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Mental Health Resources

Table of Contents

Introduction
The Goals of Post Adoption Support

Direct Service Resources
Post-Adoption Services
Child Development, Health, and Medical Resources

Mental Health Resources

Educational Resources
Legal Services
Financial Assistance
Respite
Diversity Issues
Recreation

Informational Resources
Books
Newsletters and Other Periodic Publications
Websites

Appendices
DHHS District Offices
BDS District Offices


Last updated 11/10/2008

Blue Flower 

"It is easier to build strong children than to repair broken adults."
- Frederick Douglas

 

Children often have experienced a number of traumatic events in their lives which require formal kinds of treatment. Birth family difficulties and related losses, genetic predispositions to learning disabilities and mental illness, and pre-birth trauma such as fetal alcohol syndrome are just a few of the factors that can impact a child’s emotional development. Some of the more common conditions that result from these influences include depression, anxiety, and attachment difficulties. Finding appropriate mental health care can bring relief from acute symptoms for the child and make it possible for the family to maintain a stable home environment.  

The process of identifying root causes of a condition and implementing a plan for treatment can be a long term and complex process that requires persistence and self-education on the part of parents.  The ultimate reward of successful intervention in childhood is a solid foundation on which to build a more secure and successful life as an adult.

Mental Health Services in Maine

Private non-profit agencies and independent licensed clinicians provide nearly all of the community mental health services in Maine. Some community mental health centers are multi-purpose providers with more than one location, and some are smaller single service organizations that are specific to one community.  In locations where service providers are stretched, new patients that are not in a life-threatening crisis may have to wait several weeks or longer before the first appointment.  It is important for a family to understand how the system works, the terminology that is used, forms of treatment, and how to get needed services in an affordable way. NAMI (National Alliance for the Mentally Ill) of Maine is one advocacy group that can help people navigate the mental health system. Local chapters of NAMI can be found in the resource lists on the following pages.

Finding a Therapist for Your Adopted Child

You might seek recommendations from other adoptive parents, statewide adoptive and foster parent organizations, or a trusted human services professional.  Parents also may inquire at community mental health agencies, mental health associations, universities, or medical schools with psychology and psychiatry departments. 

Finding appropriate mental health care for a child requires assertiveness and advocacy from parents. Ask for a preliminary interview with a therapist, so that you can determine if he or she is a good match for your child’s needs and personality. Below are some questions you might ask during this initial meeting. 

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 Questions to Ask a Prospective Therapist

  1. What training, academic degrees, and experience do you have?

  2. Do you have expertise in treating children with a history of emotional/physical/sexual abuse, autism, ADHD, trust/attachment difficulties, fetal alcohol syndrome, etc.? 

  3. What is your knowledge of adoption and its impact on children and families? Have you attended any training related to adoption (or would you be willing to do so)?

  4. Are you affiliated with a physician (psychiatrist) who can prescribe and monitor medication, if necessary?

  5. What methods of treatment do you use and about how many visits will be necessary in order to see progress? 

  6. How do you handle emergencies – during and after normal business hours?

  7. How do you include parents and other family members in the counseling process?

  8. Do you accept (or are you accepted by) MaineCare/my insurance plan, and can you work within the limits of my insurance coverage? If you do not accept insurance, do you offer a sliding fee scale?

  9. Do you offer appointments in the evenings or on weekends?

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Types of Mental Health Practitioners

Psychiatrist: A psychiatrist is a physician – a medical doctor – whose education includes a medical degree (M.D. or D.O.) and at least four additional years of study and training.  Psychiatrists who pass the national examination administered by the American Board of Psychiatry and Neurology are board certified in psychiatry.  Psychiatrists provide medical/psychiatric evaluation and treatment for emotional and behavioral problems and psychiatric disorders.  As physicians, psychiatrists can prescribe and monitor medications.

Licensed Clinical Psychologist: Someone who has completed a doctorate degree in Psychology, as well as advanced courses in human emotional development, psychological testing, and psychotherapy. Psychologists in Maine must go through a licensing process in order to practice.

