Frequently Asked Questions


How do I access services at Bluegrass.org?
How much will it cost?
What do I need to bring to my first appointment?
What if you do not provide the service that I need?
If medication is indicated, will I receive it at my initial intake appointment?
How does therapy work?   
How do I know Iím making progress once I start therapy, and how long will it take?
Who else may be involved with my therapy?
What should I do in a mental health crisis?
Where do I start if I think someone I know might need services for a mental health or substance abuse problem?
How much will services cost?
What are some of the signs I should look for in my family member/ friend/ child that indicate a need for mental health or substance abuse services?

What if you do not provide the service that I need?
If medication is indicated, will I receive it at my initial intake appointment?
Does mental health/substance abuse treatment work?
What are some of the myths of mental illness?
How can I learn more about behavioral disorders and mental illness?
My family members speak limited English. Are translation services available?
How do I get a copy of my medical records?

 

How do I access services at bluegrass.org?

Please call our Customer Service Center at 1-800-928-8000. A mental health specialist will ask you a few questions in a telephone screening, provide you with referral information and/or schedule an intake appointment for you. For persons who are deaf or hard of hearing, please contact the KY Relay System by dialing 711.

 

How much will it cost?

Medicaid, Medicare, and private insurance are accepted. For those without a private payor source, we will help you determine if you are eligible for insurance under the Affordable Care Act. Otherwise, a sliding fee scale based on household income is assessed at intake.
Click here to download the Sliding Fee Application

 

What do I need to bring to my first appointment?

your insurance or medical card
proof of identification (driver's license)
proof of income, such as your most recent paycheck stub or a statement of income
containers of all medicines you are taking
proof of guardianship if an under-age child will be receiving treatment

 

What if you do not provide the service that I need?

We will make an appropriate referral to a provider who will be better able to meet your clinical needs.

 

If medication is indicated, will I receive it at my initial intake appointment?

No. You will have an assessment to determine the services that best meet your needs. If a medication evaluation is indicated, it will be scheduled separately for a psychiatric/medication evaluation with a Psychiatrist or Nurse Practioner, who will determine your need for medication.

 

How does therapy work?

In therapy, or counseling, you work with a trained mental health professional Ė or a team of them Ė on ways to handle areas of your life that you have identified as problems. You may talk about your thoughts and feelings, and you may work on learning new strategies and skills to cope with these problems. Therapy is offered individually, with family members, or within groups. A more intensive therapy program may combine use of all these approaches. 

 

How do I know Iím making progress once I start therapy, and how long will it take?

At the end of your first appointment, your therapist will develop preliminary treatment goals with you. The two of you will work together in the early phases to further clarify your goals, and outline the steps you can take to reach them. These goals become the structure for your therapy and provide a way to review your progress. Occasionally, your goals will be reviewed and revised as necessary.  The length of therapy depends on the goals that have been identified and the progress you make toward meeting them. Many individuals have issues that require a relatively brief course of treatment, e.g. 2 Ė12 months. Others may be dealing with more serious problems that require more intensive and longer treatment. The bottom line is understanding and doing what works best for you.

 

Who else may be involved with my therapy?

You may decide to include other family members or significant others in treatment. This may be especially true if problems you are having involve relationships with significant others, or when another family member can support you in your efforts to reach important goals. Although family members and/or significant others may be involved in some treatment plans, in other cases it may be inappropriate to include other individuals in treatment. We urge you to discuss this matter with your therapist before making your final choice about including or excluding others.

 

What should I do in a mental health crisis?

Call 911 for police assistance if the situation is life threatening or if it looks like someone may get hurt. If there is no immediate physical danger, call our Customer Service Center at 1-800-928-8000 and our 24 hour emergency services staff will help you get the help you need.

Where do I start if I think someone I know might need services for a mental health or substance abuse problem?

Start with a call to our Customer Service Center at 1-800-928-8000.  This is the gateway to bluegrass.org Services and an information center of available resources within our region.  Services include telephone screenings, referrals and appointment scheduling.  To begin, call 1-800-928-8000 toll free.  For persons who are deaf or hard of hearing, please call us toll free at 859-253-2737.

 

How much will services cost?

Medicaid, Medicare, and private insurance our accepted. For those without a private payor source a sliding fee scale based on household income is assessed at intake.

 

What are some of the signs I should look for in my family member/ friend/ child that indicate a need for mental health or substance abuse services?

In adults:

Confused thinking
Prolonged depression (sadness or irritability)
Anxious distress
Feelings of extreme highs and lows
Excessive fears, worries and anxieties
Social withdrawal
Dramatic changes in eating or sleeping habits
Strong feelings of anger
Delusions or hallucinations
Growing inability to cope with daily problems and activities
Suicidal thoughts
Denial of obvious problems
Numerous unexplained physical ailments
Substance abuse

In older children and pre-adolescents:

Substance abuse
Inability to cope with problems and daily activities
Changes in sleeping and/or eating habits
Excessive complaints of physical ailments
Defiance of authority, truancy, theft, and/or vandalism
Intense fear of weight gain
Prolonged negative mood, often accompanied by poor appetite or thoughts of death
Frequent outbursts of anger

In younger children:

Changes in school performance
Poor grades despite strong efforts
Excessive worry or anxiety (i.e. refusing to go to bed or school)
Hyperactivity
Persistent nightmares
Persistent disobedience or aggression
Frequent temper tantrums
*source: http://www.mentalhealthamerica.net

 

 

What if you do not provide the service that I need?

