A Campaign to Advance Behavioral Health Services for Nebraskans

It’s a FINE LINE

It’s a FINE LINE

It’s a FINE LINE

It’s a FINE LINE between those of us who are addicts and those of us who are

not. Between those who have hope and those who live with the despair of mental

illness. For some, the line is perilously thin: Crossing it are children, adolescents,

men, women, husbands, wives, family, friends, neighbors, veterans - virtually

everyone is vulnerable. It may be triggered by one’s genes, environment, re-entry

to America after serving overseas, work stress or myriad other reasons.

The results of untreated mental health and substance abuse

are devastating.

As a locally owned and governed medical center, BryanLGH Medical Center lives

with expectations and challenges that are not shared by other ownership models

in health care. Meeting the needs of the region is who we are – it’s part of our

heritage. We maintain our commitment to services in mental health and substance

abuse, while others have chosen to abandon these critical services.

We believe these services are crucial for the communities we serve.BryanLGH

Medical Center mission:

To provide excellent care and promote health with a focus

on quality, collaboration and compassion.

The comprehensive nature of

our programming - combined

with a multidisciplinary team that

includes addiction psychiatrists,

internal medicine specialists,

addiction counselors, addiction-

trained nurses, a teacher and

a spiritual counselor - allows us

to individualize treatment for

clients who usually have wide-

ranging needs. This also

gives us the ability to assess

the whole person - his or her

addiction, medical, psychiatric,

psychological, and spiritual needs.”

– Larry Widman, MD

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Why a capital campaign,

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why now and why you?

A new Independence Center will allow BryanLGH to offer services in a safe, private facility.

BryanLGH Medical Center provides a comprehensive

mental health and substance abuse program that is

uncommon in the state of Nebraska and beyond. Some

of this care is delivered in antiquated and inefficient facilities

that limit our ability to expand services; this hinders some

from seeking help.

The FINE LINE campaign will remove physical barriers

that prevent many from seeking help. First, the current

BryanLGH Counseling Center will be relocated, allowing

greater proximity to BryanLGH Heartland Psychiatry

Physicians. It also will be better designed to meet a growing

outpatient demand. Current mental health services will

be augmented and expanded in renovated space.

This will make it possible for the current home of the

Counseling Center to be renovated and expanded as

the new home of the BryanLGH Independence Center.

The current Independence Center, specializing in substance

abuse treatment, is an 83-year-old nursing school dormitory.

It has had to “make do” since 1971, finding a way to deliver

clinical services in a facility not designed to do so, and one

that compromises privacy, safety and healing.

A $2.5 million capital campaign will be matched and exceeded by BryanLGH.

BryanLGH has always worked to meet the needs and

provide the level of service the region has asked of us.

Meeting these needs involves an annual list of capital

improvements - a list that exceeds our financial abilities.

The Independence Center has been on this list for more

than 10 years; the current building can no longer meet

our region’s needs and is in a state of disrepair. Additionally,

the Counseling Center is limited in meeting future demands,

not by expertise, ambition or capability, but by space.

It is indeed a FINE LINE…for the people and families

seeking treatment…for your medical center’s ability to

continue providing world-class clinical treatment while

maintaining mission driven services…at a time when

more people need help and seek assistance, yet fewer

people and organizations are committed to lending

a hand.

BryanLGH has not often asked the region for support, but it needs your help now.

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BryanLGH Behavioral Health Services

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2300 South 16th Street • Lincoln, Nebraska

West

A. CURRENT Independence Center

B. CURRENT Counseling Center

C. FUTURE Independence Center

D. FUTURE Counseling Center

E. Mental Health - 77 inpatient beds

F. Mental Health Emergency Department

lA lB

lE

lF

lD

lC

Main Level Points of Interest:

• Larger, private family rooms during intake process.

• All counselors’ offices are private and soundproof.

• All admissions, client intake and paperwork done on the same floor.

• Includes both public and private waiting areas.

• The sickest patients (those in detox) are situated in rooms in view of the nurses’ station for their safety and access to quick care.