Licensed Clinical Social Worker (LCSW): Someone with a Master’s Degree in Social Work (MSW) who has completed a minimum of two years of supervised counseling practice after receiving an MSW and who has passed a state-recognized clinical level exam. Social Workers tend to view a person or family in the context of the social, cultural, and physical environments, and work with clients to identify strengths which can assist in the problem-solving process.  

Licensed Clinical Professional Counselor (LCPC): Someone with a Master’s degree, usually in Counseling, Education, or Psychology, who has practiced under the supervision of a licensed clinician, passed designated professional exams, and met other licensing requirements. LCPC’s offer counseling which targets improved communication skills and strengthened family relationships.

Psychiatric Nurse Practitioner (NP): Someone with a medical nursing background who has received additional training in mental health counseling and treatment, including medication management.

Licensed Substance Abuse Counselor (LSAC): A Master’s level mental health counselor who has completed additional training, college level courses, and practice experience related to chemical dependency treatment and who has passed written and oral state certification exams.

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Types of Therapy 

There are as many approaches to therapy as there are practicing mental health clinicians. Most experienced therapists use a variety of techniques (also called “modalities”) for working with clients. They recognize that each person and family is unique and that “one size does not fit all.” It is important that your therapist clearly states what kinds of therapy he or she intends to use in working with your child and/or family, how each works, how many sessions will be involved, and what outcomes can be expected from the treatment process.  You will also need to consider if your health insurance covers only certain types of treatment and/or certain providers, and how many visits are allowed.  

Psychotherapy

Psychotherapy has become a generic term for on-going individual counseling.  However, this term actually refers to the techniques of Sigmund Freud, in which the therapist asks the client to describe past events, interpersonal relationships, and dreams in order to uncover hidden drives and desires that exist within the client’s subconscious. You might think of the stereotype in which the client lies on the couch while the therapist scribbles notes at a desk, grunting “I see” and “ah-hah” in response to the client’s statements.  

Today’s psychotherapy is much more conversational and informal. Building trust, having investment from both client and therapist, and focusing on a client’s strengths are seen as the foundation for successful intervention. The client and therapist work together to identify major difficulties, contributing factors, and personal strengths. Strategies for improving coping skills and quality of life are also developed with the client’s input.  During treatment, the therapist will offer challenges, interpretations, support, and feedback to the patient.  

Family Therapy

This modality views the family as a system in which each member has an impact on every other member. The family is compared to a hanging mobile—when one part moves, every other part also moves in response. The therapist promotes the idea that everyone in the family has some responsibility for how the family functions, and avoids placing blame on a single family member. Adoptive families often confront issues of belonging, loyalty, entitlement, and attachment, and many therapists experienced with adoptive families find a family systems approach to be the most helpful in dealing with these issues. By working with all available family members in group sessions, the therapist gains direct experience with a family’s dynamics. Skills for improved communication and dealing with difficult situations can be practiced with coaching and feedback during each session.

Play Therapy

Therapists customarily use this form of therapy with very young children, who may not be able to describe events and express feelings with words. The therapist may engage the child in games using dolls and other symbolic toys. Through gentle questioning, the therapist will help the child to tell what is going on emotionally. In this way, the child may be able to act out feelings and reveal emotional trauma that had not be previously expressed. 

Group Therapy

Therapists sometimes use this modality for a group of patients with similar issues, such as adolescents, adult survivors of sexual abuse, and people with addictions. Group therapy allows a small group of people (usually no more than 8) to share common struggles, practice communication skills, and challenge each other to develop better ways of coping. It is not unusual for participants to receive individual counseling in conjunction with group therapy. Group therapy is different from a support group, which is usually run by group members and is more focused on sharing information and providing general emotional support, and is not “therapeutic” per se.

Behavior Modification

When a child exhibits specific behaviors that are significantly disruptive or dangerous to him or others, reducing the frequency of the targeted behaviors becomes a first priority. Behavior modification refers to techniques that use immediate rewards and consequences to encourage the child to replace unacceptable behavior with desirable behavior. The therapist will identify specific changes desired and will establish a system of rewards and consequences. The reasons behind objectionable behavior are seen as irrelevant; the focus is on change. This therapy is especially useful with children who may not be inclined or able to examine and understand their inner feelings. The therapist may suggest that rewards be given to children even for little things such as talking with their adoptive parents or becoming involved in activities instead of withdrawing to their rooms. Most children respond enthusiastically to getting these rewards. “Consequence” usually refers to loss of a privilege or reward.

