Our Newest Program: CMHC, Inc. now offers Opioid Dependency Treatment in a specialized Medication Assisted Therapy Program (MAT). This program offers treatment with medications which have shown to improve chances of recovery along with regular addiction counseling for the patient and the family, and where indicated psychological assessment and treatment of co-occurring depressions and emotional disorders. Dr. John Toronto is a nationally approved prescribing physician and he and our nursing staff will manage the health assessments and nursing case management, and Dr. Jerry Morris a board certified psychologist and nationally certified and published addictions expert manages the behavioral and psychological interventions in this program. For admission please contact any of our clinics at Harrisonville or Nevada MO, or contact Dr. Morris at cmhcjerry@sbcglobal.net. For information on MAT programs and their scientifically proven efficacy CLICK HERE!
Our Programs
Primary Care Program:
CMHC, Inc. employs a supervising physician with experience in internal medicine, emergency medicine, and general practice. In addition we are affiliated with the Bates County Memorial Hospital and Primary Care Centers where our affiliate hospital and physicians, nurse practitioners, physician’s assistants, and registered nurses and neuropsychologists and medical psychologists provide excellent primary care diagnoses and treatment. Our nurse case managers coordinate the care of patients and communication between providers and community programs. If you need physical care and want to know more about our primary care program and the three primary care providers involved in our program each week call 417-667-8352
Mental Health Programs:
We operate adult, child and adolescent, and aging mental health programs for the general outpatient population. In addition we treat all these populations in our affiliated psychiatric and medical surgical hospital programs (click here to see key staff leadership and department heads. CMHC operates a Missouri Department of Mental Health, Division of Alcohol and Drug Abuse certified substance abuse treatment program with outpatient and day treatment components, transportation and case management services, and supported housing. Our serious mental illness program includes a day treatment programs licensed by the Missouri Department of Mental Health, outpatient individual, group, and family psychotherapy, medication management, and transportation and case management services. Our traffic offender programs include Missouri Department of Mental Health certified SATOP Program (click here to see SATOP Program Description) , Missouri Division of Correction REACT certified programs, and clinical intervention programs required to meet offender court requirements. We are team members providing treatment and management in the Vernon County Drug Court Treatment Program, Dade and Barton County Drug Court Programs. The mental health center provides School Psychodiagnostics in the Heartland Residential Care Center School. CMHC, Inc. operates a sex offender treatment program, child abuse and neglect assessment and treatment programs, and marital and relational therapy programs.
Admission to our program requires a diagnosable substance abuse or mental disorder in individuals ages 4 to senescence. Exit criterion is “the resolution of the patient centered criterion the patient seeks treatment to resolve and the professionally determined diagnoses and problems allowing the patient to function well without therapeutic support and growth. These criterion may include such things as “the ability to maintain sobriety”, “the ability to demonstrate cognitive, interpersonal, and coping skills to manage depressions and/or suicidal thoughts without suicidal thoughts and actions and attempts, adequate attachment and interpersonal skills, adequate occupational and adult role performance, the management and modulation of affect and other forms of self-regulation, and the ability to maintain progress toward personally meaningful adult goals.
Substance Abuse Day Treatment and Comprehensive Program: CMHC, Inc. runs a DMH DADA certified Comprehensive Substance Abuse Treatement and Rehabilitation program (CSTAR) at Harrisonville and Nevada. We have made the highest ratings possible and the maximum 3 year certifications in all our CARF national Certification Reviews. We now offer a Medication Assisted Program (MAT) that offers a “medication first philosophy” and “any open door” philosophy and have the expert behavioral health staff and components that are essential to the medication aspects of MAT programs. This program offers day treatment during the week and on weekends, 24 hour on-call crisis services, and intensive outpatient and family treatment services for individuals, families, co-dependents, children and adolescents. This program has transportation services, day treatment meals and medical and medication management services, psychological and co-occurring disorders psychological treatment services, case management services, and intensive family and co-dependency counseling services. The staff are multidisciplinary and include certified substance abuse counselors, psychologists, professional counselors, social workers, nurses and nurse practitioners, physicians, pastoral counselors, and qualified case managers.
Nevada Regional Medical Center: Since 1980 doctors of psychology and psychiatry and licensed therapists at CMHC, Inc. have been on staff at the NRMC. The clinicians at the mental health center were instrumental in starting a Behavioral Health Unit in the medical center and place and treat patients with psychological problems there. In addition we provide coverage for the ER mental health constutations, diagnostic consultation and treatment for patients on the medical/surgical units who have psychological problems or behavioral problems affection their physical condition.
Drug Court Programs: CMHC, Inc. collaborates with the courts in Cedar, Dade, Barton and Vernon Counties to provide a state of the art Drug Court Programs. These programs provide day treatment, outpatient care, and family treatment for individuals who are addicted and come into contact with the courts. The expansion of these programs into the Southern portion of the CMHC, Inc. treatment region makes us one of the largest rural drug court programs in Missouri.
