Outpatient Services
CARF-accredited behavioral health and addiction services

Our Programs & Services

Outpatient assessment and treatment services are available to clients requesting them through the outpatient department. Carrington specializes in services to youth and their families, but also provides individual and addiction treatments for those requesting help and having problems with the symptoms of their DSM-V diagnosis.

It has long been acknowledged that today’s youth are experiencing a high level of stress due to poverty, substance abuse, mental illness, crime, violence, abuse and/or trauma. Such issues manifest themselves in disruptive, risky and/or delinquent behaviors, that when left unaddressed create additional problems in adolescence and early adulthood. It is clear that our youth are absent of the coping skills to address such psychosocial stressors without the help of a mental health intervention that includes removal from the environment where they are faced with the uncertainty of daily living. The problem is even further compounded when the youth is faced with a severe emotional disturbance. Carrington is committed to providing effective, comprehensive, trauma informed residential services to children and adolescents in the context of the family and community rather than the context of the setting. In our residential program, Carrington will provide academic, vocational, recreational and clinical services for boys and girls between the ages 8 and 21 in a highly controlled, safe environment with 24/7 adult monitoring.

Hours of Operation

1. Behavioral Health Assessment – 9am-5pm (evening and weekend hours offered as needed)
2. Substance Abuse and Addictions Assessment – 9 am to 5 pm (evening and weekend hours offered as needed)
3. Case Management/Service Coordination – 9am-5pm (evening and weekend hours offered as needed)
4. Individual, Group & Family Counseling – 9am-5pm (evening and weekend hours offered as needed)

For immediate crisis needs: Mobile Crisis at (216) 623-6888 or Poison Control: (216) 231-4455

Assessment & Referral

Carrington Behavioral Health will review existing psychological and diagnostic assessments or offer them for adults and youth who may lack previous diagnostic testing or are in need of an updated or current assessment. We typically complete a diagnostic assessment within the first week, and will complete a thorough assessment within thirty days, which may include a psychiatric evaluation. Psychosocial evaluations are also available. Testing and evaluation services as described in this paragraph may be scheduled off-site with qualified providers. After assessments are completed, an Individualized Service Plan (ISP) with measurable goals and outcomes is developed within 30 days of admission. The client, youth and his or her guardian will be significantly involved in the development of the treatment plan as well as other members of the treatment team.

Case Management & Service Coordination

If indicated in the assessment, Carrington will provide case management and service coordination for addiction and/or mental health issues. Case management for residential clients includes all of the ways in which people/services outside of Carrington interface with the treatment team. This includes medical appointments, clothing needs, court dates, visitation, school meetings, placement, and any other services required as part of the client’s treatment plan or discharge planning.

Individual & Family Counseling

A licensed clinical staff person will be assigned to clients upon completion of the Diagnostic Assessment. The clinical staff will work with the client and the client’s guardian(s) if indicated. The clinician and client will decide on specific days and times for therapy sessions.

Transition Plans/Discharge/Levels of Care

Discharge planning begins upon admission and is reflected in the client’s service plan. All approved family members and dedicated adults are included in the service plan and contacted by a treatment team member to begin processing goals and treatment issues. The treatment team will then begin working on the service plan with the client and clarify time frames and goals with expectations for the client. Discharge planning involves input from all entities directly involved in the client’s case, which can include the placing agency, parent/guardian, court representatives, educational staff, health care providers, clinical staff, Carrington treatment team members, and others important in the client’s life.

The priority for a large percentage of Carrington Behavioral Health’s Residential population is that he/she be reunified with his/her guardian, be it a parent, previous foster placement, etc. The goal for the child that cannot be so reunified is a transition to a less restrictive environment. The treatment team meets weekly. Involved others are invited to attend these meetings. The focus is entirely on the child understanding and working towards attainable and definable goals. The discharge plan is thoroughly discussed at the beginning of treatment, all parties agree to the service plan, and to whom/where the child will be discharged. The goal is to get the child stabilized as soon as possible and re-integrated back into society.

A copy of the discharge summaries will be kept in the client’s record and shall include: the reason for discharge, a summary of the client’s adjustment, a brief summary of the therapeutic services which were provided to the client, as well as any recommendations for ongoing treatment, including identification of service providers whenever possible.

CARRINGTON’S BEHAVIORAL HEALTH PROGRAM/SERVICE STRUCTURE

Carrington is committed to provide information to the client served and in collaboration with the parent and/or legal representative should the client be underage.

BEHAVIORAL HEALTH PROGRAMS (Mental Health & AOD)

The agency’s Behavioral Health Programs were founded in January, 2013, with the purpose of providing comprehensive and integrated behavioral health services to persons served. Our staffing patterns are designed to maximize opportunities for the persons served to obtain and participate in the services provided.

Carrington Behavioral Health is committed to providing quality services to the person served and their families. We embrace the philosophical foundation of person- and family-centered care practices and demonstrate this throughout our treatment planning processes. With youth, Carrington specializes in the Trauma Informed Care model when appropriate to the client’s needs. Client and families are involved in the design, implementation, delivery, and ongoing evaluation of applicable and clinically recommended services offered by the organization.

Service planning processes are individualized, establishing goals and objectives that incorporate the unique strengths, needs, abilities, and preferences of the person served. Carrington is focused on the importance of the client and if relevant, their families input throughout their treatment planning processes. The persons served have the opportunity to transition easily through a system of care.

Behavioral Health Services are provided on the main floor of the facility. Carrington ensures adequate resources (i.e., confidential interview rooms, large space for group activities, equipment supplies, materials, etc.) are available and support the overall scope of each program/service.

