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Mental illness and substance use disorders are problematic and challenging for many in our society. People of all ages, gender, and socio-economic strata are affected, as are their families. The toddler exhibiting worrisome behavior, a young adult newly diagnosed with schizophrenia, a middle-aged businessperson who is addicted to alcohol, an older person feeling lonely and depressed all have something in common - they are people living with behavioral health challenges. These examples offer a glimpse into the numerous challenges facing people who come to North Range Behavioral Health (NRBH) for help. Just as behavioral health issues cover a wide range of problems with varying levels of intensity, so do the NRBH treatment programs. Our services focus on helping people create and maintain an active, healthy lifestyle in the community, even as they cope with a variety of behavioral health issues. Our highly qualified professional staff of psychiatrists, psychologists, counselors, clinical social workers, and case managers forms the backbone of an extensive network of specialized outpatient and residential treatment programs. These caring specialists are backed up by a skilled, experienced work force of professional administrators, program managers, accountants, bookkeepers, and receptionists. North Range Behavioral Health is the community mental health center and substance abuse provider agency for Weld County. Our programs are designed to offer a wide variety of services to meet the complex needs of people dealing with mental illness and/or substance abuse issues. Services are divided into three primary departments and a number of specialty services as described below.
CHILD & FAMILY SERVICES DEPARTMENT Outpatient Child and Family Program (OPCF) The Outpatient Child and Family Program (OPCF) provides individual, group, and family therapy services for children, adolescents, and their families who have behavioral health needs. The program is committed to providing effective treatment through strong collaborative working relationships with other agencies. NRBH therapists provide screening, evaluation, and therapy services on an outpatient basis at our main center or at other community agencies and schools in the community as we strive to provide services in a family friendly and family centered manner. Typical challenges dealt with are family conflict, behavior problems, parenting struggles, depression, anxiety, loss, social isolation, abuse and victimization, divorce, major mental illness, and substance abuse. If the client is a child, parents are strongly encouraged to be involved in the treatment process. We recognize that the caregivers know their children best - if changes need to take place in the home, caregivers are key to ensuring success. A treatment plan is developed jointly with the client and the family outlining the issues to be addressed and the services to be provided. When indicated, staff members facilitate obtaining psychiatric services for our clients for medication evaluation and medication monitoring. Community Based Child & Family Program (CBCF) The Community Based Child and Family (CBCF) team provides substance use disorder and mental health treatment to youth and their families in a variety of settings and through various treatment approaches. As the program name indicates, the therapists on this team are experts at working with children and their families in natural settings, primarily the family home. Staff on the CBCF team also provide services in other community agencies and are part of inter-agency teams that stress collaboration and streamlining of services. Traditional psychotherapy approaches such as individual, group, and family treatment are augmented with psycho-educational groups, anger management classes, case management, and crisis intervention services. MYAT MST FFT Youth Substance Use Disorder Services TOPS Day Reporting
Kathleen Painter Littler Center
Day Treatment Program at the Littler Center: Housed within the Kathleen Painter Littler Center is our child Day Treatment Program where services are geared to provide counseling, guidance, nurturing, and special education outside the traditional school setting. This program, provided in partnership with Greeley/Evans School District 6, is available throughout the regular school calendar year for children ages 5 to 12 years. Children who qualify for Extended School Year services have the opportunity to receive services over the summer. The Kathleen Painter Littler Center Day Treatment staff utilize evidence informed therapies to provide children individualized trauma informed treatment in a caring and nurturing environment. Our families are offered in-home therapy services aimed at providing support and parenting education in their natural environment. Psychiatric assessment and ongoing treatment are also available to the children enrolled in this program. Early Childhood Services NRBH works in conjunction with Family Connects to provide early childhood behavioral health services to Weld County families. Family Connects staff have an extensive history of working effectively with young children and their caregivers in this community. In keeping with our collaborative philosophy toward providing quality services, NRBH and Family Connects has built on the existing strengths of each agency to develop a partnership that addresses this critically important need in our community. Much has been said about the benefits of early prevention. The NRBH/Family Connects approach to working with very young children and their parents is evidence of this idea in action. The staff of Family Connects works with parents and other caregivers, such as early childhood providers, to evaluate children who are demonstrating behavioral challenges. Pro-active interventions are then fashioned to help foster pro-social and age appropriate social and emotional skills that ultimately lead to success at home and in other social settings. Early identification and treatment of behavioral issues has positive, life-long benefits to the most vulnerable in our society - our children. ADULT SERVICES DEPARTMENT Adult Outpatient Program (AOP)
