Behavioral Health

Mental Health Crisis Lines

National Suicide Prevention Lifeline

(800) 273-8255

Crisis intervention and free emotional support are available, which is helpful when you need confidential assistance during a time of emotional distress for you or a loved one. The helpline is open 24/7, and a live online chat is available as well.

Crisis Text Line

Text CONNECT to 741741

Specialized crisis counselors are just a text message away on this free, confidential 24-hour support line. To further protect your privacy, these messages do not appear on a phone bill. The text line also provides services and support if you are upset, scared, hurt, frustrated, or distressed.

Your Life Iowa

Call (855) 581-8111 or text to (855) 895-8398   24/7 crisis support in the state of Iowa (call, text or live-chat) 

Your Life Iowa provides information and referral, counseling, crisis service coordination, and linkages to crisis screening and mental health services 24 hours a day. Additional services can be found at: http://yourlifeiowa.org/ 

The Trevor Project (LGBTQ Crisis and Suicide Hotline)

(866) 488-7386

Trained counselors are availble to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk.  TrevorText is a confidential and secure resource that provides live help for LGBTQ youth with a trained specialist, over text messages. Text START to 678-678. TrevorChat is a free, confidential and secure instant messaging service that provides live help to LGBTQ youth. https://www.thetrevorproject.org/ 

Veterans Crisis Line

(800) 273-8255  or Text 838255

Connect with the Veterans Crisis Line to reach caring, qualified responders with the Department of Veterans Affairs. Many of them are Veterans themselves. The Veterans Crisis Line is a free, confidential resource available to any Veteran, even if they are not enrolled in VA health care or registered with VA. Care does not end when the conversation is over. The Veterans Crisis Line can connect Veterans to their local suicide prevention coordinators (SPC), who follow up to coordinate care.

Iowa Peer to Peer Warm Line

(844) 775-9276

Warm Line is a telephone line staffed by individuals with lived experience who provide nonjudgmental, nondirective support to an individual experiencing a crisis.

Substance Use Hotlines

(800) BETSOFF

(800) 238-7633

Iowa Drug and Alcohol Helpline

(800) 821-4357

The Iowa Alcohol and Drug Helpline ensures that everyone in the state gets the support they need. Advice is completely confidential and open to anyone about anything to do with addiction.

National Council on Alcoholism and Drug Dependence Hopeline

(800) 622-2255

This hotline aims to give those in the state of Iowa and the rest of the United States a reason to quit the substance they have become addicted to. Hopeline is intentionally named the way it is, to differentiate it from a standard hotline. This helpline provides more than just advice.

SAMHSA’s National Helpline

(800) 662-HELP (4357)
 

Cognitive Behavioral Therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings, and behaviors.

Who is CBT for?

 CBT is a general therapy for anyone, adults or children, who are in need.

What happens during CBT?

During CBT, a therapist will actively work with a person to uncover unhealthy patterns of thought and how they may be causing self-destructive behaviors and beliefs.

By addressing these patterns, the person and therapist can work together to develop constructive ways of thinking that will produce healthier behaviors and beliefs. For instance, CBT can help someone replace thoughts that lead to low self-esteem ("I can't do anything right.") with positive expectations ("I can do this most of the time, based on my prior experiences").

The core principles of CBT are identifying negative or false beliefs and testing or restructuring them. Oftentimes someone being treated with CBT will have homework in between sessions where they practice replacing negative thoughts with more realistic thoughts based on prior experiences or record their negative thoughts in a journal.

How effective is CBT?

Studies of CBT have shown it to be an effective treatment for a wide variety of mental illnesses, including depression, anxiety disorders, bipolar disorder, eating disorders, and schizophrenia. Individuals who undergo CBT show changes in brain activity, suggesting that this therapy actually improves your brain functioning as well.

Cognitive behavioral therapy has a considerable amount of scientific data supporting its use and many mental health care professionals have training in CBT, making it both effective and accessible. More are needed to meet the public health demand, however.

For more information about Cognitive Behavioral Therapy, visit this online resource from NAMI.

Dialectal Behavioral Therapy (DBT) is a cognitive behavioral therapy that was originally developed to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). It is now recognized as the gold standard psychological treatment for this population. In addition, research has shown that it is effective in treating a wide range of other disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), and eating disorders.

