1. Behavioral Health Overview Welcome New Team Member!

2. Introduction This is an overview of all services within the Behavioral Health Division of Lehigh Valley Health Network. If you are new / transferring to the Department of Psychiatry, you will be informed about the departmental competency and orientation processes.

3. Agenda Behavioral Health Services Overview Facility Services Professional Services

4. Behavioral Health Continuum Overview Adult Inpatient Services Adolescent Inpatient Services Inpatient and Outpatient Electro-Convulsive Therapy 2 Adult Partial Hospitalization Programs Adolescent Partial Hospitalization Programs 3 Groups Practices for Outpatient Services 2 Clinics for Outpatient Services Psychiatrics Evaluation Services at all 3 ER Sites Residential Services Psychiatric Consultation / Liaison Services

5. Adult Inpatient Unit Provides care to men and women over the age of 18. Treatment is focused on stabilization so that care can be obtained in an outpatient setting. Major focus on discharge planning and arrangement for outpatient support. Adolescent Inpatient Unit Professional staff provide clinical and educational services to help adolescents (age 12 – 18; other ages by exception) learn how to cope with stress, set goals, communicate with parents and peers, maintain self- control and improve self-reliance. Behavioral Health Services Definition

6. Behavioral Health Services Definitions Electro-Convulsive Therapy (ECT) Largely utilized for patients diagnosed with a major depressive disorder after one or more unsuccessful medication trials. 1-3 treatment sessions are initiated while patient is on the inpatient unit. Post inpatient discharge, patient may receive anywhere from 2-14 additional treatment sessions as an outpatient, based on individual medical necessity. ECT treatment is normally performed 3 times per week.

7. Adolescent Partial Hospitalization Program (PHP) For adolescents 12-18 years and older. Program is initially 6 hours per day, 5 days per week- decreased as clinically indicated; during school year, program’s teacher works with applicable school district. Decreases length of inpatient stay by providing aftercare in an intensive ambulatory setting. Prevents inpatient admission- via crisis stabilization, when clinically appropriate, diverting to intensive ambulatory setting. Behavioral Health Services Definitions

8. Adult Partial Hospitalization Program (PHP) For adults 18 years and older Program is initially 6 hours per day, 5 days per week- decreased as clinically indicated. If clinically indicated, and acceptable with insurance, 3 hours per diem treatment may be incorporated into treatment plan. Decreases length of inpatient stay by providing aftercare in an intensive ambulatory setting. Prevents inpatient admission- via crisis stabilization, when clinically appropriate, diverting to intensive ambulatory setting.

9. Outpatient Group Practices Provide short term outpatient treatment based on medical necessity. Offer individual, couples, family and group services. Age populations treated are children, adolescents, adults, geriatrics. Outpatient Mental Health Clinic Provide long term treatment based on medical necessity and ability to provided appropriate clinical referral / placement. Residential Rehabilitation Offering two levels of residential supervision, 24 hours/365 days per year, or 10 hours/day – Monday through Friday. Behavioral Health Services Definitions

10. Behavioral health consultation service provided to Emergency Departments. PES staff perform behavioral health level of care evaluation assessments on patients presenting to an Emergency Department, following request from Emergency Department physician. Based on clinical outcome level of care evaluation, patient recommended for inpatient, partial hospitalization program, outpatient behavioral health services, or discharge to home. Psychiatric Evaluation Services (PES) Behavioral Health Services Definitions

11. Facility Services by Location Lehigh Valley Hospital Cedar Crest Location Lehigh Valley Hospital 17 th & Chew Site Lehigh Valley Hospital Muhlenberg Psychiatric Evaluation Services LVH – Emergency Department Cedar Crest Blvd. & i-78 Allentown, Pa 18103 Psychiatric Evaluation Service LVH – Emergency Department 17 th & Chew Street, 3 rd Floor Allentown, Pa. 18102 Adolescent Inpatient Behavioral Health Science Center 2545 Schoenersville Road Bethlehem, Pa 18107 Base Service Unit 392 2604 Schoenersville Road Bethlehem, Pa 18107 Transitions Adolescent Part Hosp. Program 1255 S. Cedar Crest Blvd. #1500 Allentown, Pa. 18103 Mental Health Clinic LVH – 17 th & Chew Streets 3 rd Floor Allentown, Pa,18103 Adolescent Inpatient Behavioral Health Science Center 2545 Schoenersville Road Bethlehem, Pa 18107 Psychiatric Evaluation Service LVH – Muhlenberg ED 2545 Schoenersville Road Bethlehem, Pa 18107 Transitions Adult Part. Hosp. Program 1259 S. Cedar Crest Blvd. #205 Allentown, Pa. 18103 Transitional Living Center Moderate Care 425 Penn Circle Allentown, Pa 18102 Inpatient Behavioral Health Science Center 2545 Schoenersville Road Bethlehem, Pa 18107 Alternatives Adult Part. Hosp. Program Behavioral Health Science Center, First Floor 2545 Schoenersville Road Bethlehem, Pa 18107 TLC Administrator 2024 Lehigh Street Phone: 610-402-5323 Fax: 610-402-5355 Transitional Living Center- Full Care 2423 Mountain lane- Apt. 201 Allentown, Pa 18103 Outpatient Behavioral Health Science Center 2545 Schoenersville Road Bethlehem, Pa 18107

12. Professional Services by Location Lehigh Valley Hospital Cedar Crest Site Lehigh Valley Hospital Muhlenberg Site **NOTE** BSU and Mental Health Clinic are facility based programs that offer professional services. The Guidance Program 1255 S. Cedar Crest Blvd. # 3800 Allentown, Pa. 18103 Muhlenberg Behavioral Health Banko Building 2545 Schoenersville Road Bethlehem, Pa. 18017 Consolation / Liaison The Guidance Program- The Psychiatry Group 1251 South Cedar Crest Blvd. Suite 202A Allentown, Pa. 18104 The Guidance Program- The Psychiatry Group Lehigh Valley Hospital- Muhlenberg 2545 Schoenersville Road Bethlehem, Pa. 18017