When treating substance use disorders, staff provide services primarily through group therapy interventions ranging from relapse prevention to domestic violence treatment. Group therapy services include:
Adult Recovery Program (ARP)
The Adult Recovery Program is divided into five distinct teams that provide specialized services to individuals who are at different stages of the recovery process. The sub-divisions of this program are listed below with detailed descriptions following:
Adult Recovery Outpatient Services: The outpatient clinicians of ARP bring an inter-disciplinary approach to treatment of mental health and substance use disorders. Focused on each person's unique strengths and interests, services help people maintain control over their lives and live independently in the community. A variety of treatment modalities helps to accomplish these goals - individual and group therapy, case management services, support groups, medication evaluations, and community based services. Team members bring their training, experience, and commitment to support individuals to recover and lead productive, meaningful lives. Assertive Community Treatment (ACT)) Assertive Community Treatment (ACT) is an exciting innovation in the on-going treatment of people who have severe and persistent mental illnesses and are at high risk of hospitalization. The ACT team employs therapists who have extensive experience and training in working with this group of people. Services include therapy, case management, medication monitoring, and vocational counseling. The mix of services varies from consumer to consumer, and may include daily or weekly contact as indicated by individual needs. Outreach is an integral part of services designed to be community based. One special component of the ACT program is NRBH's Project for Assistance in Transition from Homelessness (PATH) program. The PATH team identifies individuals and families who have a mental illness and are homeless and connects them with existing services. Mental health services and housing support is also provided to those at risk for becoming homeless. Peer Specialists and the Drop-In Center (SPOT) Peer Specialist staff are consumers who live the reality of life with a mental illness on a daily basis. These individuals, however, have progressed in their own personal recovery to the point that they want to give back and help others who are in an earlier phase of the journey. Consumers become staff after undergoing an intensive training program that gives them knowledge about the workings of the helping profession. Peer Specialists bring a unique blend of life experience, training, and empathy to the helping role as they work with consumers who are experiencing similar situations. In conjunction with the Peer Specialist staff, NRBH offers a consumer-run Drop-In Center that is overseen primarily by the Peer Specialists. The Drop-In Center, known as SPOT (Seeing Positive Outcomes Together), is a place where consumers can go to socialize, participate in a Peer-to-Peer Consumer Mentoring Program, and engage in recreational activities. Through these efforts, consumers and community members volunteer their time to assist other consumers in a variety of ways - from running support groups to helping someone obtain public assistance benefits. Peer Counselors for Older Adults For over 25 years, NRBH has recognized that many of the citizens in Weld County benefit from the personal touch of a paraprofessional who can identify with another's life situation. Sometimes referred to as people who are forgotten, older adults deserve quality care just the same as anyone else. The NRBH Peer Counselor program employs semi-retired individuals who have hearts of compassion for people - especially those who are struggling with the physical and emotional challenges of growing older. Staff are trained in the nuances of empathic listening and the basics of psychology and interpersonal relationships, and then work with people who are identified as having emotional issues. One of the most common issues is loneliness. As we age and lose people and things in life that once brought comfort and stability, loneliness and hopelessness can creep in. The Peer Counselors work to alleviate these types of emotional pain. Residential Services
Transitional Residential Treatment (TRT)
Frontier House
Frontier House was the first clubhouse model program in Colorado. We are currently a certified member of the International Center for Clubhouse Development (ICCD) www.iccd.org and a founding member of the Colorado Clubhouse Association. We partner with the Division of Vocational Rehabilitation (DVR) to provide Supported Employment services, and Evidenced-Based Practice). We also work cooperatively with Mental Health America of Colorado), WeCAN, and NAMI. INTENSIVE SERVICES DEPARTMENT Crisis Stabilization Services Program (CSS)
Acute Treatment Unit (ATU)
Acute Care Services (Detox) Emergency Services Emergency services staff coordinate adolescent pre-screens, monitor inpatient placements, and perform evaluations at selected off-site locations as needed. The facility includes an on-site respite room for extended observation purposes. Therapists are available 24 hours a day to provide immediate emergency intervention and respond to emergency calls. BASIC/ICAPP Program