• Sleeping rooms are on one floor and are centrally located to the nurses’ station.

• A private phone area allows clients to contact loved ones.

• The physicians’ examination room is adjacent to the nurses’ station for easy access to support, records, computers, etc.

• Laundry room is now located on the same floor as the sleeping rooms. Currently laundry is two floors away.

Private Waiting Room

Staff Conference Room

Counseling Rooms Detox Rooms

NEW Independence Center Main Level

Patient Rooms

Nurses’ Station Adolescent Lounge

Staff Lounge

Adult Lounge

Family Conference

Intake Family Conf.

Meditation Listening

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N

lC

Foyer Entrance

West Wing

East Wing

Lower Level Points of Interest:

• Classrooms allow adolescent inpatients to keep up with studies.

• Eating, recreation and relaxation areas on one floor, makes for a more private living situation for clients.

• Group therapy rooms are soundproof and private.

• Privacy-fenced outdoor patio allows clients to get fresh air while respecting their need for anonymity.

NEW Independence Center Lower Level

Classroom

Recreation Room Group Rooms

KitchenN

6

lC

7

Third Floor - Professional Office building

lD

NEW Counseling Center

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All gifts greater

than $5,000 will be

permanently listed

on the donor wall in

the new Independence

Center and on donor

walls at BryanLGH

East and West.

Giving opportunities

also are available as

a brick donation

for $1,000 or brick

paver for $2,500.

BryanLGHFoundation

Donor Recognition Opportunities

Building $1,500,000 1 BryanLGH West Site

Recreation Area 500,000 1 Exterior Space

East Wing 250,000 1 Main Level

West Wing 250,000 1 Main Level

Foyer Entrance 150,000 1 Main Level

Lower Level-west wing 150,000 1 Lower Level

Recreation Room 100,000 1 Lower Level

Conference Center 100,000 1 Main Level

Classroom 75,000 1 Lower Level

Adolescent Lounge 75,000 1 Main Level

Adult Lounge 75,000 1 Main Level

Private Waiting Area 50,000 1 Main Level

Intake Conference Room 50,000 2 Main Level

Family Conference Room 40,000 1 Main Level

Group Rooms 25,000 6 Lower Level

Staff Conference Room 20,000 1 Main Level

Staff Lounge 15,000 1 Main Level

Detox Rooms 15,000 2 Main Level

Patient Rooms 13,000 13 Main Level

Kitchen 12,000 1 Lower Level

Counseling Rooms 10,000 10 Main Level

Meditation Listening Room 10,000 1 Main Level

Nurses Station 10,000 1 Main Level

Opportunity Gift Amount Available Location

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Fine Line Campaign Leadership

Campaign Steering Committee

Randy Harre, Chair

Bob Bettenhausen

Angie Muhleisen

Tom Nesbitt

Ron Wachter

Larry Widman, MD

DeeAnn Wenger, Chair

Sam Baird

Dick Campbell

Charles Gregorius, MD

Cathy Hedstrom

Lloyd Hinkley

Jon Hinrichs, MD

Art Knox

Jim Mastera

Robert Nefsky

Bob Norris

Kim Russel

Robert Scott

Don Stading

James Stange

James Stuart, III

Cori Vokoun

BryanLGH Foundation Board of Trustees

Campaign Clinical Leadership

Larry Widman, MDdirector, BryanLGH Heartland Psychiatry

Larry Widman, MD graduated from the University of Nebraska School of Medicine, Omaha, in 1992 and completed a psychiatry residency at the Creighton University/University of Nebraska Medical Center combined psychiatry program in Omaha. Before moving to Lincoln, he worked for Trinity Health in Minot, ND, where he was medical director for mental health services for 10 years.

Dr. Widman is certified by the American Board of Psychiatry and Neurology and is the medical director of BryanLGH Heartland Psychiatry.

