Mental & Behavioral Health Care
The Behavioral Health (BH) services at PHSW Family Medicine are coordinated and supervised by Layne Prest, PhD, a licensed marriage and family therapist and American Association for Marriage & Family Therapy (AAMFT) Approved Supervisor. He works closely with the clinic social worker, Sherie Salvadori, MSW. They work as part of an inter-disciplinary team headed by your physician. Other team members include our clinical pharmacist, the nursing staff, and a graduate student intern (in training as a mental health professional). These providers approach their work from a holistic perspective: seeing you as a whole person, not just a condition. They talk with you about your concerns and try to assess what may be happening in terms of mind, body/medical issues, relationships, social context, cultural influences, your faith or spirituality, and so on.
Behavioral Health providers consult with your family physician to help with a variety of issues, including when you are:
- having difficulty managing the impact of one or more chronic illnesses (e.g., diabetes) on your life
- struggling with making the lifestyle changes (e.g., increasing activity, changing diet, quitting addictive behaviors such as smoking or drinking too much) you would like to make, or that your doctor is recommending
- coping with a lot of stress in your life
- wanting to have better, healthier relationships
- frustrated with trying to manage your children's behavior
- worried that your child may have a problem like ADHD
- needing medication to help you with mental health issues such as depression, anxiety, and so on
Behavioral Health Clinic
At PeaceHealth Southwest we have a specialty clinic focusing on Behavioral Health issues. Depending on your needs, you may be scheduled in this clinic. A multi-disciplinary group of professionals meets to review patient records and plan for the appointment.Then you will meet with one or more of the healthcare professionals (Family medicine faculty or resident, behavioral specialist). They consult with the clinical pharmacist and social worker on an as needed basis to help with concerns you might have.
Individual, Couple, & Family Therapy
If you decide to seek BH services in the clinic, you might meet with the BH provider on a one-time basis or in ongoing therapy. At the beginning of therapy you will meet with the provider (Dr. Prest of his intern). Together you will review your concerns, important background and details about your life situation, and discuss a plan, including goals for treatment.
There are times when the BH provider, in consultation with your physician, may recommend that you be referred to another agency or hospital for specialty services. These include local agencies which provide counseling (individual, couple, family, group), psychiatric care or support (e.g., hospitalization, ADAPT program), substance abuse treatment, basic necessities (e.g., food pantries, homeless shelters), and other social services (e.g., vocational rehabilitation, caregiver support, long term care).
Protecting You: Your Rights & Privacy
The healthcare services provided by the BH staff are governed by various ethical guidelines, state statutes, and regulations such as HIPPA (healthcare information privacy). As a result, we want to reassure you that:
- You have the right to privacy.
- Your information will be kept private and confidential except for when you sign a release of information request authorizing us to divulge your information to another party or any of the following:
- While some information may be shared with the healthcare team, this will only be to the extent necessary in order to provide you with the best possible primary healthcare.
- The exceptions to privacy and confidentiality include situations in which there is evidence of possible risk to yourself or someone else (e.g., abuse of a child or vulnerable adult, someone threatening suicide or to seriously injure another person).
- We may also need to release your healthcare information in response to a subpoena or court order (e.g., in divorce or child custody proceedings).
In accordance with the Washington State Department of Health and Human Services, you have the following rights as a person receiving mental health services:
- To be treated with respect and dignity
- To have your privacy protected
- To help develop a plan of care with services to meet your needs
- To participate in decisions regarding your mental health care
- To receive services in a barrier-free location (accessible)
- To request information about names, location, phones, and languages for local agencies
- To receive the amount and duration of services you need
- To request information about the structure and operation of the RSN
- To be free from use of seclusion or restraints
- To receive age and culturally appropriate services
- To be provided a certified interpreter and translated material at no cost to you
- To understand available treatment options and alternatives
- To refuse any proposed treatment
- To receive care that does not discriminate against you (e.g. age, race, type of illness)
- To be free of any sexual exploitation or harassment
- To receive an explanation of all medications prescribed and possible side effects
- To make an advance directive that states your choices and preferences for mental health care
- To receive quality services which are medically necessary
- To have a second opinion from a mental health professional
- To file a grievance with your agency or RSN
- To file a RSN appeal based on a RSN written Notice of Action
- To choose a mental health care provider or choose one for your child who is under 13 years of age
- To change mental health care providers during the first 30 days, and sometimes more often
- To file a request for an administrative (fair) hearing
- To request and receive a copy of your medical records and ask for changes (You will be told the cost for copying.)
- Be free from retaliation
- Request and receive policies and procedures of the RSN and Community Mental Health Agencies (CMHAs) as they pertain to your rights