Neurofeedback

Neurofeedback is a newer treatment approach which is being used with children and adults who have Attention Deficit Hyperactivity Disorder (ADHD). It involves monitoring a patient’s brain wave patterns with an electronic device (EEG). The goal is to increase the amount of brainwaves associated with concentration and reduce the amount brainwaves associated with distraction and/or hyperactivity. 

EMDR 

EMDR (Eye Movement Desensitization and Reprocessing) is a fairly new technique used in individual therapy. It is primarily used with children and adults who have experienced traumatic events such as emotional, physical, and sexual abuse, warfare/violent events, and natural disasters and who experience post-traumatic stress disorder (PTSD – a condition with anxiety-type symptoms) as a result.  During EMDR treatment, the therapist asks the client to think about a particular traumatic event. As the client remembers, the therapist provides a repetitive visual, auditory, or tactile (touch) stimulation, such as waving two fingers in front of the client’s eyes, or having the client wear a headset which emits a sound that alternates between the right and left earpieces.  Although no one knows for sure, it is thought that alternate stimulation of the two sides of the brain somehow helps to “reprocess” memories of traumatic events in a way that reduces their emotional impact. Research studies indicate that EMDR can produce positive results in as few as 2-5 sessions.  

Before agreeing to EMDR treatment for your child or yourself, be sure the clinician is a licensed mental health practitioner who has received formal training in EMDR therapy.  

Attachment Therapy

Many adopted children experience difficulties with trust and attachment. Separation from one’s birth parents/family, however abusive or inadequate the relationships may have been, can be powerful enough to create long-term barriers to attachment with other care giving adults. Multiple foster home placements prior to adoption can add to the impact of the original separation. There are many different approaches to working with attachment difficulties, some of which are quite controversial. If your child has been formally evaluated and significant attachment issues have been identified, ask your adoption caseworker, your child’s psychiatrist or mental health counselor if attachment therapy would be an appropriate treatment option for your child. As with all medical and mental health providers, make sure the person treating your child has the required professional licenses, training, experience, and recommendations from other professionals before you accept his or her services. 

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Drug and Alcohol Treatment

Addiction and substance abuse, although closely linked with mental health concerns, require special treatment and support services. Intensive in-patient treatment, usually lasting 21 to 28 days, is available, as is outpatient treatment via individual counseling and group therapy. Some children and adults with substance abuse concerns have a “dual diagnosis” in which there are also chronic mental health issues needing attention. Many community mental health centers have their own substance abuse programs, which makes coordination of the two forms of treatment much easier. Other youth substance abuse resources are linked with Maine’s juvenile justice system. 

The costs associated with substance abuse treatment are covered to varying degrees by private medical insurance, Medicare, and MaineCare. Maine’s Office of Substance Abuse also has funds available for youth without insurance coverage for substance abuse treatement.

Peer-led “twelve-step” programs such as AA, Alanon, ACOA (Adult Children of Alcoholics), and NA (Narcotics Anonymous) provide on-going support through meetings and phone contact for people with addictions and their loved ones. Attendance at twelve step meetings is often one component of an addicted person’s treatment plan. These services are provided at no cost to participants (donations may be accepted).  

For more information on assessment and treatment options, you can contact your local mental health center, or use the following resource numbers. Maine’s Office of Substance Abuse Services has a listing of providers on its website. 

For alcohol or drug-related emergencies, call one of the crisis hotlines below.

Day One
188 State Street

Portland, ME 04101
(207)842-2995
www.day-one.org (Great web site!)

Services: Youth substance abuse prevention and treatment, including residential and outpatient treatment and a parent support program.