Shannon Engler, MS, RNdirector, mental health services

Shannon Engler has more than 23 years of experience in behavioral health leadership and is the director of mental health services at BryanLGH. He graduated from the University of Kansas School of Nursing, Kansas City, in 1993, with a master’s degree in psychiatric and mental health nursing. Shannon is active in multiple community initiatives including prior service as commissioner to the Nebraska legislature for behavioral health reform and current board member for the regional electronic behavioral health information system project.

Jerome Barry, LADC, LMHPdirector, substance abuse services

Jerome Barry received his bachelor’s degree in psychology and sociology in 1980 from Northwestern College in Orange City, Iowa. In 1983, he received his master’s degree in counseling from the University of Nebraska at Omaha. He is a licensed mental health practitioner and licensed alcohol & drug counselor. Jerome has been director of the Independence Center at BryanLGH since 1999. He has 31 years of experience in substance abuse treatment.

Dave Miers, PhD, LIPCcounseling and program development manager

Dave Miers graduated in 2010 from the University of Nebraska Lincoln with a PhD in human sciences. Dr. Miers is the counseling and program development manager for mental health services at BryanLGH and manages the BryanLGH Counseling Center. He has been with BryanLGH for more than 14 years. He is co-chair of the Nebraska State Suicide Prevention Coalition and active in many community initiatives and boards. He is a licensed independent mental health practitioner and certified professional counselor.

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Randy counts himself among the lucky

ones — an alcoholic who found the

tools to survive. Although the 12 steps

to sobriety never end, he’s grateful

the Independence Center has shared

his journey for 23 years.

His story is like one long nightmare.

His father committed suicide when

Randy was seven. His stepfather, a

drinker in construction, caused the

family to move a lot, and Randy to switch schools. His parents argued.

It got to the point some nights that the youngster preferred living among

possible dangers on the street to returning to the certainty of fights

at home. This rough and tumble life included dark times of depression

and alcoholism.

Still, Randy was a survivor. He did well at work, and people saw

potential in him. And he was good at shaking off the hangovers.

Then in late 1986, he passed out while stopped at an intersection

out in the country. He woke up as a police officer was removing

the keys from his vehicle’s ignition. It was Randy’s sixth DWI.

He was so certain he was going to

prison that he went drinking shortly

before his court date. And decided

to kill himself. But a stranger – in a

bar, no less – told Randy about the

Independence Center. There, he

learned the first five steps of the

Alcoholics Anonymous 12-step

program. Group and one-on-one

discussions prepared him for

being back outside. “It’s a place

that’s safe,” Randy says. “The team supported me with caring and

chiseled away at my denial until I had a breakthrough.”

For the first time, Randy was starting to believe he would survive. Clean

and sober since 1986, this 56-year-old is married and the president of

a successful construction company.

With the help of the Independence Center, Randy was able to find his

way back to the right side of that FINE LINE.

RandyOnce broken, now sober and president of a construction company.

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Jackie was a successful saleswoman traveling with her husband to

Kansas City for a weekend away. Just outside of Lincoln, her car hit

a patch of ice and slid into an oncoming truck. Jackie was seriously

injured; her husband was killed. A month after the accident, she

returned to BryanLGH for a follow-up trauma visit. During

this visit, she was diagnosed with post-traumatic

stress disorder and was given information about

services at the BryanLGH Counseling Center

that could help with her mental health concerns.

Jackie called the Counseling Center where a

registered nurse did a phone screening to

determine Jackie’s needs and to match her with

an appropriate mental health therapist. The

nurse learned in her conversation with Jackie

that she not only had post-traumatic stress,

but that she had done the BryanLGH online

depression screening, and that this, too, had

turned out positive. Jackie was hurting emotionally

as well as physically from the crash that had taken

her husband’s life. The nurse referred Jackie to the

Counseling Center. There, Jackie’s counselor discovered Jackie also had

become addicted to the pain medication prescribed for the back injury

she received in the crash. Jackie was ashamed and thought this was

something that she could hide. But her counselor helped her understand

that she was not alone, and encouraged her to seek help for the pain

medication addiction at the Independence

Center. It was apparent that Jackie’s problems

were multi-faceted, which is common when

someone goes through the things Jackie had.