Drug court participants have intensive treatment needs as outlined in the NDCI best practices manual Vol. 2. These consist of a need for accurate assessment.
Timing and Sequencing:
Outcomes in Drug Court Programs are often tied to sequencing. We took this into consideration when designing the phase structure of our Drug Court Treatment Support Programs.
The first phase of Drug Court focuses primarily on resolving conditions that are likely to interfere with retention or compliance in treatment (engagement, adherence, and responsivity needs). Functions and staff interventions that focus on meeting participants’ basic housing needs, stabilizing mental health symptoms if present, and ameliorating acute psychological or physiological symptoms of addiction, such as cravings, anhedonia, or withdrawal are the central focus of this phase of engagement of the participant and our staff have exceptional training in engagement and retention. We are often referred very difficult, long-term, co-occurring disorder patients that have repeatedly failed in multiple programs because of our reputation for effective work in this phase.
Subsequently, the interim phases of our Drug Court Clinical Services support programs focus on resolving needs that increase the likelihood of criminal recidivism and substance use (criminogenic needs). This process includes initiating sustained abstinence from drugs and alcohol, addressing dysfunctional or antisocial thought patterns, eliminating delinquent peer associations, and reducing family conflict.
Finally, later phases of Drug Court Clinical Support Services at CMHC, Inc. address remaining needs that are likely to undermine the maintenance of treatment gains (maintenance needs). This process may include providing vocational or educational assistance, parent training, or other interventions designed to enhance participants’ activities of daily living (ADL) skills, protracted adherence to treatments for serious and persistent mental disorder (medication adherence, psychotherapy services, family dysfunction services, educational and occupational enhancement services and motivation to persist toward a related goal, maintenance of involvement in positive institutions, positive activities, and positive people to maintain a personal goal path, financial stability and management of related stressors, etc.)
Case management Assessment can place the participant in one of the follow levels of case management need:
- Brokerage Model—The least intensive form of case management, the brokerage model involves assessing participants and linking them to indicated services.
- Generalist or Clinician Model—In the most common form of case management, the Generalist case manager assesses participant needs and delivers some or all of the indicated services.
- Assertive Community Treatment (ACT) Model—The most intensive form of case management, the ACT Model provides around-the-clock access to a multidisciplinary team of professionals that delivers wraparound services in the community designed to meet an array of treatment and social-service needs.
- Strengths-Based Model— A strengths-based philosophy may be applied in the context of any of the above models. It focuses on leveraging participants’ natural resources and encouraging participants to take an active role in setting treatment goals and selecting treatment options of any of the above models. It focuses on leveraging participants’ natural resources and encouraging participants to take an active role in setting treatment goals and selecting treatment options.
Co-Occurring Disorders:
The high prevalence of co-occurring disorders in substance abuse implicates the important need of competent assessment of mental disorders that may affect patient need, course in substance abuse recovery, and capacity to comply with program requirements and the court stipulations. Our programs have the capacity for comprehensive assessment of mental disorders, neuropsychological disorders that can affect substance abuse, and family emotional illness and dysfunction that is a part of the clinical picture. We employ psychologists, marital and family therapists, social workers, professional counselors, and senior substance abuse professionals that can participate in the identification and treatment of these disorders.
Substance can trigger, amplify, and interrupt healing from a number of medical disorders and if not treated these illnesses can affect the outcomes of drug court participants. Our program employs a physician, nurse practitioner, telemedicine services nurses, and two medical psychologists with post-doctoral clinical pharmacology degrees. Advanced assessment and treatment planning for medical sequalae are an essential component of our programs.
Trauma Informed Therapies are a component of a percentage of substance abusers who have been sexually, emotionally, or physically abused or traumatized by extraordinary life’s events. We have qualified behavioral health specialists on staff with years of training experience in treating individuals who have been traumatized and the ways that this can effect their potential to recover from substance abuse. Every admission to our program is given an ACE screening instrument and our Clinical Director has presented at national medical societies with Vince Felletti, MD who has done some of the seminal work in this regard at Kaiser Permenante in California.
The CMHC, Inc. program utilizes theoretical designed based on the research on Muliti-systemic Therapies, Assertive Community Treatment, and symmetrical multi-disciplinary team treatment and the MO CSTAR levels of care and certification structures. We are an approved and recognized co-occurring disorders program with the state and insurers. We comply administratively, in facility management and maintenance, clinical programs, staffing and privileging, and to national guidelines and trends by maintaining CARF and DMH certifications (and CARF has given us the top rating possible and multiple 3 year maximum accreditations.
Our program subscribes to the “any open door” and “medication first” philosophies of treatment and we only utilize a waiting list as a last resort and after safety assessment.
Our program selects a treatment plan from a comprehensive assessment of substance abuse, medical, psychosocial, psychological, legal, occupational, family, and educational needs. From that assessment the patient has a negotiated treatment plan which meets their “patient centered” goals and the professional and scientific intervention goals indicated by the assessments.