Department of Behavioral and Developmental Services
Office of Substance Abuse Services
OSA Information and Resource Center
AMHI Complex, Marquardt Building, 3rd floor
Augusta, ME 
(207)287-8900
1 (800) 499-0027 or 1 (800) 215-7604 (TTY)
www.maine.gov/bds/osa/index.htm

Al-Anon (national help line)
1-800-344-2666 
For family members of alcoholics

Alateen (ages 12 to 20)
(207)871-8173

For adolescent children with alcoholic parents and caregivers.

Alcoholics Anonymous (statewide) 
1-800-737-6237

Alcoholics Anonymous, Al-Anon, Adult Children of Alcoholics (statewide)
1-800-498-1844 (group information)

NA (Narcotics Anonymous) Statewide Hotline
1-800-974-0062 

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Crisis Intervention Services

If a family member is in danger of hurting him/herself or others, or otherwise cannot wait to see an outpatient therapist, there are toll-free mental health crisis lines available 24 hours a day. When necessary, a crisis intervention professional can come to your home or wherever the person in crisis is located, to do an emergency assessment for safety and referral to the appropriate level of services. 

There are also a number of crisis stabilization programs throughout the state which offer brief out-of-home placements for children who need to be in a secure setting but who do not meet the criteria for admission to a psychiatric hospital. These programs can be accessed through the existing statewide crisis intervention resources listed below.

Crisis lines by region:

Statewide Crisis Hotline
1-888-568-1112

Region I Agency Number
York and Cumberland Counties Ingraham (207)774-4357
(207)774-HELP
  Sweetser Crisis Response 1-800-660-8500
Region II    
Androscoggin, Franklin, and Oxford Counties Tri-County Mental Health (207)783-4680
  Oxford County Crisis Response 1-800-335-9999
(207)364-3549
Sagadahoc, Knox, Lincoln and Waldo Counties Coastal Crisis Response (207)798-6589
Region III    
Aroostook County Helpline 1-800-432-7805
Penobscot, Piscataquis, Hancock, and Washington Counties Phone Help 1-800-499-9130

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Outpatient Mental Health Services 

Therapist Info-Line (Statewide)
Catholic Charities of Maine
(207)781-8550
(207)775-5671
800-386-4096

Services:  A referral service for people seeking various types of mental health support. The info-line is staffed by therapists and trained volunteers, who ask callers about their location, specific needs, preferences, and payment options. The specifications are then used to pull the names and contact information of at least therapists from a statewide database.

By County:

[Androscoggin] [Aroostook] [Cumberland] [Franklin] [Hancock] [Kennebec] [Knox] [Lincoln] [Oxford] [Penobscot] [Piscataquis] [Sagadahoc] [Somerset] [Waldo] [Washington] [York]

Androscoggin County

KidsPeace

Tri-County Mental Health Services
55 East Avenue
Lewiston, ME 04241
(207)786-8133

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 Aroostook County

Aroostook Mental Health Center
County-wide Crisis Line: 800-432-7805

St. Peters Road
Caribou
(207)493-3361

139 Market Street, Suite 109
Fort Kent
(207)834-3186

11 Mill Street
Houlton
(207)532-6523

88 Fox Street, Suite 101
Madawaska
(207)728-6341

1 Edgemont Drive
Presque Isle
(207)764-3319

2 Main Street
Van Buren
(207)868-5236

 Community Health and Counseling Services

2 Water Street Suite 2

137 Bennett Drive Suite 2

345 Market Street

Houlton, ME 04730

Caribou, ME 04736 

Fort Kent Mills, ME 04744 

(207)532-5510

(207)496-3166

(207)834-4410

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Cumberland County

The Anchor Program
Maine Medical Center, Division of Child Psychiatry
932 Congress Street
Portland, ME 04102
(207)871-3005 or (207)871-2303

Services: Mental health assessment and intensive clinical services for children age birth to 18 years who have MaineCare coverage.

Community Based Counseling
University of New England
Portland Office
716 Stevens Avenue
Portland, ME 04101

(207)797-7261, ext. 4439

Services: Counseling for individuals, couples, families, children, adolescents, and the elderly.

Community Counseling Center
343 Forest Avenue
Portland, ME 04101
(207)874-1030; TTY: (207) 874-1043

Services: Counseling and psychotherapy for children, adolescents and adults, family and couples’ counseling, treatment for survivors of sexual abuse, case management for children (age 0-21) with special needs, geriatric mental health and support programs.