Jackie was lucky. At BryanLGH, her physical and

emotional needs were taken care of, and when

she was ready, she had a place to help free her

from addiction to prescription drugs. Ultimately,

BryanLGH and Jackie worked together to get her

life back on track. She was grateful that although

she had stepped over that Fine Line of addiction

and deep depression, BryanLGH mental health

services and the Independence Center were

there to help her regain her balance.

JackieFrom career woman to widow addicted to prescribed pain medication – her life is back in balance.

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John’s parents struggled to make ends meet, and his home life was filled

with their fights over his father’s drinking. When John joined the military

at age 19, he was looking for a way out. He thought that it would provide

a career that could help him support his wife and newborn son. He also

believed that he would finally receive the approval of his father, who was

an ex-military man himself.

He expected a life of adventure, travel, and experiences

that he would never have received growing up in a small

town in the South. However, he was unprepared for life

as an active duty soldier during a time of war. After

training for nearly a year at Ft. Riley, he was deployed

to Iraq. He never imagined the homesickness he would

feel being separated from his wife and high school

sweetheart for the first time since they’d been together.

He missed the many milestones of his son’s second

year. While he was appreciative of the strong bonds

that he had made with fellow soldiers, he soon began

to experience the pain, guilt, and loss of watching

fellow soldiers and friends become casualties of war.

He vividly recalls the day that he hopped off of the truck

to grab one more piece of equipment before the convoy left the base.

By the time he returned minutes later, his seat had been taken by a friend

who teased him about always forgetting something. He took a place on

the next truck, and watched in horror as an explosive device hit the truck

in front of him and killed his friend. He now bears a tattoo of the friend’s

name on his forearm, and he also harbors survivor’s guilt. He says,

“It should have been me.”

An accident later sent him to an army hospital for several weeks of

rehabilitation for his physical injuries. They sent him home after surgery

with a prescription for painkillers and a head full of images that he could

not forget. At some point he realized that the pills soothed his physical

and mental pain at the same time. He began to use more than prescribed.

Eventually he began seeking pills from other medical providers and even

other soldiers with prescriptions for their own injuries.

Realizing that he was “having a problem” he tried

unsuccessfully to stop on his own. Eventually, his

use affected his performance in the military and his

command referred him to the army’s substance abuse

treatment program. From there, he was evaluated and

referred to the Independence Center (IC) for residential

treatment. He learned coping skills, 12-step teachings,

ways to manage mental health symptoms, relapse

prevention, and about the disease concept of addiction.

He also reconnected with his wife. She attended

family workshop and family sessions with his counselor.

They worked together, talking about the impact of his

addiction on their family, but they also learned to

communicate and begin working on ways his wife can support his

recovery. John admits that it has been a long road and that he is

walking a FINE LINE. He also fears a deployment that he is anticipating

in a few months. But he feels more positive now than he has in a long

time. He knows it won’t be easy, but believes he now has the tools to

stay sober. Thanks to the support of his command, his family, and the

help of the Independence Center.

JohnEmotionally damaged by war – now reconnected with family.

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Can substance abuse as a pre-teen predispose a child to failing grades,

academic probation, removal from activities, introduction to the legal

system, injuring himself or others, ending someone’s life? All possible,

and unfortunately, probable.

As a toddler in Malcolm, Nebraska, Adam’s family broke apart when his

mother left his alcoholic father because he was unwilling to get help.

Still, growing up, Adam was known as the kid with an

infectious smile and a bright future. A boy who lettered

in several sports, had many friends, and received a

college basketball scholarship. But when he was away

from school, coping with reality became difficult. He

began using at age 14.

At college, his partying intensified and was followed by

academic probation and athletic ineligibility. He became

a college drop out. He wanted to change. Perhaps a

change of scenery would help.

Gifted athletes often get second chances. Another

school gave him that chance – albeit on a short leash –

one semester to become academically eligible, with basketball back

on the table. But Adam’s use of drugs and alcohol increased. He was

dismissed from school before ever dribbling a basketball.

