Outpatient Services 

DCCSB utilizing a sliding scale fee for all services, this is based on a non-insured individuals’ ability to pay. Fees are thereby reduced for those who have lower incomes, or alternatively, less money to spare after their personal expenses, regardless of income. Douglas County CSB conducts apreliminary screening and risk assessment at the point of first contact with a all citizens interested in our services. 
If the screening identifies an emergency or crisis need, an immediate response with appropriate services is required. The criteria do not specify the content of the preliminary screening and risk assessment.

An initial evaluation and services. If the preliminary screening reveals emergency or urgent needs, the initial evaluation must be completed within one business day and, for urgent needs, services must be provided within one business day. If the preliminary screening reveals routine needs, the initial evaluation must be completed and services provided within 10 business days. Criterion 4.d.3 specifies the content of the initial evaluation.

A comprehensive person- and family-centered diagnostic and treatment planning evaluation. This evaluation must be completed within 60 calendar days of the first request for services. Criterion 4.d.5 includes suggestions for states to consider in determining the content of this evaluation, although it is up to states to establish the final content. This criterion also recognizes that state, federal, or accreditation content requirements might already exist that apply to the CCBHC.

What Are the Evaluations & Treatment Planning Services
Behavioral Health Assessment Description of Services (Seeking Financial Assistance)- A comprehensive behavioral health assessment is an in-depth and detailed. assessment of the recipient’s emotional, social, behavioral, and developmental functioning. For those. settings in which the recipient routinely participates, a comprehensive behavioral health assessment must. This appointment last on average 1 hour and 30 min. 
Diagnostic Assessment (Private Insurance or Self Pay– diagnostic assessment is a clinical evaluation provided by a licensed professional in order to gather information to determine appropriate treatment based on the initial problem, current mental status and the diagnostic impression. This Service is provided by a fully licensed LCSW, LMFT, or LPC. Service normally takes 30 min-1 hour.
Evaluation & Management (All Clients)-A service provided by a Psychiatrist or a Psychiatric Nurse Practitioner to evaluate an individual’s need for psychiatric medications and the ongoing monitoring of the effectiveness of the medication in reducing the symptoms described in the evaluation session. Service normally last between 15-40 minutes.
Addiction Severity Index (Court Ordered)– The ASI is a semi-structured interview designed to address seven potential problem areas in substance-abusing patients: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status. The ASI provides an overview of problems related to substance, rather than focusing on any single area. Service normally last 1 hour.


After your Behavioral Health Assessment these service may be recommended to assist in your recovery. Public behavioral health programs for individuals with disabilities and high-risk populations require specialized solutions and dedicated staffing to coordinate care. We tailor our program strategies and administrative approaches to address the needs of targeted populations and the management visions of each of our clients. Our experience, technological innovations, and flexible program design enables us to partner with public sector entities to develop and implement cost-effective behavioral health programs and solutions that are responsive to all stakeholders, including families, and our clients.

IPS Supported Employment

Individual Placement Supported employment is a treatment whereby those with severe mental illness (or other disabilities) receive aid searching for competitive employment and mental health (or other) treatments concurrently. 

Peer Support

Peer Support Services provide a safe environment for individuals with mental health or substance abuse issues to meet and provide mutual support. The program offers structured activities that promote socialization, recovery and wellness, self-advocacy, development of natural supports and community living skills.

Individual/Family Therapy

 Psychological counseling that can help individuals/or family members improve communication and resolve conflicts. Family therapy is usually provided by a psychologist, clinical social worker or licensed therapist.

Case Management Services

Case managers are the hub of a care team “wheel,” and the other providers, specialists or assistants are the spokes. A case manager serves as the organizer and central point of contact for all involved and keeps the details in one place for future reference. This way, critical information is never left out or forgotten when making decisions about a client’s care.

Your case manager  will collect and track the relevant information from all parties involved in your medical, legal, or social care as well as from personal stakeholders like family members, employers, trustees, or assistants. Your case manager will keep everyone apprised of new developments and allow each person to make fully informed judgments and decisions.

Substance Use Disorder Services

SAIOP is an intensive substance abuse outpatient treatment program providing comprehensive support to people in early recovery for approximately 12-16 weeks . Clients receive 9 hours of group treatment a week, plus individual counseling, case management and couples/family counseling as needed. Following this first intensive phase, clients continue to receive up to a further eight months’ support, usually consisting of one Social Support group per week, plus other community and personal supports to help continue recovery efforts.

Intensive Case Management

Intensive Case Management (ICM) is one such intervention designed to assist individuals recently released from incarceration, hospitalization and/or chronic homelessness. It consists of management of the mental health problem and the rehabilitation and social support needs of the person concerned, over an indefinite period of time, by a team of people who have a fairly small group of clients (fewer than 20).