Who is DBT for?

DBT is for any adult who suffers from borderline personality disorder (BPD).

What happens during DBT?

DBT includes four sets of behavioral skills:

• Mindfullness: the practice of being fully aware and present in this one moment

• Distress Tolerance: how to tolerate pain in difficult situations, not change it

• Interpersonal Effectiveness: how to ask for what you want and say no while maintaining self-respect and relationships with others

• Emotion Regulation: how to change emotions that you want to change

The term "dialectical" means a synthesis or integration of opposites. The primary dialectic within DBT is between the seemingly opposite strategies of acceptance and change. For example, DBT therapists accept clients as they are while also acknowledging that they need to change in order to reach their goals. In addition, all of the skills and strategies taught in DBT are balanced in terms of acceptance and change. For example, the four skills modules include two sets of acceptance-oriented skills (mindfulness and distress tolerance) and two sets of change-oriented skills (emotion regulation and interpersonal effectiveness).

How effective is DBT?

Research has shown DBT to be effective in reducing suicidal behavior, non-suicidal self-injury, psychiatric hospitalization, treatment dropout, substance use, anger, and depression and improving social and global functioning.

Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of therapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with post-traumatic stress disorder (PTSD) and to improve overall mental health functioning. The theory behind EMDR is that many psychological difficulties are the result of distressing life experiences which have not been stored in the memory properly and are said to be unprocessed or blocked. These traumatic memories may need some help to become processed, and EMDR is one way to do this. 

Who is EMDR for?

EMDR is for any adult who suffers from trauma-related stress, anxiety, and depression symptoms associated with post-traumatic stress disorder (PTSD).

What happens during EMDR?

Some traumatic events, such as accidents, abuse, disasters, or violence, are so overwhelming that the brain does not do its job properly. When this happens memories are stored in their raw, unprocessed form. These trauma memories are easily triggered, leading them to replay and cause distress over and again. 

In EMDR, you are asked to pay attention to your memory from one side to another. One way to pay attention from left to right is to follow the therapist’s finger as they move it from side-to-side in your line of vision. Alternative versions of EMDR ask you to pay attention to sounds or tapping sensations which occur in sequence from left to right. 

This side-to-side motion is called bilateral stimulation. It has been found to enhance memory processing. There are a number of theories explaining how it might do this. The important thing is to be able to find a form of bilateral stimulation that you are comfortable with. 

At, Iowa Specialty Hospitals & Clinics, our desire is to provide services in our rural communities to address substance abuse. We offer the following substance use services:

• Operating While Intoxicated (OWI) Evaluations
• Outpatient Services Including: Assessments, Individual, Group, Family and Couples Therapy Referrals for Higher Level of Care, Including Inpatient and Intensive Outpatient Services
• Prevention Services
• Mat Medication (Suboxine, Natrexone, Antabuse)
• Drug Testing
• Psychiatric Medication Management
   

Providing services for:

• Adolescents
• Adults
   

OWI evaluations: $125

• Can Take Up To Two Hours For The Whole Process
• Assessment Forms Need To Be Completed Before The Appointment
   

Our Mission

To provide an exceptional healthcare experience.

Our Vision

To always be a progressive healthcare system that is a benchmark for all others.
 

Payment Options

• Insurances That We Are Approved For
• Cash
• Credit Cards
• Sliding Fee Scale

The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.
 

Iowa Specialty Hospitals & Clinics SAP Provider:
Lisa Kunkel, BA, ICADC, SAP

SAP Training: Qualification training Zoom training January 2021 by Professional training center William Mock; Qualification SAP Exam January 15, 2021 Professional training Center
 

SAP Services Are For:

• Employees Covered Under DOT Testing Regulation 49 CFR Part 40
• Federal Motor Carrier Safety Administration (FMCSA)
• Federal Railroad Administration (FRA)
• Federal Aviation Administration (FAA)
• Federal Transit Administration (FTA)
• Pipeline and Hazardous Materials SafetyAdministration (PHMSA)
• United States Coast Guard (USCG)
   

Sap Services Cost $1200 Which Include: 

• Initial Assessment
• Treatment Plan And Follow Up Plan
• Care Coordination Needs
   

Services available in Belmond and Garner.  Call 515-532-9339 to schedule an appointment.