Mental Health Other Programs Problems in Teens Chemical Health Services • Nearly 70% of teens with mental health issues are not • Connections and Referral Unit – secure, 24-hour identified and do not receive needed services detoxification program that provides short-term (up to 72 hours) help to adults and adolescents • Suicide is the 3rd leading cause of death for adolescents under the influence of alcohol or other substances • Recovery programs – series of outpatient treatment Mental Health in programs designed to help adults overcome their Pediatric Primary Care dependence on alcohol and/or other chemicals Children’s Programs • Approximately 24% of pediatric primary care visits • Child Adult Relationship Enrichment - early involve behavioral, emotional or developmental intervention designed to increase parenting skills, concerns meet child well-being needs and improve family “You can’t make me clean my room. I’ll leave my stability and safety stuff where I want.” Mental Health Problems’ • Youth Behavioral Health – provides a series of Long-Term Consequences support services to families of children with severe emotional disturbances “Nobody likes me anymore – I hate my life!” • Risk for anxiety and depression increases with Community Support Programs number of adverse childhood experiences (ACEs) • Case Management Services – program that assists • Children with more ACEs are less likely to graduate people with serious and persistent mental disorders “I’m afraid to go to school because kids are from high school, be married and be employed to function independently in the community picking on me.” • ARMHS Programs – educational programs for adults with a severe mental disorder that help participants learn basic activities of daily living “I hate both you and dad since the divorce.” Housing • Housing options – program that offers housing subsidies and assistance to locate safe, affordable Defiance, low self-esteem and feelings of anxiety are some housing to adults with a mental illness of the common symptoms facing children and adolescents • Homeless services – permanent housing program with mental health problems. For parents, this can result that provides case management and supportive in frustration at being called away from work to speak services to single adults who are long-term homeless with teachers, feeling ineffective as a parent or continually or chronic long-term homeless being distracted. Children and adolescents have unique mental health problems that require treatment focused on Intensive Residential Treatment their individual needs. Symptoms vary from individual • Residential and crisis stabilization – on-site program to individual, ranging from social withdrawal to extreme that provides mental health services for up to 12 adults aggressiveness. When left untreated, these problems can • Crisis stabilization – on-site program available for up Restoring Hope... lead to serious issues at school, family conflicts, violence, to four adults requiring immediate support with their drug abuse or self-harm. behavioral health symptoms One Life at a Time Understanding child and teen mental health symptoms Outpatient Therapy Services is complex. Our licensed mental health professionals • Psychiatric and psychological services – therapy are specially trained to screen and evaluate problems to available to adults and children in individual and determine which level of treatment is appropriate. group settings to help participants heal emotionally and regain normal functioning The Child Guidance Clinic uses an exclusive integrated approach that features experts from multiple areas – CHILDCHILD psychiatry, psychotherapy, counseling – to work with children. Through our team-based process, your child Zumbro Valley Mental Health Center GUIDANCE and you are fully involved in assessing strengths and 343 Wood Lake Drive SE GUIDANCE needs, identifying their goals, developing a service plan Rochester, MN 55904 www.zumbromhc.org CLINICCLINIC and evaluating progress on a regular basis. 507-289-2089 ZV074/0614 When to Get Help Program Staff Children and adolescents with mental health disorders Gary Chaikin, MD need to get help as soon as possible. Parents and other Dr. Chaikin is a board-certified psychiatrist and member of the American Board of Psychiatry caregivers should seek help if children display any of and Neurology. He has more than 25 years of experience working with children and adolescents the following warning signs: with serious emotional and behavioral problems. Dr. Chaikin also has extensive experience • Refusing to attend or declining performance in school coordinating behavioral health services with primary medical care through the medical-psychiatric • Feelings of hopelessness interface. His areas of interest include innovative treatment modalities, medications and the • Extreme irritability integrative model between physical and mental health. • Alcohol or drug abuse • Acts of bullying or being bullied • Negative feelings about themselves Lisa Johnson, ARNP • Extreme fearfulness or excessive worrying Lisa is an advanced registered nurse practitioner with a Master’s Degree in nursing. She • Uncontrollable anger or outbursts has 18 years of experience as a nurse working within mental health settings. Lisa provides • Obsessive dieting and exercising or overeating psychiatric evaluations and medication management services to children and teens. Her areas of interest include attention deficit hyperactivity disorder, oppositional defiant disorder Services and counseling with children and adolescents. Child Guidance Clinic staff provides comprehensive, Laura Davis, PhD intensive mental health services for children and their Laura has a Doctorate degree in clinical psychology, and seven years of experience in families. This includes: community mental health and medical settings. Laura provides psychological assessments and • Assessment – through this process, a psychologist psychotherapy to children, adolescents and adults at Zumbro Valley Mental Health Center. will work with your child to evaluate their behavior, Her areas of interest include cognitive-behavioral therapy for treatment of anxiety and trauma; personality and capabilities. This can include behavior management parent training; and coping with traumatic brain injury and other interviews, observations, questionnaires and health conditions. psychological testing to develop a complete picture of your child or adolescent. • Trauma-focused cognitive behavior therapy – Thomas Diana, PhD, LP evidence-based treatment that helps reduce Tom is a licensed psychologist with a Doctorate degree in clinical psychology as well as a symptoms of anxiety, depression, post-traumatic Master’s Degree in psychology. He has more than 30 years of experience in community mental stress disorder and other child behavior issues. It health and other settings. Tom provides psychological evaluations and therapy to children, includes therapy with both you and your child; adolescents, families and married couples. His areas of interest include autism assessments, regular meetings to learn social, coping and parenting step-family issues, anxiety disorders, guided imagery and dream work. skills; and development of a treatment plan. • Evaluation – this involves a discussion of behaviors Marie Davidiak, LICSW, MSW and symptoms, a psychiatric interview, personal Marie is a licensed independent clinical social worker with a Master’s Degree in clinical social and family history, a complete medical history and, if work. She has 27 years of experience in community mental health and clinical social work, necessary, laboratory tests to determine if medications with the past 12 years at Zumbro Valley Mental Health Center practicing psychotherapy. are necessary. Marie currently provides group and individual therapy to adults, adolescents and children. • Medication management – comprehensive process Her professional areas of interest include Dialectical Behavior Therapy for both groups and used to determine if the use of medications would “Randy” is a 10-year-old with attention deficit disorder individuals; play therapy for children; family therapy; crisis counseling; counseling for battered improve your child’s outcomes. Key elements include women; and adolescent issues. a review of current prescriptions and development of who is having several issues – impulsive behavior, a medication treatment plan. forgetting homework, disorganization – at school. These Marcy Allen, LPCC • Individual and family therapy – therapy services issues require that his parents regularly meet with Marcy is a licensed professional counselor with a Master’s Degree in community counseling. She specifically designed to address childhood matters teachers to discuss his performance in class, causing them has 16 years of experience in community mental health and social work, and has been practicing and help support juveniles and their families. to miss work. Due to his behavior, Randy also is being singled out by other children as different. This continuous psychotherapy at Zumbro Valley Mental Health Center for past 7 years. Marcy provides Throughout this process, staff will work with parents negative feedback results in Randy creating a negative individual therapy for adults, teens and children; parent coaching and family therapy; and crisis to describe key findings, explain treatment options and self-image that can have life-long consequences. counseling. Her professional areas of interest include: Dialectical Behavior Therapy – groups and answer any questions. individuals; wellness counseling and coaching; stress management; and anxiety reduction.