The team works closely with the In-Custody Alternative Placement Program (ICAPP) of Weld County to identify and divert individuals with mental health and/or substance abuse issues from custody and maintain them in the community. The goal of the team is to reduce jail time for individuals whose mental illness and/or addiction has led to involvement with the legal system. These individuals often languish in incarceration for longer periods of time than the average inmate due to their behavioral health issues. They often have housing issues, have few or no vocational skills, and thus need more than outpatient therapy to pursue successful recovery. SPECIALTY SERVICES Integrated Care Program NRBH recognizes the importance of viewing each individual holistically, knowing that mental, emotional, physical, and spiritual wellness is dependent on wellness in each of those areas and that treatment must take all of those elements into consideration. A primary goal is to foster communication between the behavioral health provider and the primary care physician to coordinate care and to ensure continuity of care. Primary care physicians are often the first to recognize potential problems and stressors in their patient and in the patient's family and are encouraged to refer the patient for follow-up with a mental health or substance abuse professional. NRBH strongly supports co-delivery of physical health and behavioral health services in a single setting. Co-located and integrated services in a single setting improve consumer service goal achievement and coordination of aftercare. Additionally, behavioral health professionals provide consultation, education, and training of physical health providers to recognize, assess, and treat behavioral health conditions that do not require referral, and to identify conditions that require referral. Providers assist patients in coping with physical illness and treatment compliance. NRBH and Sunrise have integrated services at both the Sunrise Family Clinic and Monfort Children's Clinic and are working on a plan to provide primary care services at the NRBH main center located at 1300 N. 17th Avenue. This will allow consumers who have not been accessing medical care to see a medical provider at the same location where they see their therapist and psychiatrist. Multicultural Services Program (MCS) The Multicultural Services Program began operation in 2001 and is a recognized leader in the area of culturally competent behavioral health services - it is another NRBH model much copied around the State. Developed in response to a Board-sponsored collaboration with key Latino leaders and agencies that serve Latinos, the Multicultural Services Program is staffed by bilingual and bilingual-bicultural therapists and case managers specially trained to provide culturally competent mental health services. Mental health outreach counseling to ethnically and racially distinct populations of Weld County is the focus of the program, and services are provided to the large and diverse community of Hispanic/Latino populations within Weld County. Program staff members are able to deliver the services in Spanish, which is generally their client's native language. The program is housed in the Monfort Children's Clinic and provides therapeutic services in Spanish and/or English to clients who are experiencing depression, anxiety, and family issues such as divorce, parenting, stress, and phase of life issues. Services include individual and group therapy, family therapy, medical consultation and treatment, and couple's therapy. Multicultural Services is proactive and reaches out to the Latino community in Weld County and northern Colorado. MCS collaborates with and responds to referrals from North Colorado Medical Center, Sunrise Health System, Weld County Health Department, Regional Weld County Head Start, Weld County Department of Social Services, the courts, and other regional agencies. MCS staff attend local and regional health fairs and support the health department by co-facilitating wellness and health groups for adults and families. Intensive Outpatient Program (IOP)
Family Treatment Court (WINGS) The Family Treatment Court, or WINGS team, was developed as the result of a three year federally funded grant. The Regional Meth Partnership grant is a collaborative effort of the Department of Human Services (DHS), the Judicial System, county attorneys, respondent parent attorneys, guardians ad litem, and therapists of Weld and Larimer Counties. Each county has developed a Family Treatment Court with the goal of helping families reunite or stay together while addressing substance use disorders, mental illness, and life skills issues. The vision for this effort is for people receiving treatment to make life changes and sustain them. Parents who participate, receive a deferred Dependency and Neglect charge and keep their children in the home, have increased visitations, or may have their children returned home sooner. Charges are dropped when successful completion of FTC is achieved. The families who demonstrate a need for housing have the opportunity to live in supported housing that is provided by the grant to assist them in providing healthy, happy substance free homes for their children. While in the housing, they seek employment and begin paying a portion of their income toward rent, becoming independent of the program. South County Program
Medical Team The medical team provides comprehensive medication management and psychiatric services to consumers of NRBH. Staff provide a thorough psychiatric evaluation focused on current signs, symptoms, affect, behavior, and cognition using an interview-based process. Medical staff review other integrated data prior to the face-to-face interview such as a review of medical records, diagnostic tests, and history from collateral sources. Medical staff and primary therapists work closely together to coordinate services and ensure continuity of care. Emergency evaluations are provided as needed and are done in response to the occurrence of thoughts or feelings that are intolerable to the consumer, violent or self-injurious behavior, threats of harm to self or others, failure to care for oneself, deterioration of mental status, or bizarre or confused behavior that prompts urgent action. Suicide Education and Support Services (SESS)
For more information visit SESS website at http://www.endsuicide.org/home.html |
The TOPS Day Reporting center is another example of community collaboration
between NRBH, the Juvenile Service Planning Committee, the local Probation Office
and the Court System. The mission of "TOPS" (Today Offers Positive
Skills) is to provide intense supervision, monitoring, and comprehensive
educational and life skills to at risk juvenile offenders and their families.