Dialogue Center
57 Exchange Street

Portland, ME 04101
(207)879-9000

Services: Individual and family counseling for people without medical insurance or those who cannot afford standard fees or co-payment. 

Family Institute of Maine
65 West Commercial Street
Portland, ME 04101
(207)842-3700

Services: Individual, group, couples, and family counseling services. Substance abuse treatment, psycho educational services for children with learning disabilities, eating disorder treatment, stress management.

Child and Adolescent Consultation-Liaison Psychiatry Service
Maine Medical Center
216 Vaughan Street
Portland, ME  04102-3204
(207)871-2303

Services: This program works with children and adolescents who have both medical and psychiatric problems; for example, those with psychological problems that present as physical symptoms.

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Franklin County

Evergreen Behavioral Services
Mt. Blue Health Center
131 Franklin Health Commons, Suite A
Farmington, ME 04938
(207)778-0035

Services:  24 hour emergency services, outpatient counseling for individuals, families, and couples, chronic pain treatment, evaluation, substance abuse treatment, medication management.

New Directions
Health Reach Network
Wilton Road
Farmington, ME 04938
(207)778-6320

Services:  Outpatient substance abuse and mental health counseling for individuals and families.

Protea Behavioral Health Services
347 Depot Street/PO Box 642
Wilton, ME  04294-0642
(207)645-9806

Services:  Outpatient therapy, children’s in-home support services, medication management, substance abuse treatment, and psychological testing.

Tri-County Mental Health Services
144 High Street
Farmington, ME  04938
(207) 778-2250
800-559-3556

Services: Outpatient mental health and substance abuse programs, crisis services.

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Hancock County

Community Health and Counseling Services
Children Service
204 Water Street
Ellsworth, ME 04605
1-800-482-2061

Downeast Community Mental Health Center
10 Hancock Street
Ellsworth, ME 04605
(207)667-1988

Family Counseling Services
P. O. Box 297
Ellsworth, ME 04605
(207)667-6890

Protea Behavioral Health Services
85 State Street / PO Box 5003
Ellsworth, ME  04605-1923
(207)667-7809

Services: Outpatient therapy, children’s in-home support services, medication management, substance abuse treatment, and psychological testing.

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Kennebec County

Crisis and Counseling Services
32 Winthrop Street
Augusta, ME 04330
(207)626-3448
888-568-1112 (crisis line)

Services: Mental health, substance abuse, and dual diagnosis outpatient services for adults, children/adolescents, families, and couples. 

Community Health and Counseling Services
P. O. Box 28
East Winthrop, ME 04343
(207)395-2555

Services:  Community-based residential and outpatient programs for children with emotional and behavioral challenges and their families. 

International Adoption Services Center, Inc.  (IASC)
P.O. Box 56
Gardiner, Maine 04345
1-888-68-ADOPT

Services: To assist adoptive parents and children to maintain a stable permanency plan and reduce possible disruption.  

Kennebec Valley Mental Health Services

66 Stone Street
Augusta, ME 04330

(207)626-3455
(207)626-3614 TDD

67 Eustis Parkway
Waterville, ME 04901
(207)873-2136
888-322-2136

Services:  Individual, marital, and family counseling services, child abuse services, medication clinic, substance abuse treatment, eating disorders clinic.

Maine Children’s Home for Little Wanderers
The Harland A. Turner Family Counseling Center 
11 Mulliken Court
Augusta, ME  04330
(207)622-1552

Services: This Center specializes in the provision of outpatient counseling services for those affected by adoption.  Services are available to all members of the adoption triad, (birthparents, adoptees, and adoptive families). Through the Family Care Program, adoptive families can also access temporary respite care for children (infants through age 18).

 New Directions/ Health Reach Network

1 Weston Court 3rd Floor
Augusta, ME 04330
(207)626-3420
626-3420 (TTY)

P.O. Box 829
Waterville, ME 04903
(207)873-1127

Services:   Outpatient substance abuse and mental health services to individuals, groups, and families.