A FINE LINE already was crossed, and on New Year’s 2009, it

seemed there was no chance of getting back to the other side.

Leaving a party and borrowing a car without notifying anyone, Adam

drove off. He doesn’t remember where he was going, but it was the

wrong way on Cornhusker Highway. He collided with another car head

on. Head bloodied, Adam checked to see if the people in the other car

were OK. Thankfully, they were. He returned to a mangled car and kept

driving — until the police stopped him. Hurt, with a blood/alcohol level

above .4, Adam was uncooperative.

Police put him in restraints, and an ambulance

transported him to the BryanLGH Trauma Center.

After treatment for head lacerations and a concussion,

trauma surgeon Dr. Reginald Burton convinced Adam

to talk to Independence Center intervention nurse,

Dave Dermann.

Thirty-two days at the Independence Center and four

months in a halfway house was the change of scenery

Adam once sought, but couldn’t find.

Today, Adam is a productive young adult, an AA

sponsor, and celebrating more than a year of sobriety.

He’s a full-time student, getting excellent grades, and

on a path to becoming a drug and alcohol counselor. There is no more

booze, and no more drugs. Instead, he passes time as a YMCA

basketball official, a 5th- and 6th-grade flag football coach, a role model,

and a vital member of our community.

It is a FINE LINE, and without the Independence Center would

Adam and others ever cross back over?

AdamFrom teen-age drug and alcohol abuser to sober role model.

Frequently asked questions

Who are your clients and where do they come from?Independence Center:

• We serve adolescents and adults.

• Most of our adolescents are in the 15-18 year-old age range, and represent just over a quarter of our clientele.

• We are seeing younger clients, as well – the youngest to date is 13.

• Although the ages of our adults vary, they tend to cluster in the mid-30s to the mid-40s age range.

• While our typical client is an employed adult white male, 44 percent of our clients are female.

• The vast majority of our clients come from southeastern Nebraska, including the Omaha metropolitan area.

• About 25 percent of our clients come from rural Nebraska and outside the state.

• We also serve many military personnel and their families.

Mental Health:

• We see more than 450 individuals each month in our mental health emergency department.

• The breakdown between genders is about even, for both adults and youth.

• The majority of our mental health clients come from southeast Nebraska, including Omaha.

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1234

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Who We Serve

Independence Center Mental Health

13%Girls

14%Boys

42%Men

31%Women 37%

Women

38%Men

12%Girls

13%Boys

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25%Come from rural Nebraska and

outside the state. 75%Come from

Lancaster County and the Omaha

metro area.

Where Our Clients Come From

Independence Center Mental Health

30%Come from rural

Nebraska and

outside the state. 70%Come from

Lancaster County and the Omaha

metro area.

Why can’t BryanLGH just pay for the new facility?

• BryanLGH Medical Center’s operating margin of 4.3 percent exceeds the national average. This shows we are an efficient and responsible organization. However, hospital expenses to serve the region are increasing by an average of 7 percent per year.

• The ability to cover all associated expenses with (much needed) services such as behavioral health is difficult, thus making reinvestment problematic.

• The medical center will match and exceed the $2.5 million we seek to raise for construction of this facility. BryanLGH also will maintain its ongoing operational support.

Why do you need to build a new facility?

• Safety, privacy and confidentiality.

• The current Independence Center is in an 84-year-old dormitory and has infrastructure issues (insects, mold, foundation) that are beyond repair.

• Privacy and confidentiality are key factors to be considered when offering substance abuse and mental health services.

• A separate facility where clients and their families can feel safe and protected from the public is paramount to successful recovery services.

• Outpatient mental health will be enhanced by being in closer proximity to psychiatrists and counselors.

• Since 1971, the Independence Center has had to adjust and adapt to a facility that was not designed to accommodate its services.

• The Counseling Center is unable to expand suicide prevention and violence prevention programs with current space constraints.

• Clients often pass through the sleeping quarters to get to their counselors’ offices, which are not sound proofed.

