Choices Counseling and Consulting, Inc.

Therapy services are available to children, adults, couples, and families. These are office based counseling services that are individually tailored to address the specific needs of the client. We are able to address a variety of issues such as anxiety, depression, relationship difficulties, problem solving assistance, stress reduction and anger management. We have a number of therapists who have varying areas of interest, training, and expertise. We are able to provide therapy services through a variety of insurance networks including Iowa and Nebraska Medicaid, Blue Cross/Blue Shield, and others.

Parent-Child Interaction Therapy (PCIT) is an empirically-supported treatment for conduct-disordered young children that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. In PCIT, parents are taught specific skills to establish a nurturing and secure relationship with their child while increasing their child’s prosocial behavior and decreasing negative behavior. This treatment focuses on two basic interactions: Child Directed Interaction (CDI) is similar to play therapy in that parents engage their child in a play situation with the goal of strengthening the parent-child relationship; Parent Directed Interaction (PDI) resembles clinical behavior therapy in that parents learn to use specific behavior management techniques as they play with their child.

 Behavioral Health Intervention Services are available for both adults or children who have Title XIX insurance. BHI services begin with a behavioral health assessment (completed by a licensed clinician).  The assessment determines a diagnosis and recommendations for service.  This written recommendation is basically a prescription for services. 

BHI services are intended to build skills to help decrease symptoms and behaviors
associated with a diagnosed psychological disorder. Services also include instructional strategies to help the family cope with the individual’s symptoms and manage his/her behaviors.  The program focus is on mental health recovery and promoting individual resilience.

BEHAVIORAL HEALTH INTERVENTION SERVICES FOR YOUTH:

BHIS youth services are provided to children and adolescents under 21 years of age (and their families) to restore the child’s mental health function to the level of other children of that age and ability.   The child must have the capability to learn the behavior.  The services are designed to restore mental health functioning that the child lost or never achieved because of interference in the normal maturational and learning process due to individual or parental dysfunction. 

BEHAVIORAL HEALTH INTERVENTION SERVICES FOR ADULTS:

BHIS adult services are provided to individuals who are 18 years of age and older to
restore their mental health functioning.  The interventions are intended to reduce or eliminate psychological barriers that interfere with an individual’s ability to successfully manage their symptoms.  They also are intended to assist the individual in maximizing their ability to live and participate in the community. 

The intent of the Medicaid Home and Community Based Children’s Mental Health Waiver (CMH) is to identify services/supports that are not available through other mental health programs/services that can be utilized in conjunction with traditional services to develop a comprehensive support system for children with serious emotional disturbance.  These services will allow children in this targeted population to remain in their homes and communities.

CMH Waiver services are individualized to meet the needs of each child. Decisions regarding what services are appropriate, the number of units or the dollar amounts of the appropriate services are based on the child’s needs as determined by the child, the child’s family and an interdisciplinary team.

The CMH Waiver services provided by Choices Counseling and Consulting, Inc. include:

• Family and Community Support Services

This service shall support the child and his/her family by helping them with the development and implementation of strategies and interventions that will result in the reduction of stress and depression and will increase the child’s and family’s social and emotional strength.

• In Home Family Therapy

In-home family therapy services are skilled therapeutic services provided to the child and family.  Services will increase the child and family’s ability to cope with the effects of the child’s serious emotional disturbance on the family relationships. The goal of in-home family therapy is to maintain a cohesive family unit.  The service must support the family in developing coping strategies that will enable the child to continue living within the family environment.