FAQ – Mental Health Info

Frequently Asked Questions

If someone discloses that they are planning to hurt themselves, try not to leave them alone. Contact Emergency Stabilization Services at 1-800-888-6161.  A clinician is available 24 hours a day, seven days a week.
The nonprofit agencies with whom the Board of Mental Health contracts. This includes all of the agencies listed below:

  • Applewood
  • Beech Brook
  • Bellefaire JCB
  • Big Brothers & Big Sisters of Lorain County
  • Catholic Charities Services of Lorain County
  • El Centro de Servicios Sociales
  • Far West Center
  • Firelands Counseling Center
  • Guidestone (formerly Berea Children’s Home & Family Services)
  • Gathering Hope House
  • Lorain County Labor Agency
  • Lucy Idol Center for the Handicapped
  • N.A.M.I. of Lorain County
  • New Sunrise Properties
  • The Nord Center
  • Pathways Counseling & Growth Center
  • Safe Harbor (Genesis House)
  • Volunteer Guardianship
The cost of care should not deter anyone from seeking services. PLEASE NOTE THAT NO CLIENT WILL BE DENIED NEEDED SERVICES DUE TO THE LACK OF ABILITY TO PAY. It is impossible to predict the cost of any particular consumer’s services. The cost of the service depends upon multiple factors:

a. The type of service needed
b. Whether a consumer has insurance or qualifies for a sliding fee scale
c. The frequency with which a service is required.
d. Whether or not a client has a spend down, a co-pay or a deductible.

Talk with your provider regarding the specific fees associated with the needed services.

The cost of care should not deter anyone from seeking services. PLEASE NOTE THAT NO CLIENT WILL BE DENIED NEEDED SERVICES DUE TO THE LACK OF ABILITY TO PAY. It is impossible to predict the cost of any particular consumer’s services. The cost of the service depends upon multiple factors:

a. The type of service needed
b. Whether a consumer has insurance or qualifies for a sliding fee scale
c. The frequency with which a service is required.
d. Whether or not a client has a spend down, a co-pay or a deductible.

Talk with your provider regarding the specific fees associated with the needed services.

Evidence based practices are interventions that have been tested by researchers and have been found to be effective. Just as within the medical field, researchers have found that some behavioral and psychological treatments are more effective than others. As a result of this research, clinicians can use evidence based practices to address certain conditions, and can expect that these interventions will have a greater chance of success.

There are numerous Evidence Based Practices utilized within the Lorain County Network of Care. Ask you provider if they offer the following:

Evidence Based Practice Effective for treating…… Available at …….
Cognitive Behavioral Therapy (CBT) Depression and/or Anxiety within children, adolescents and adults Most network agencies have a clinician trained in CBT. Ask for this intervention specifically when you call to arrange counseling
Trauma Focused Cognitive Behavioral Therapy- Youth who have experienced trauma (including abuse, witnessing violence, house fires, natural disasters, sudden death of a loved one, etc.) Applewood, Bellefaire JCB, Beech Brook, Berea Children’s Home and Family Services, Firelands and Nord.
Incredible Years Children under eight with disruptive behaviors, including oppositional behaviors and conduct problems. Intervention requires parents to participate in group. Berea Childrens Home and Family Services provides 10-week groups semi annually.
Parent Child Interaction Therapy For children age 2-10 with conduct or attachment problems. Intervention focuses on engagement between child and parent. Beech Brook
Firelands
Dialectical Behavioral Therapy (DBT) Adults with Borderline Personality Disorder or severe problems regulation emotions. Nord
Integrated Dual Disorder Treatment (IDDT) Adults with co-occurring severe mental illness and substance abuse.
Legal and ethical codes mandate that clinicians keep private health information confidential with a few exceptions. The instances wherein a clinician will not keep information confidential are as follows:

a. If a client or guardian signs a written release of information that allows for personal health information to be shared with a particular person or entity, the clinician will share the agreed upon information with that person or entity. For example, if you would like for the school to know that your child is in counseling, you would have to sign a release allowing your child’s therapist to communicate this information to the school. Without this release, if your child’s school teacher called the therapist, the therapist would not even acknowledge knowing your child.