• There are few private areas for family meetings or simply for waiting areas.

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Average Annual Expense Increase for U.S. Hospitals is 7%

To meet community expectations and obligations (world-class care and underpaid or unreimbursed

services), three elements play a vital role:

l Operational Efficiency

l Investment Performance

l Philanthropy}7%

6%

5%

4%

3%

2%

1%

Industry standardfor hospital financial sustainability is an

operating margin of 3%

BryanLGH is a goodsteward of limited

healthcare resources.Average operating

margin over the past 5 years = 4.83%

Average operatingmargin for U.S.

hospitals over the past 5 years = 3.5%

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What makes BryanLGH unique in the region?

• No other provider of substance abuse and mental health services in Lincoln provides hospital-based residential treatment without public assistance funding through contracts with Region V.

• The Independence Center is the only provider: with a complete continuum of care for clients; with nursing coverage 24 hours per day and seven days per week; that is hospital based with direct access to full medical care; and that offers a short-term residential program for adolescents separate from adults.

• We have the involvement of physicians, counselors, chaplains, a teacher, dietary and lab services and we offer distinct and separate services for our adolescent, adult, male and female populations.

• We are the sole provider for adolescents in Lancaster County Juvenile Drug Court.

• We are a provider for the military’s substance abuse and mental health programs at Offutt Air Force Base in Omaha, and at Fort Riley, Kansas.

• There are no alternative providers in our service area that offer detoxification, inpatient, residential, and partial care services to the population we serve.

• There is no other substance abuse provider in the community that would be able to absorb our detoxification, inpatient, residential and partial care services if we closed our doors.

• If we did not exist, many people would seek treatment outside of the region or would continue their struggles and not seek treatment at all. Being placed on a waiting list to receive treatment at a publicly funded program is not a viable option for many of the people we serve.

• We offer dedicated mental health inpatient units for seniors, adults, adolescents and children. In total, we have 77 beds dedicated to mental health patients and 30 beds dedicated to substance abuse.

Does the Independence Center provide services to those patients who are hospitalized somewhere else in the medical center for a different medical condition?

• Yes. The Independence Center has two designated intervention nurses (who specialize in assessing patients for chemical dependency) to respond to physicians’ consultation orders to screen and evaluate hospitalized patients for potential alcohol and /or drug abuse problems. These nurses are skilled at interviewing, diagnosing, and recommending referral for those who are complicating their medical condition with alcohol and/or drug problems.

• Currently, our intervention nurses respond to physician orders for consultations from BryanLGH Medical Center West, BryanLGH Medical Center East, Madonna Rehabilitation Hospital and Saint Elizabeth Regional Medical Center.

Frequently asked questions

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What are the typical issues presented at BryanLGH?

• Clients come to us with a range of complicated issues. Commonly, they are diagnosed with either substance abuse or substance dependence.

• More than 50 percent of our clients have another diagnosis in the realm of mental health, such as depression, post-traumatic stress disorder or bi-polar disorder.

• We see individuals who are depressed and suicidal, as well as victims of domestic abuse and those with schizophrenia.

Speaking of family, do you involve family members in your clients’ care plan?

• Yes, family members and significant others are invited and encouraged to participate in the treatment process. They are consulted for assessment information, treatment planning and discharge planning.

• Loved ones can participate in Family Care, during which they receive education about addiction, what they can expect recovery to look like, the drawbacks of enabling, skills for healthy communication, and specific ways they can support a person in early recovery.

• There is no extra charge for our work with families.

• In addition, parents are offered a no-charge Parent’s Support Group, which is facilitated by a counselor licensed both in mental health and substance abuse treatment.

Is there an outpatient population served?

• Yes. A little-known fact about the Independence Center is the high volume of outpatient traffic that goes in and out of its doors daily and we expect this to grow.

• The vast majority of clients do not sleep in the facility but return for various intensities of outpatient services. Having a discreet and confidential entrance is of paramount importance for our outpatient clients who arrive frequently and often during work hours.