We will make an appropriate referral to a provider who will be better able to meet your clinical needs.

 

If medication is indicated, will I receive it at my initial intake appointment?

No. You will be scheduled separately for a psychiatric/medication evaluation with a Psychiatrist or Nurse Practioner, who will determine your need for medication.

 

Does mental health/substance abuse treatment work?

Treatment does work.  Therapy can be beneficial for both the individual with mental illness and other family members.  A mental health professional can suggest ways to cope and better understand your loved oneís illness.  Many individuals report a significant reduction of symptoms and improved quality of life. 

 

What are some of the myths of mental illness?**

Myth: Psychiatric disorders are not true medical illnesses like heart disease and diabetes. People who have a mental illness are just "crazy."
Fact: Brain disorders, like heart disease and diabetes, are legitimate medical illnesses. Research shows there are genetic and biological causes for psychiatric disorders, and they can be treated effectively.

Myth : People with a severe mental illness, such as schizophrenia, are usually dangerous and violent.
Fact: Statistics show that the incidence of violence in people who have a brain disorder is not much higher than it is in the general population. Those suffering from a psychosis such as schizophrenia are more often frightened, confused and despairing than violent.

Myth : Mental illness is the result of bad parenting.
Fact: Most experts agree that a genetic susceptibility, combined with other risk factors, leads to a psychiatric disorder. In other words, mental illnesses have a physical cause.

Myth : Depression results from a personality weakness or character flaw, and people who are depressed
could just snap out of it if they tried hard enough.
Fact: Depression has nothing to do with being lazy or weak. It results from changes in brain chemistry or brain function, and medication and/or psychotherapy often help people to recover.

Myth : Schizophrenia means split personality, and there is no way to control it.
Fact: Schizophrenia is often confused with multiple personality disorder. Actually, schizophrenia is a brain disorder that robs people of their ability to think clearly and logically. The estimated 2.5 million Americans with schizophrenia have symptoms ranging from social withdrawal to hallucinations and delusions. Medication has helped many of these individuals to lead fulfilling,
productive lives.

Myth : Depression is a normal part of the aging process.
Fact: It is not normal for older adults to be depressed. Signs of depression in older people include a loss of interest in activities, sleep disturbances and lethargy. Depression in the elderly is often undiagnosed, and it is important for seniors and their family members to recognize the problem and seek professional help.

Myth : Depression and other illnesses, such as anxiety disorders, do not affect children or adolescents. Any problems they have are just a part of growing up.
Fact: Children and adolescents can develop severe mental illnesses. In the United States, one in ten children and adolescents has a mental disorder severe enough to cause impairment. However, only about 20 percent of these children receive needed treatment. Left untreated, these problems can get worse. Anyone talking about suicide should be taken very seriously.

Myth: Addiction is a lifestyle choice and shows a lack of willpower. People with a substance abuse problem are morally weak or "bad".
Fact: Addiction is a disease that generally results from changes in brain chemistry. It has nothing to do with being a "bad" person.
 
**Source: http://www.about.com

 

How can I learn more about behavioral disorders and mental illness?

Mental Health Links:


American Psychiatric Foundation 
The American Psychiatric Foundation advances public understanding of mental illnesses


Depressionisreal.org
Depression Is Real Coalition. We have come together to help educate the public about the true nature of depression, and to offer hope.


Mental Health America
Mental Health America is the nationís largest and oldest community-based network dedicated to helping all Americans live mentally healthier lives


National Alliance on Mental Illness
From its inception in 1979, NAMI has been dedicated to improving the lives of individuals and families affected by mental illness.

Child and Adolescent Mental Health
National Mental Health Information Center

National Institute of Mental Health (NIMH)

The latest information from NIMH about the symptoms, diagnosis, and treatment of various mental illnesses. Included are brochures and information sheets, reports, press releases, fact sheets, and other educational materials.

Healthy Minds.Org
Sponsored by the American Psychiatric Association (APA), HealthyMinds.org is a consumer-oriented Web site designed to inform users about mental health treatment and resources. The site has information about warning signs of mental disorders and prevention measures, as well as access to other mental health resources and a psychiatrist locator feature. 

My family members speak limited English. Are translation services available?

bluegrass.org provides language translation services upon request at no charge to the individual. If you need an interpreter, please let us know.

How do I get a copy of my medical records?

bluegrass.org provides language translation services upon request at no charge to the individual. If you need an interpreter, please let us know.Bluegrass provides clients with a free copy of their medical record. If a client later request records for a different time period, other than that of the free copy already given, those copies are also free. With a valid release and as a courtesy, copies of medical records are provided at no charge to other healthcare providers. Bluegrass, however, may charge other requesting third parties, such as attorneys, a maximum of $1.00 per page for copies of a clientís medical record. Social Security Administration charges are $10.00 for medical records sent by mail and $15.00 for records sent by fax or secure web transfer. Workers compensation will be charged a maximum of $0.50 per page.

Contact the Bluegrass Health Information Management Department at 859.236.2726 extension 41, fax 859.236.0373, and address there is 650 High Street, Danville, KY 40422

 

 
   
 
Entities
 
 
 
 
 

1351 Newtown Pike
Lexington, KY 40511-1277
859.253.1686
859.255.4866 (fax)

 


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