b. If you are judged to be at significant risk or harming someone else or yourself. If you share a plan to kill someone else or yourself, you therapist must share this information with the smallest number of people required (may be your family, friend, the threatened person, crisis staff, the police, etc.) to protect the safety of you or the person that you threatened.

c. If child or elder abuse or neglect is disclosed. Clinicians are mandated reported and must make the Children’s Services Organization or Adult Protective Services aware of child abuse and neglect.

d. In unusual circumstances, if a clients chart is subpoenaed by the court, and the agency can not effectively prohibit the information from disclosure, the court may be given information that has been court-ordered. ??

e. Information needed for billing purposes will be shared with funders. This will be explained in further detail in the privacy notice distributed at the agencies.

It is noteworthy that in the case of children and adolescents receiving services, legal guardians have the right to access treatment information. However, as it is often essential for a child to have trust that his or her counselor will not disclose all information to a parent, at the onset of services clinicians will typically determine with the parent and the youth, which information a parent will expect to have shared and what information can remain between the therapist and the youth.

If you have other concerns or questions about confidentiality, please
discuss them with staff at the agency where you seek services.

Following the Mental Health Assessment, a clinician will make recommendations regarding which services would be most effective for you. An agency can not have a policy of denying all clients access to psychiatry simply because clients did not also accept counseling (or other) services at the same agency. However, depending upon the specifics of an individual case, a psychiatrist may not feel comfortable prescribing to a client who is refusing other services that the psychiatrist believes are essential for symptom management.
Entry into any agency will include a Mental Health Assessment, wherein a clinician meets with you and determines with you what services are most appropriate. The wait time for a Mental Heath Assessment and for other clinical services varies per agency and from week to week. This website lists the agencies that are currently offering services within 14 days.

View Adult & Child Agencies

Clients Right Policies are posted in a prominent location within each agency, often near the entry.  The officer should be listed on this sheet or you can ask the staff.  If you are not provided with the name of your client rights officer you may call the Mental Health Board 440-233-2020 who can help you find this information.
Although policies may differ from one agency to another, some generally respected practices in the Mental Health Network are as follows:

  1. If at all possible, talk to your worker about your concerns.
  2. If you can not find resolution, speak with his or her supervisor.
  3. If you feel that your rights have been violated, talk to the agency’s Clients Rights Officer. Each agency has contact information regarding the Client Rights Officer clearly posted or you can ask staff.
  4. If you can not find resolution contact the Board Client Rights Officer about the rights that you feel have been violated.
A Medicare recipient may want to check the list of eligible providers to determine where to receive mental health care. Within the LCMHB network, Firelands is the agency that currently accepts clients who have only Medicare.
If you have private insurance follow the following steps:
a.  Check with your insurance company to determine where you can receive covered mental health services.
b.  If you require a service that is covered by your insurance provider, please call the eligible provider to arrange services.
c.  If you require services that are more intensive than those covered by your insurance agency, contact a mental health agency that offers intensive services and describe your concerns. Agency staff can help you determine where your needs can be met.
What is commonly referred to as a sliding scale fee is called a copayment schedule by the Board. This schedule changes every year in accordance with federal guidelines. All of the Board funded clinical agencies utilize the same copayment schedule. PLEASE NOTE THAT NO CLIENT WILL BE DENIED NEEDED SERVICES DUE TO THE LACK OF ABILITY TO PAY.
Yes, the network clinical agencies are funded by LCMHB to allow for an uninsured consumer to receive discounted or free services, at a rate that is determined by a consumer’s ability to pay. Each agency uses a copayment schedule to determine the fee that will be expected from a potential consumer.