• The outpatient population is served through the Counseling Center outpatient programs. These include men’s domestic violence groups, suicide prevention, medication management, support groups, partial hospitalization for adults, seniors, adolescents and children, biofeedback and educational programs.

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• At its core, substance abuse and mental health illness has a negative effect on the health of the individual, the family and, hence, the fabric of our society.

• Nationwide and in our region, substance abuse and mental illness continues to be both a primary and secondary reason for people ultimately needing acute medical care.

• National studies have proven that spending dollars on substance abuse treatment provides a major return on investment. One such study, supported the California Dept. of Drug and Alcohol Programs and the Robert Woods Johnson Foundation, showed that (at the time of the study) the average cost of substance abuse treatment was $1,583, resulting in monetary benefits of $11,487 – through reduced medical expenses, reduced costs of crime, and increased employment earnings. The study also saw reductions in the use of hospital inpatient, emergency room and mental health services.

• Treating substance abuse and mental health is preventative; treating and managing these issues helps prevent the need for future medical care services and their associated costs.

• Healthcare reform – Most Independence Center and mental health patients get support for our services through private insurance. As more people have insurance, it is anticipated more clients will select it over other programs. – Currently there are waiting lists at most substance abuse programs and outpatient mental health services for medical management and therapy.

• An estimated 19.9 million Americans age 12 or older were current users of an illicit drug in 2007. This estimate represents 8 percent of the population.

• Marijuana is the most widely used illicit substance in this country. In 2007, 14.4 million people were current users of marijuana.

• Vicodin is one of the drugs most commonly abused by adolescents. In 2008, 15.4 percent of 12th graders reported using a prescription drug for non-medical purposes in the last year.

• The latest figures from a Nebraska behavioral risk factor survey indicated that of roughly 4,000 people contacted, 16 percent had a depression disorder (lifetime diagnosis of depression), and 10 percent reported a lifetime diagnosis of anxiety. The prevalence was higher among women, those with less than a college education, those unemployed and those unable to work.

Impact to Society

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Independence Center:

• Substance Abuse Evaluation Licensed counselor interviews and assesses the potential existence of a diagnosable substance abuse or dependency issue. If needed will make a level of care recommendation.

• Medical Detox Inpatient Includes a 24-hour stay. Client medically unstable and unable to attend programming. Length of stay averages from one to five days. Includes daily physician visits and intense medical monitoring by nursing staff.

• Short-Term Residential (STR) Includes a 24-hour stay with programming from 9 a.m.-9 p.m. involving groups, lectures, discussions, videos, individual sessions, family sessions, family care and recreational activities. Length of stay varies from five to 28 days. Includes initial physician visit, then physician visits only as indicated.

• Partial Care/Day TX (PC) Includes at least four to eight hours per day of programs involving groups, lectures, individual sessions, family sessions, family care, and recreational activities. Clients are in Partial Care program at least three to five days per week.

• Intensive Outpatient AM (IOP) Includes a three-hour-per-day program involving groups, lectures, individual sessions, family care and family sessions. Clients are in Intensive Outpatient (IOP) program five days per week.

• Intensive Outpatient PM (IOP) Includes a three-hour-per-day program involving groups, lectures, individual sessions, family care and family sessions. Clients are in Intensive Outpatient (IOP) program three days per week.

• Intensive Outpatient PM (IOP) Includes a combination of one- to two-hour groups, individual sessions and family sessions. Group sessions typically will occur once a week. Individual sessions typically occur one to two times per month. Family sessions are scheduled as needed.

Mental Health:

• Inpatient services for adults, seniors, adolescent and children

• Affective disorders unit

• Partial hospitalization for adults, adolescents, children

• Non-emergent mental health assessments

• Biofeedback

• Adult cognitive therapy group

Levels of Care

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402-481-8605

and for many it is perilously thin.

Thank you for your support.

It’s a FINE LINE,

1600 South 48th StreetLincoln, NE 68506-1299

402-481-8605

It’s a FINE LINE