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Out patient

The Crossroads Outpatient Clinic is dedicated to providing outpatient psychiatric evaluation and medication management to clients in the community.

Clients discharged from inpatient or partial hospitalization at Forest View Hospital can be scheduled for a medication review within 1 to 4 weeks following discharge (as appropriate).

The clinic does not provide outpatient psychotherapy, but works closely with therapists in the community to coordinate treatment. The clinic also works closely with Forest View’s inpatient programming to provide medication management for discharged patients as part of a transitional step-down process. Clients may then continue to receive treatment from the Outpatient Clinician or may be returned to their current psychiatric provider.

The clinic is located in the lower level of Forest View Hospital. The Outpatient Clinic’s phone hours are Monday – Thursday from 9:00 a.m. to 4:00 p.m. and Fridays from 9:00 a.m. – 12:00 p.m.

New clients needing outpatient psychiatric evaluations can be referred to the clinic by medical or behavioral health professionals, or by direct contact from the client themselves. Appointments can be arranged by our administrative staff by contacting us. 

Dialectical Behavior Therapy (DBT)

 

Dialectical Behavior Therapy (DBT) was originally developed for the treatment of Borderline Personality Disorder.  DBT has been proven to be an effective treatment for other disorders as well, including eating disorders and addiction.  Although DBT is designed as an outpatient therapy, we are proud to offer DBT skills groups for our adolescent and adult patients at Crossroads.  Most of our patients attend the groups regardless of diagnosis.  Feedback from our participants has been very positive.

The word “dialectical” may be a new word for you.  Life is full of inconsistencies and contradictions.  There are times when there is more than right answer and other times when there is no single right answer.  Dialectics are about holding things in balance that seem to be contradictory, mismatched, or in direct competition with each other. When we learn to think in dialectic terms we move away from extremes (“either/or”, “all or nothing” thinking) toward the middle ground.  We learn to balance life situations by thinking dialectically. Look at the extremes in the following statements:

  • I don’t want to be in pain but I don’t want to change

  • I believe that reality is out of my control but I’ll still continue in controlling behavior

  • I want my life to be better but I still want to engage in self-destructive behavior

  • I want my life to be easy but I spend a lot of energy making it harder than it needs to be

  • I demand respect while being disrespectful of others and myself.

  • I want to be treated like an adult but I will behave in immature ways.

  • I want help but I reject support.

Crossroads provides DBT skills to learn to move away from the extremes, and begin to build a life worth living.  Skills taught in classes include:

  • Mindfulness: How to observe and be aware of what is going on in the moment with being judgmental.

  • Emotion Regulation: How to appropriately label and manage our emotions.

  • Distress Tolerance:  How to manage emotions that are difficult without resorting to old, destructive habits.

  • Interpersonal Effectiveness:  How to get along with other people, while asserting ourselves and getting our needs met.

 

 

 

 

 

 

Child & Adolescent
Adult
Psychological Trauma
Co-Occuring Disorder
Eating Disorders
Partial Hospitalization
Outpatient Clinic
Dialectical Behavior Therapy (DBT)

 

 

 

 

 

 

 

DBT FAQ (76KB)
Information courtesy of Behavioral Tech, LLC

 

 

 

 

 

 

 

Behavioral Tech, LLC
DBT Self Help

 

 

 

 

 

 

 

 

 



Co occuring Disorder

The Co-occuring DisorderTreatment program at Crossroads Hospital is designed to meet the unique needs of individuals with co-existing psychiatric and chemical dependency issues. Patients who require monitoring and management of their withdrawal symptoms are admitted to the inpatient unit for supervision. The emphasis during treatment is on education, treatment and management of the mental illness and chemical dependency, as well as comprehensive discharge planning. Treatment is provided as an integrated part of the adult psychiatric program.

Mission Statement
The mission of the Co-occuring Disorder Treatment program is:

  • To create a therapeutic environment and provide state of the art treatment approaches to patients and families.

  • To support the patient's program of recovery from addictive disease and mental health disorders.

  • To provide comprehensive education to patients, families, staff, health care professionals and the public.

Program Objectives
The objectives of the Co-occuring Disorder Treatment program are as follows:

  • Thorough assessment of the patient's treatment and detoxification needs.

  • Rapid stabilization of the patient's acute withdrawal symptoms.

  • Introduction of the patient to Crossroads Hospital's treatment philosophy, support systems and structures.

  • Transition of the patient to less intensive levels of care (Partial Hospitalization, Intensive Outpatient, or Outpatient Counseling).

Staff of Crossroads Hospital is Committed
Staff provides safe medical detoxification, works with patient to dea with denial, and educate parents and families about the disease concept of addiction. Individualized treatment planning that identifies and addresses the patient's relapse risk factors and introduces skills based relapse prevention programming. The program promotes both patient and family commitment to a life long recovery process.



Partial Hospital Program


The Partial Hospital Program is a structured plan of intensive psychiatric treatment designed for the persons who are able to remain in the community while participating in treatment. Individuals may be admitted directly to the Partial Hospital Program or upon discharge from the inpatient unit. The Partial Hospital Program operates Monday-Friday from 9:00 AM to 3:00 PM. Lunch is included.

Treatment Goals
The goal of the Partial Hospital Program is first of all, to prevent the worsening of psychiatric symptoms and then to assist the person to be able to return to full participation in the community. The treatment is practical and solution focused and includes most of the same programming that is provided in the inpatient setting.

Program Components

  • Psychiatric medical evaluation and counseling

  • Group therapy

  • Family therapy

  • Case Management Services

  • Discharge Planning

Specialized Programming
The Partial Hospital Program provides the same specialty services provided in an inpatient setting.

  • Psychological Trauma

  • Eating Disorders

  • Co-occurring Disorders Group Therapy

Group therapy is an essential part of treatment in the Partial Hospital Program. Groups are specially designed to assist each person to return to meaningful participation in both the family and community.

Specific group topics may include:

  • Goal Setting

  • Illness Education

  • Specialty groups for eating disorders, trauma and co-occurring disorders

  • Interpersonal Communication Group

  • Wellness Group

 

Eating Disorders

Crossroads's professional reputation has been developed through 25 years of experience in the treatment of Eating Disorders. Crossroads provides services for children, adolescents and adults struggling with anorexia nervosa (self-starvation) and bulimia nervosa (binge-purge syndrome).

Treamtment Team
The treatment team provides services and addresses co-existing psychiatric disorders such as major depression, substance abuse and trauma disorders. Eating disorders treatment is provided as an integrated part of general adult and adolescent inpatient and partial hospital treatment programs.

Clinical Programs

  • Acute Inpatient Treatment is for those individuals whose behavior has placed them at serious risk due to medical complications and for those who are suicidal or self-abusive. Patients receive treatment on the inpatient unit which is staffed 24 hours per day.

  • Partial Hospitalization is available for patients needing significant structure in order to control eating behaviors. Many patients transition from inpatient to partial during their treatment. Patients attend programming 6 hours per day, Monday through Friday while residing in the community.

Who's At Risk?
The more warning signs a person has, the higher the probability the person has or is developing an eating disorder. If you think you or someone you know has an eating disorder, please call and talk to a mental health professional who is prepared to answer questions and provide information.

Who to Call?
Our Assessment and Referral Center is available at 800.949.8439, 24 hours a day and all assessments are provided free of charge.

Visiting Professional Program
Visiting Professionals Program provides professionals with the opportunity to see our Psychological Trauma Treatment Services in action. Contact Community Relations at (616) 954-3115 or 1-800-X-ROADS-1to make an appointment. The Visiting Professional form is available for download.