Behavioral Health Services have specific Entry/Transition/Exit criteria documented in the agency’s Intake and Transfer/Discharge policies. Additionally, persons seeking treatment who are found to be ineligible for services are given the reason why they are ineligible and are directed to alternative or more appropriate services.

Our guiding principles include:

• Child/youth and family driven services.
• Promotion of resiliency/recovery.
• Cultural and linguistic competence.
• Strengths-based approach.
• Focus on whole person in context of family and community.
• Trauma-informed, where applicable.

Hours & Days of Services

Most therapeutic services are provided on site, however some Case Management services are also provided in the community. We offer a variety of clinical programming for clients 7 days a week at various times throughout the day. We also offer individual and family sessions during evening hours and weekends. Frequency of services are individualized and identified on each client’s ISP.

Population Served: Males over the age of 7

Setting: Onsite and within the community

Payer sources: Medicaid, Per diem rates per client from their respective contracted Counties for the residential clients.

Referral sources: Juvenile Courts, County Child Welfare Agencies, Community Referrals, Walk-Ins.

ADMISSION CRITERIA

Individuals receiving Carrington’s Behavioral Health services shall meet the following criteria:

• Clinically indicated as evidenced by the diagnosis in DSM-V.
• Court-mandated placements from Cuyahoga County Juvenile Court.
• Males over the age of 7.

SERVICE DELIVERY

Service delivery models and treatment strategies are based on accepted practices in the field and incorporate current research; evidence based best practice, clinical practice guidelines, and/or expert professional and clinical consensus. As with other aspects of treatment at Carrington, the person served (and their families/significant others) is an active participant in the treatment planning process.

Treatment is directed by a person-centered Individual Service Plan. Prior to developing the treatment plan, a comprehensive diagnostic assessment and physical health history is completed for each individual. The purpose of these assessments is to generate a statement of clinical needs/strengths/abilities, and preferences of the persons served, as well as identified challenges and problems. Individualized Service Plans consider the significance of traumatic events if applicable.

BEHAVIORAL HEALTH SERVICE COMPONENTS

Screening & Access to Services

Carrington’s process of screening and assessment is designed to maximize opportunities for the persons served to gain access to the agency’s programs and services. Each person served is actively involved in, and has a significant role in, the assessment process. Assessments are conducted in a manner that identifies the strengths, needs, abilities, and preferences of each person served. Assessment data is gathered through various means including face-to-face contact, or from external resources.

Assessment & Referral

Carrington Behavioral Health provides Assessment and Referral services to clients currently participating in Residential Services as well as individuals from the community in need of Behavioral Health Assessments.

A. Clients currently receiving other services (i.e., Residential or Shelter Care)

Existing clients identified as benefiting from MH and/or AOD services comprised of: Case Management/CPST (Service Coordination), Counseling (Individual, Family, Group), and/or AOD Counseling (Individual, Family, and Group) will receive an Assessment Update whereby treatment recommendations for needed services will be documented and existing treatment goals will be reviewed/revised as clinically indicated from the Assessment Process. Carrington staff in collaboration with the person served and their guardians/significant others will develop an Individual Service Plan relevant to, and with input of the person served. Services provided by Carrington will be identified and the ISP will indicate dates/frequency of service delivery. Services recommended, but not directly provided by Carrington (i.e. Pharmacological Management) will be coordinated with Carrington’s contracted agencies providing such services or if applicable, referrals to external providers will be made.

B. New clients not currently enrolled in any other Carrington Programs

All clients will go through a screening process and given an intake appointment to begin the Assessment process. Once the Assessment process is complete, clients identified as benefiting from MH and/or AOD services comprised of: Case Management/CPST (Service Coordination), Counseling (Individual, Family, Group), and/or AOD Counseling (Individual, Family and Group) will review the treatment recommendations for needed services identified from the Assessment.

Carrington staff, in collaboration with the person served and their guardians or significant others, will develop an Individual Service Plan relevant to, and with input of the person served. Services recommended, but not directly provided by Carrington (i.e. Pharmacological Management) will be coordinated with Carrington’s contracted agencies providing such services or if applicable, referrals to external providers will be made.

Case Management/Services Coordination

Carrington Behavioral Health provides Case management/services which provide coordinated, goal-oriented and individualized supports through assessment, planning, linkage, advocacy, coordination, and monitoring activities. Our Coordination Services focus on achieving individualized goals for the persons served. Carrington’s case management/service coordinator’s assist persons served to achieve their goals through communicating and collaborating with other service providers.

Outpatient Treatment – Mental Health and/or AOD (Counseling – Individual, Family, Group)
(COUNSELING)

Carrington’s Counseling services include, but are not limited to, individual, group, and family counseling and psycho-education. Our Counseling programs offer comprehensive, coordinated, and defined services that may vary in level of intensity; and may address a variety of needs, including, but not limited to, problem resolution, situational stressors, family relations, interpersonal relationships, behavior management, mental health issues, life span issues, psychiatric illnesses, addictions (such as alcohol or other drugs, gambling, and internet), eating or sexual disorders, and the needs of victims of abuse/neglect, domestic violence, or other trauma(s). Often, clients receiving counseling services are also involved with other services. Carrington ensures the coordination with other services and also promotes education on wellness and resiliency.

Transition Plans/Levels of Care

Given the array of services Carrington provides, multi-disciplinary teams with direct input of the person served, develop a Transition Plan that focuses on successful transfer/transition between program phases/levels/steps and/or focuses on a successful transition to a community living situation. This plan will detail how the person served will maintain the gains made during services and support ongoing recovery and/or continued well-being at the next phase/level/step.

Our Affiliations