-Occurring Disorders Program
- Dialectical Behavior Therapy
- Seeking Safety
- Moral Reconation Therapy
- John Gottman Institute
Medication-Assisted Treatment (MAT)
Medication-assisted treatment (MAT) is an effective response to Opioid Use Disorder (OUD). It is the use of medications, preferably in combination with behavioral therapies, to provide a whole-patient approach to the treatment of substance use disorders. Individuals receiving MAT often demonstrate dramatic improvement in addiction-related behaviors and psychosocial functioning.
JAMHI offers MAT at our Salmon Creek clinic. Call us today to find out more at 907-463-3303.
Cognitive Behavioral Therapy
Cognitive behavioral therapy is a psycho-social intervention that aims to improve mental health. CBT focuses on challenging and changing unhelpful cognitive distortions and behaviors, improving emotional regulation, and the development of personal coping strategies that target solving current problems.
Dialectical Behavior Therapy
Dialectical behavior therapy is evidence-based psychotherapy designed to help people suffering from borderline personality disorder. It has also been used to treat mood disorders or behavior that are not helpful such as self-harm, suicidal ideation, and substance use.
Eye Movement Desensitization and Reprocessing
(EMDR) therapy is an interactive psychotherapy technique used to relieve psychological stress. It is an effective treatment for trauma and post-traumatic stress disorder (PTSD).
Moral Reconation Therapy
Moral Reconation Therapy (MRT) is a systematic treatment strategy that seeks to decrease recidivism among juvenile and adult criminal offenders by increasing moral reasoning. Its cognitive-behavioral approach combines elements from a variety of psychological traditions to progressively address ego, social, moral, and positive behavioral growth.
MRT takes the form of group and individual counseling using structured group exercises and prescribed homework assignments. The MRT workbook is structured around 16 objectively defined steps (units) focusing on seven basic treatment issues: confrontation of beliefs, attitudes, and behaviors; assessment of current relationships; reinforcement of positive behavior and habits; positive identity formation; enhancement of self-concept; decrease in hedonism and development of frustration tolerance; and development of higher stages of moral reasoning.
The program has 16 Steps with 12 of these typically completed in 30 group sessions. Clients complete homework for each group prior to coming to a session. In the group, each client presents his or her homework and the facilitator passes the client to the next step or has the client redo the homework based on objective criteria.
All MRT groups are open-ended, meaning that new clients can enter an ongoing group at any time. Each group session will usually have new clients as well as some finishing the program.