Downriver Mental Health Clinic

Do you often feel “down in the dumps”, alone, or overwhelmed? Do you sometimes feel like crying or have you lost interest in your usual activities? These are common symptoms of clinical depression.

Depression is a condition that reportedly affects 1 in 10 Americans at one point or another, and is most prevalent among women and people aged 45-64.

Substance Abuse Evaluations - If you, a loved one, a client or a patient are in need of a substance abuse evaluation, we’re able to help.

Deep grief can only be the product of a deep love or connection. In a sense, we are lucky to have had something so special with someone that we grieve so deeply for the loss of them in our lives.

Conflict and periods of emotional disconnection are natural and normal in all relationships, but professional help may be needed when the security of the emotional bond starts to deteriorate.

Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) make it difficult to succeed at school, work, or within relationships. There is hope: counseling and behavior modification can help overcome the symptoms of ADD/ADHD with or without medication.

Growing up has never been easy, but it is perhaps now more difficult than ever. Childhood and adolescence is characterized by rapid physical, social, emotional, and intellectual development.

Advanced Counseling works to diagnose, treat eating disorders such as anorexia, bulimia, and binge-eating. Eating disorder treatment is a comprehensive approach to a debilitating, sometimes deadly, disorder

Advanced Counseling Services provides high quality, comprehensive, cost-effective outpatient mental health and chemical dependency treatment. Our overall goal is to optimize the level of functioning and well being of our clients. We commit to continually improve our program through teamwork and effective communication.

Qualified, licensed therapists at the Master's and Doctoral level. Most major insurance accepted. Private waiting areas. Same day, evening and weekend appointments. 6 Convenient locations.

Research in brain functioning tells us that chemical imbalances and changes in brain structure produce many psychiatric disorders such as depression, anxiety, schizophrenia and many others. These illnesses were once blamed on everything from poor parenting to lack of self discipline. Moralistic attitudes have created stigma toward mental illness that has hindered treatment. Fortunately, most psychiatric illnesses are now treatable through proper care with medication and therapy. Untreated, the cost of mental illness both financially and in terms of pain and suffering, for both the patient and their families, becomes immense. These morbidity and mortality rates are preventable and unacceptable. Psychiatric treatment is rapidly becoming more accepted through positive media exposure and from individuals whose quality of life has significantly improved as a result of treatment. Advanced Counseling Services is dedicated to providing the best treatment available to children, teens, individuals and families.

The professional staff of advanced Counseling does not discriminate against anyone seeking help based on race, religion or sexual orientation. Advanced Counseling is approved to accept Blue Cross/Blue Shield of Michigan. We are also approved providers on most insurance panels. In addition to accepting most insurance's, we also accept VISA/MasterCard.

This notice describes how health information about you may be used and disclosed and how you can get access to this information. It is effective September 1, 2013 and applies to all protected health information contained in your health records maintained by us. We have the following duties regarding the maintenance, use and disclosure of your health records: We are required by law to maintain the privacy of the protected health information (PHI) in your records and to provide you with this Notice of our legal duties and privacy practices with respect to that information. We are required to abide by the terms of this Notice currently in effect. We reserve the right to change the terms of this Notice at any time, making the new provisions effective for all health information and records that we have and continue to maintain. All changes in this Notice will be prominently displayed and available at our office. There are a number of situations in which we may use or disclose to other persons or entities your confidential health information. Certain uses and disclosures will require you to sign an acknowledgement that you received this Notice of Privacy Practices. These include treatment, payment, and health care operations. Any use or disclosure of your protected health information required for anything other than treatment, payment or health care operations requires you to sign an Authorization. Certain disclosures that are required by law, or under emergency circumstances, may be made without your Acknowledgement or Authorization. Under any circumstance, we will use or disclose only the minimum amount of information necessary from your medical records to accomplish the intended purpose of the disclosure. We will attempt in good faith to obtain your signed Acknowledgement that you received this Notice to use and disclose your confidential medical information for the following purposes. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office once you have provided Consent. Treatment: We will use your health information to make decisions about the provision, coordination or management of your healthcare, including analyzing or diagnosing your condition and determining the appropriate treatment for that condition. It may also be necessary to share your health information with another health care provider whom we need to consult with respect to your care. These are only examples of uses and disclosures of medical information for treatment purposes that may or may not be necessary in your case. Payment: We may need to use or disclose information in your health record to obtain reimbursement from you, from your health-insurance carrier, or from another insurer for our services rendered to you. This may include determinations of eligibility or coverage under the appropriate health plan, pre-certification and pre-authorization of services or review of services for the purpose of reimbursement. This information may also be used for billing, claims management and collection purposes, and related healthcare data processing through our system. Operations: Your health records may be used in our business planning and development operations, including improvements in our methods of operation, and general administrative functions. We may also use the information in our overall compliance planning, healthcare review activities, and arranging for legal and auditing functions. There are certain circumstances under which we may use or disclose your health information without first obtaining your Acknowledgement or Authorization. Those circumstances generally involve public health and oversight activities, law-enforcement activities, judicial and administrative proceedings, and in the event of death. Specifically, we may be required to report to certain agencies information concerning certain communicable diseases, sexually transmitted diseases or HIV/AIDS status. We may also be required to report instances of suspected or documented abuse, neglect or domestic violence. We are required to report to appropriate agencies and law-enforcement officials information that you or another person is in immediate threat of danger to health or safety as a result of violent activity. We are required to release information to authorized federal officials for intelligence, counter-intelligence, and other national security activities as authorized by law. We must also provide health information when ordered by a court of law to do so. We may contact you from time to time to provide appointment reminders or information about treatment alternatives or other health related benefits and services that may be of interest to you. You should be aware that we utilize an “open waiting room” in which several people may be waiting for their appointments at the same time and in close proximity. We will try to speak quietly to you in a manner reasonably calculated to avoid disclosing your health information to others; however, complete privacy may not be possible in this setting. If you would prefer a private room to wait for your appointment, please let us know and we will do our best to accommodate your wishes. Your health information may be available to Business Associates such as IT support or our billing clearing house. Formal confidentiality agreements are maintained with all Business Associates. Advanced Counseling Services will not sell your health information or use it for marketing purposes. If your therapist records psychotherapy notes, they will be kept separate from the rest of your health information and will not be released without a separate release. Others Involved in Your Healthcare: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your healthcare. Communication Barriers and Emergencies: We may use and disclose your protected health information if we attempt to obtain consent from you but are unable to do so because of substantial communication barriers and we determine, using professional judgment, that you intend to consent to use or disclosure under the circumstances. We may use or disclose your protected health information in an emergency treatment situation. If this happens, we will try to obtain your consent as soon as reasonably practicable after the delivery of treatment. If we are required by law or as a matter of necessity to treat you, and we have attempted to obtain your consent but have been unable to obtain your consent, we may still use or disclose your protected health information to treat you. Except as indicated above, your health information will not be used or disclosed to any other person or entity without your specific Authorization, which may be revoked at any time. In particular, except to the extent disclosure has been made to governmental entities required by law to maintain the confidentiality of the information, information will not be further disclosed to any other person or entity with respect to information concerning mental-health treatment, drug and alcohol abuse, HIV/AIDS or sexually transmitted diseases that may be contained in your health records. We likewise will not disclose your health-record information to an employer for purposes of making employment decisions, to a liability insurer or attorney as a result of injuries sustained in an automobile accident, or to educational authorities, without you written authorization. You have certain rights regarding your health record information, as follows: You may request that we restrict the uses and disclosures of your health record information for treatment, payment and operations, or restrictions involving your care or payment related to that care. We are not required to agree to the restriction; however, if we agree, we will comply with it, except with regard to emergencies, disclosure of the information to you, or if we are otherwise required by law to make a full disclosure without restriction. If you have paid for services in full, we will not disclose that information to your health plan for payment, or healthcare operations when you provide a written request not to provide your health information. Any uses or disclosures of your health information not described in this notice will be made solely upon written authorization from you with the notice that you may revoke authorization as provided in the regulations. You have a right to request receipt of confidential communications of your medical information by an alternative means or at an alternative location. If you require such an accommodation, you may be charged a fee for the accommodation and will be required to specify the alternative address or method of contact and how payment will be handled. You have the right to inspect, copy and request amendments to your health records. Access to your health records will not include psychotherapy notes contained in them, or information compiled in anticipation of or for use in a civil, criminal or administrative action or proceeding to which your access is restricted by law. We will charge a reasonable fee for providing a copy of your health records, or a summary of those records, at your request, which includes the cost of copying, postage, and preparation or an explanation or summary of the information. All requests for inspection, copying and/or amending information in your health records, and all requests related to your rights under this Notice, must be made in writing and addressed to the Privacy Officer at our address. We will respond to your request in a timely fashion. You have a limited right to receive an accounting of all disclosures we make to other persons or entities of your health information except for disclosures required for treatment, payment and healthcare operations, disclosures that require an Authorization, disclosure incidental to another permissible use or disclosure, and otherwise as allowed by law. We will not charge you for the first accounting in any twelve-month period; however, we will charge you a reasonable fee for each subsequent request for an accounting within the same twelve-month period. If this notice was initially provided to you electronically, you have the right to obtain a paper copy of this notice and to take one home with you if you wish. You have the right to receive a notice of a breach of your health information. We will notify you if your unsecured PHI has been breached. Changes in Policy: ACS reserves the right to change its Privacy Statement, based on the needs of the organization and changes in state and federal law. Copies of the revised Notice may be obtained from the Office Manager or on the website. ACS is required by federal and state law to protect the privacy of your PHI, notify affected individuals following a compromise of unsecured PHI, provide you with a copy of this Notice and adhere to the privacy practices as described above. If you believe that your privacy rights with respect to confidential information in your health records have been violated, please let us know immediately. You may direct your complaint to the Office Manager who will contact the Privacy Officer. You also have the right to file a complaint to the Office for Civil Rights, U.S. Department of Health and Human Services, 2201 Sixth Avenue-Mail Stop RX-11, Seattle, WA 98121 or by phone at (800)362-1710. You will not be retaliated against for filing such a complaint. More information is available about complaints at the government’s web site, http://www.hhs.gov/ocr/hipaa. All questions concerning this Notice or requests made pursuant to it should be addressed to Privacy Officer, Advanced Counseling Services, 20600 Eureka Rd. Suite 810, Taylor, MI 48180.

ADVANCED COUNSELING SERVICES, P.C. Code of Ethics The Code of Ethics to which Advanced Counseling Services subscribes includes the following areas: Business Marketing Contractual Relationships Conflict of Interest Service Delivery Professional Responsibilities Human Resources Prohibition of Fraud, Waste and Abuse Written Procedures of Address Allegations of Violations of Ethical Codes Education of Ethical Codes for Personnel and Other Stakeholders Advocacy Efforts Protocol Regarding Media Relations and Social Media Marketing and Business Practices – Advanced Counseling Services demonstrates: Ethical practices in marketing and business activities, including marketing only those programs and services it can provide, charging for only those services delivered, and maintaining appropriate records. That services are based on an individual’s needs no matter what the arrangement is for payment for services. Only patients meeting Advanced Counseling Services Admission criteria are admitted to treatment. All marketing activities and promotional literature accurately describe the services available at Advanced Counseling Services. No fees are paid to anyone for referrals to Advanced Counseling Services. Regardless of the method of payment or any financial benefits to the organization, its leaders, administrators, or clinical staff, clinical decisions are based on the identified health care needs of persons seeking services from Advanced Counseling Services. Patients and third-party payors are billed for only the services that have been provided to or on behalf of patients or their families. Accurate billing at established rates and conditions (e.g., charges for missed appointments regarding which persons served have been informed) is a priority. Contractual Relationships Advanced Counseling Services contracts with individuals to provide specific services. The clinical staff is largely comprised of independent contractors that go through a rigorous application and credentialing process and sign a contract that delineates the responsibilities of each party. Proper credentials, proof of insurance, and skills appropriate to the position are required. The contractors must also go through a thorough orientation that includes training in a variety of areas. Contractual agreements must be approved be the CEO. Contractors must subscribe to Advanced Counseling Services’ Code of Ethics. Conflict of Interest All staff members (i.e., employees and contractors) are bound by principles regarding the avoidance of conflict of interest. Staff members are required to avoid participating in any activities related to patients and/or their care that might bias or cause the appearance of bias as a result of staff involvement on a personal basis with patients of processes beyond that which is considered usual and customary by community and professional standards in providing professional and other clinic related services. Conflict of interest may result in disciplinary action up to and including termination of employment or termination of contract. A conflict of interest exists in, but is not limited to, the following situations: A clinical staff member reviewing his/her own cases in Quality of Care activities. A staff member being personally involved in a dual relationship with a patient or any involvement with a patient outside of a generally accepted clinical/clinic relationship. A staff member having monetary or financial involvement with a patient above and beyond their assigned duties. An employee engaging in supplementary employment during normally scheduled work hours at their duties for Advanced Counseling Services. A staff member holding any financial interest in a company that provides services, supplies, materials, or equipment to Advanced Counseling Services. A staff member accepting any gift or favor for himself/herself or for any member of his/her immediate family from an outside organization or individual which exceeds that which is normally associated with a prudent business/professional relationship. Misusing, or disclosing to anyone outside of the organization, information to which the staff member has access by reason of his/her position. A staff member engaging in supplemental employment at or by another mental health and/or substance abuse treatment organization or facility which is in direct competition with Advanced Counseling Services and where the competitive organization and/or the staff member are directly or indirectly profiting from the employee’s position at Advanced Counseling Services. A clinical staff member whose contract is terminating attempting to transfer patients to that clinician’s private practice of future practice at or with another organization unless, in the sole discretion of Advanced Counseling’s Governing Authority, the needs of the patient will be best served by such a transfer. Conflict of interest issues relating to contractors essentially focus on whether contractors engage in any activity that might compromise or jeopardize the integrity of Advanced Counseling Services or its Governing Authority, and any activity considered to be a conflict of interest by the clinician’s national professional organization. By virtue of their being contractors, clinicians who work for Advanced Counseling Services in a contractual capacity are entitled to work as clinicians or in other positions for other organizations, or in a self-employed capacity. Transfer by a contractor clinician, while working at Advanced Counseling Services, to another practice of any patient being seen on behalf of or under the auspices of Advanced Counseling Services is considered a conflict of interest and a breech of contract. Service Delivery Personnel follow the person-centered planning and service delivery philosophy. Orientation of all efforts toward the primary goal of the patient’s recovery. Respect for the confidentiality of all records, materials, and communications concerning patients. No discrimination among patients or staff on the basis of culture, age, gender identification, sexual orientation, spiritual beliefs, socioeconomic status, or language. Respect for the organization’s policies and procedures, and cooperates with management functions. Evidence of genuine interest in helping persons with mental health and/or substance abuse problems, and dedication to helping those persons help themselves as much as possible. Personnel shall not engage in personal fundraising with persons served. Personnel shall not act as a witness to documents such as Power of Attorney, guardianship, advanced directives, and/or company contracts without the expressed written approval of the CEO or COO. Clinical decisions, including tests, treatments, and other interventions are based on an individual’s health care needs no matter what the arrangement for compensation. Clinical staff will: Show willingness to assess one’s own personal and vocational strengths and limitations, biases, and to refer the patient to another qualified individual or program, or to release him/her from treatment. Show commitment to providing the highest quality, continuous care of patients through both personal effort and the utilization of any other health professionals or services which may assist the patient in his/her treatment and recovery. Consistently demonstrate acceptable, current skills as evidenced in Quality and Performance Improvement processes, and through continuing professional education. Not conduct research, experiments, or clinical trials involving any of its patients. Not have patients work in any capacity for Advanced Counseling Services and not permit its employees to have patients work for them in any capacity. Follow established policies and procedures for patients voicing complaints. Follow established policies and procedures regarding the confidentiality of patient information. Provide and communicate a continuity of care plan for the patient if the clinical staff member stops providing services at Advanced Counseling Services for any reason. Professional Responsibilities and Conduct – All staff members must demonstrate: Respect for the confidentiality of all records, materials and communications concerning the persons serves. Under no circumstances can protected health information be removed from the premises of Advanced Counseling Services by contractors, employees, or any third party without the expressed written consent of the CEO or their designee. Respect for persons served by maintaining an objective, professional relationship at all times, and establishing and maintaining appropriate boundaries. No discrimination toward persons served or staff members on the basis of culture, age, gender identification, sexual orientation, spiritual beliefs, socioeconomic status, or language. A dedication to helping persons with life adjustment problems learn to help themselves as much as possible. Current skills and knowledge from participating in continuing growth and development. Respect for the organization’s policies and procedures and demonstrate personal behavior that is above reproach. A genuine interest in helping persons with substance abuse, mental health and/or life adjustment problems. No conflict of interest that is real or implied. Personnel shall not use the organization’s property for personal use. Personnel are prohibited from accepting money, exchanging gifts, gratuities, or other consideration from anyone other than Advanced Counseling Services for the performance of any act that he/she would be required or expected to render in the regular course of his/her duties. Staff may not engage work related fundraising without the expressed written consent of the CEO. Personal non-work related fundraising within the office such as cookie or candy sales may be done with the approval of the Office Manager. Personnel, as appropriate, shall respect and safeguard the personal property of the persons served, visitors, and all property of the organization. Compliance with federal fraud, waste, and abuse policies as well as federal Red Flag Rules. Clinical Practices – At Advanced Counseling Services: The services offered are oriented toward the primary goal of the recovery of the persons served. Clinical decisions, treatment, recommendations, discharge decisions, and other interventions are based on individual needs and the best interest of the person served. There is a commitment to providing the highest quality of care for the persons served through both personal effort by staff members and the utilization of any other resources that may assist the persons served in their treatment, recovery and/or resolution of problems. Human Resources Advanced Counseling Services is an at-will employer. Employees can refer to the employee handbook and the Policies and Procedures Manual for detailed and comprehensive information regarding HR issues. Contractors can refer to the Policy and Procedure Manual as well as their Professional Service Contract. Prohibition of Fraud, Waste and Abuse Advanced Counseling Services provides annual training on the prevention of fraud, waste and abuse. Personnel are encouraged to report and suspicion or evidence of fraud, waste, abuse, or other wrongdoing to their immediate supervisor, Site Administrator, or Corporate Compliance Officer. Written Procedures to Deal with Allegations of Violations of Ethical Codes Staff members are encouraged to report and perceived ethical violations to their Site Administrator who will share this information with The Management Team. In the event that the ethical violation has been made by the Site Administrator, or member of the Management Team, the staff member can direct the complaint to the CEO through the Business Office. Advanced Counseling Services has a no reprisal approach for all personnel reporting. The Management Team will review the ethical conduct violation report within 48 hours of its submission. The Management Team will perform an investigation of the alleged violation and will make a recommendation regarding further action within one week. Corrective action may include training, supervision, disciplinary action, termination, and/or notifying the state licensing board. All complaints, investigations and actions will be documented and maintained by The Corporate Compliance Officer. Advocacy Efforts for the Persons Served and Corporate Citizenship Advanced Counseling Services advocates for the persons served, personnel, and other stakeholders. Advocacy efforts include participating in public education and activities that promote the elimination of stigma and discrimination for the persons served. Advanced Counseling Services donates time and resources at health fairs, sponsoring community sports teams, through providing reasonable accommodations to create equal opportunities for staff. Protocol Regarding Media Relations and Social Media The Chief Executive Officer and his/her designee are the only individuals authorized to communicate with the media, unless otherwise authorized by the CEO in writing. All press releases and other communications to the media must be approved by the CEO prior to dissemination. The posting of information regarding the organization on the organizations website, Facebook, Twitter, blogs, etc. must be approved by the CEO or designee. Personnel shall not post information regarding the persons served or on social media. Since social media is not a secure or confidential form of communication, it is the policy of Advanced Counseling Services that personnel may not communicate or befriend a consumer utilizing social media. Any violation of this protocol will prompt a Corporate Compliance investigation. If you discover that you were unknowingly or unintentionally communicating with a consumer, either past or present, please submit an Incident Report to the Corporate Compliance Officer.

Primary Focus of the Provider

• Mental Health Treatment Services

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Type of Care

• Substance abuse treatment
• Relapse prevention from naltrxone
• Buprenorphine used in treatment
• Vivitrol (injectable Naltrexone)
• Prescribes/administer buprenorphine and/or naltrexone

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Facility Type

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Treatment Approaches

• Cognitive/behavioral therapy
• Dialectical behavioral therapy
• Substance abuse counseling approach
• Trauma-related counseling
• Rational emotive behavioral therapy

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Facility Smoking Policy

• Smoking not permitted

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Service Setting (e.g., Outpatient, Residential, etc.)

• Outpatient
• Outpatient methadone/buprenorphine or vivitrol
• Regular outpatient treatment

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Facility Operation (e.g. Private, Public)

• Private organization
• State substance abuse agency
• Commission on Accreditation and Rehabilitation

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Payment/Insurance Accepted

• Cash or self-payment
• Medicare
• Private health insurance

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Emergency Mental Health Services

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Payment Assistance Available

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Language Services

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Special Programs/Groups Offered

• Persons with co-occurring mental and substance abuse disorders
• Lesbian, gay, bisexual, or transgender (LGBT) clients
• Veterans
• Active duty military
• Military families
• Clients referred from the court/judicial system
• Seniors or older adults
• Adolescents
• Pregnant/postpartum women
• Adult women
• Adult men
• Persons with HIV or AIDS
• Persons who have experienced trauma
• Persons who have experienced sexual abuse
• Persons who have experienced intimate partner violence, domestic violence
• Transitional age young adults

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Ancillary Services

• Non-nicotine smoking/tobacco cessation medications
• Treatment for gambling disorder
• Treatment for internet use disorder
• Individual counseling offered
• Group counseling offered
• Family counseling offered
• Marital/couples counseling offered
• Brief intervention approach
• Anger management
• Relapse prevention

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Age Groups Accepted

• Adults

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Gender Accepted

• Female
• Male

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Exclusive Services

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