The aim of these services is to reduce recidivism, increase successful academic
achievement and promote positive interventions for youth as they develop
self-sufficiency skills within the community.
The Adult Outpatient Program provides treatment to individuals with mental
health issues, substance use disorder and to those who experience a co-occurring
disorder of both. AOP staff are highly skilled and trained behavioral health
professionals who provide individual, group, case management, and couples treatment
to those in need. A solution-focused approach is utilized as appropriate to bring
about positive transformations in a short amount of time, i.e. less than six
months.
The Adult Recovery Program provides behavioral services to a wide variety of
consumers who are focused on recovering from the challenges of mental illness
and/or substance use disorders. Consumers, referred to this team, work closely
with behavioral health therapists and case managers to establish pragmatic life
goals geared toward recovering a life style that is focused on their strengths
and skills.
Transitional Residential Treatment is a 20-bed facility that provides 45 days
of intensive treatment to consumers who are substance dependent. Males and
females are admitted to treatment and must be at least 18 years of age. TRT
staff collaborate with consumers and their physicians, mental health therapists,
probation/parole officers, caseworkers, and families to aid in the resident's
recovery process. Family members are encouraged to participate in a weekly
family group. Residents of TRT are provided with structure and life skills
training that facilitate their transition back into the community. As
appropriate, residents seek and obtain employment, attend self-help groups, and
begin transitioning back into community life.
Frontier House, established in 1990, follows the Clubhouse Model of Psychosocial
Rehabilitation first established in New York City's Fountain House over 60 years
ago. Considered a model program in Colorado, Frontier House graphically
illustrates NRBH's commitment and belief that individuals with mental illness can
and will actively engage in a recovery process given the opportunity to do so.
Clubhouses, like Frontier House, help individuals get back to work, regain their
self worth, find safe and affordable housing, improve their education level, and
experience mutually respectful relationships.
Staff of the Crisis Stabilization Services Program are cross-trained to
understand the needs of the consumers we serve who have both mental health
issues and substance use disorders. Services include individual counseling,
medication monitoring, case management, group counseling, management of
withdrawal, and discharge and after care planning. In this continuum, NRBH has
developed an emergency response center within this site for individuals and
various agencies to bring consumers to for an immediate assessment of their
mental health and substance abuse needs. Medical clearance and disposition
planning are based on assessments done at the time of presentation. 
Behavioral Alternative Services In Community (BASIC):
The Program is designed to provide treatment rather than incarceration for
individuals whose offenses are due to or influenced by mental health problems, the
use of substances, or a combination of both. The team takes a unique approach to
working with individuals who have legal involvement because of their mental health
and/or substance abuse disorder. It is a fully integrated team with professionals
from both the mental health and substance abuse fields. Staff are cross-trained in
assessing and treating co-occurring (mental health and substance use) disorders.
The NRBH satellite offices in Fort Lupton, Colorado offer an array of culturally
competent outpatient behavioral health services to all ages and populations. The
program is staffed by therapists who have diverse backgrounds and the ability to
work with a wide range of people who have mental and substance use disorders. The
South County offices are the primary outpatient treatment sites for individuals
who live in the southern part of Weld County. Services include:
