OUTPATIENT MENTAL HEALTH SERVICES
Outpatient Mental Health Services
NWMHC offers outpatient services via its own clinics or in partnership with other community providers in Crookston, East Grand Forks, Fosston, Ada, Warren and Hallock. NWMHC is a licensed Rule 29 Mental Health Clinic.
A clinical interview is used to determine the current level of functioning. Direct observation of the individual takes place to determine if the individual meets the criteria necessary for a mental health diagnosis. The assessment must be conducted by a mental health professional or clinical trainee with specialized training. Diagnostic assessment is a tool used for any age.
Psychiatric services focus on diagnosing and treating mental disorders for both children and adults. The psychiatric staff evaluates the need for psychiatric medications and meets with clients on a regular basis.
Psychological testing consists of standardized measures (cognitive, achievement and/or personality) that assist with diagnostic clarification along with mental health, medical and/or educational treatment planning. Testing can be court-ordered or initiated by self-referral or other agencies such as school personnel, social services or medical professionals. Testing is often at least three hours in length. Feedback of test results is often communicated during a future appointment. Psychological testing is available for children, teens, and adults.
A neuropsychological evaluation is a comprehensive assessment of a person’s cognitive, emotional, behavioral and social functioning. It typically begins with an interview, because a person’s history and circumstances are important to understand how they are functioning currently. Other important people in a person’s life, such as family members, teachers, or others may also be interviewed. A neuropsychological assessment uses standardized tests to evaluate cognitive skills, motor abilities, and emotional functioning. The tests are “pencil and paper,” computerized or hands-on tests that ask you to solve problems, remember information or demonstrate skills. Typically, the following areas are evaluated:
- General intellectual functioning
- Academic / achievement functioning
- Language & visual-spatial skills
- Attention and concentration
- Executive functions (such as planning, problem-solving, and organization)
- Learning and memory
- Motor coordination/skills
- Emotional, behavioral and social development, and functioning
Individual, Group, Family and Marital Therapy
Outpatient therapy is available to all ages at Northwestern Mental Health Center five days a week and evenings by appointment. NWMHC works with individuals and families who are facing issues including, but not limited to:
Our Licensed Psychiatrists and Advanced Practice Registered Nurses diagnose and treat mental disorders of both children and adults. They assist individuals with prescription medication monitoring and medication regulation.
We schedule appointments for our existing medication management clients using the Just In Time scheduling model. Following your appointment, you will receive a reminder card instead of scheduling a follow-up appointment. The reminder card will let you know when to call us to schedule your next appointment. When you call, we will schedule your appointment within 7 business days.
You will not be able to call in to request medication refills if you miss an appointment. Instead, you can walk-in during our Open Access hours for follow-up medication services and refills.
NWMHC offers Court-Ordered Psychological Evaluations for legal proceedings, as requested.
Trauma-Informed Care (TIC) is a treatment philosophy that involves understanding, recognizing, and responding to the effects of all types of trauma. A traumatic event is defined by the person who experiences it and can impact all areas of life – physical, mental, behavioral, social and spiritual. Using a trauma-informed approach, a provider acknowledges the presence and impact of trauma on an individual’s life, regardless of whether a person is being treated specifically for the trauma.
Six principles that guide a trauma-informed approach:
- Trustworthiness & transparency
- Peer Support
- Collaboration & mutuality
- Empowerment & choice
- Cultural, historical & gender issues
Two treatment options for clients who have experienced trauma include:
Eye Movement Desensitization and Reprocessing (EMDR) therapy is an evidence-based, integrative trauma treatment that helps people heal from traumatic events or disturbing life experiences. Much like the body recovers from physical trauma, EMDR helps the mind to heal from psychological trauma.
Through an eight-phase approach, EMDR helps to identify specific memories, triggers or events that cause distress. Trauma memories aren’t stored in the same way that a non-trauma memory is stored in our brain. Trauma memories are fragmented, disintegrated and disorganized. EMDR facilitates the brain’s ability to reprocess and integrate information that been stored dysfunctionally. It reduces the negative bodily sensations and emotional charge that a person feels when they are remembering the trauma. EMDR helps to increase self-worth and self-esteem and facilitates the process of healing.
Talking with an EMDR therapist can help you decide whether this is the right plan for you. Please connect with one of our EMDR therapists if you have any questions or want to explore this option for your recovery.
To learn about how EMDR therapy works, what it is like and how widely it is recognized, watch the video from EMDR International Association:
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based model designed to help children, adolescents and their families impacted by a traumatic experience. This method is effective treatment of a wide variety of emotional and behavioral difficulties associated with single, multiple and complex trauma experiences.
TF-CBT pairs trauma-sensitive interventions with the power of cognitive behavioral techniques. Core components of TF-CBT include:
• Psychoeducation and parenting skills: Understanding what trauma is and how it affects daily life.
• Relaxation: Learning tools to self-soothe when feeling physically or physiologically stressed, giving children a sense of control over their emotions.
• Affective regulation
• Cognitive coping: Recognizing connections between thoughts, feelings, and actions as they relate to trauma and everyday situations.
• Trauma narrative: A narrative that is done in a specific way by a trained therapist to work through the trauma experience.
• In vivo desensitization: If necessary, working to desensitize certain aspects of the trauma.
• Conjoint witness sessions: Working through the trauma narrative with a caregiver who can support and participate in treatment.
• Enhancing future safety and development: Encouraging the application of skills learned in therapy to prevent similar traumatic events in the future.