Protea Behavioral Health Services

52 Water Street
Hallowell, ME  04347-1437
620-8495
866-810-3724 (toll-free)

3 Michael Lane
Waterville, ME  04901-5840
680-2065
866-858-5515 (toll-free)

Services: Outpatient therapy, children’s in-home support services, medication management, substance abuse treatment, and psychological testing.

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Knox County

Mid-Coast Mental Health Center
12 Union Street
Rockland, ME 04841
(207)594-2541
800-540-2072

Services: Individual, group, and family therapy, medication management, in-school counseling, children’s community support services, children’s in-home support, case management for children, early start services, substance abuse services.

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 Lincoln County

Sweetser (located in Sagadahoc County, but serves Lincoln county residents)
14 Maine Street, Suite 410
Fort Andros
Brunswick, ME 04011
(207)721-3177
1-800-240-1469

Services: Individual and family counseling for children, adolescents, adults, and elderly.

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Oxford County

Tri-County Mental Health Services

424 Penobscot Street
Rumford, ME 04276
(207)364-7981
800-371-7981

143 Pottle Road
Oxford, ME 04270
(207)743-7911
800-750-7811
800-750-7911

Services: Outpatient mental health counseling for individuals, families, and couples. Substance abuse evaluation and treatment, crisis services.

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 Penobscot County


Acadia Hospital

268 Stillwater Avenue
Bangor, ME 04401
(207)973-6100
800-640-1211

 

Community Health and Counseling Services

P.O. Box 425

Bangor, ME 04402

(207)947-0366

 

Rte 155, Enfield Road

Lincoln, ME 04457

(207)794-3554

 

Developmental Pediatrics

Eastern Maine Medical Center

489 State Street

Bangor, ME 04401

(207)973-7572

 

Eastern Maine Counseling and Testing

680 Evergreen Woods

Bangor, ME 04401

(207)942-9305

 

 

Northeast Occupational Exchange

29 Franklin Street

Bangor, ME 04401

(207)942-3816

800-857-0500

442 Moosehead Trail

Newport, ME 04953

(207)368-2072

P.O. Box 407

Lincoln, ME 04457

(207)794-9073

877-794-9073

Protea Behavioral Health Services
187 Exchange Street
Bangor, ME  04401
(207)992-7010 
877-776-8322 (toll-free)

Services: Outpatient therapy, children’s in-home support services, medication management, substance abuse treatment, and psychological testing.

 

Wabanaki Mental Health Association

132 North Main Street

Brewer, ME 04

(207)989-4701

277 State Street

Bangor, ME 04401

(207)990-0605

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Somerset County

Community Health and Counseling Services
78 Madison Avenue
Skowhegan, ME  04920
(207)858-4860

Kennebec Valley Mental Health Center
30 High Street
Skowhegan, ME 04976
888-322-2136
(207)474-8368

New Directions/Health Reach Network
165 North Avenue
Skowhegan, ME 04976
(207)474-8082

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Waldo County

Mid-Coast Mental Health Center
15 Midcoast Drive
Belfast, ME 04915
(207)338-2295
888-660-9991

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 Washington County

Community Health and Counseling Services

10 Barker Street
Calais, ME 04619
(207)454-2928
800-603-2928

P. O. Box 457
Machias, ME 04654 
(207)255-6786

 Protea Behavioral Health Services

5 Lowell Street, Suite 8
Calais, ME  04619
(207)255-6366 (Machias office)

8 Pleasant Boulevard/PO Box 750
Machias, ME  04654-0750
(207)255-6366

Services: Outpatient therapy, children’s in-home support services, medication management, substance abuse treatment, and psychological testing.

Washington County Psychotherapy Associates
P.O. Box 29
Machias, ME 04654
(207)255-4990

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York County

Community Based Counseling
University of Health 
11 Hills Beach Road
Biddeford, ME 04005
(207)
282-1516

Counseling Services, Inc.

Kimball Health Center
333 Lincoln Street
Saco, ME 04072
(207)282-5188
(207)282-4151

474 Main Street
Springvale, ME 04083
(207)324-1550

453 U.S. Route 1
Kittery, ME 03904
(207)439-8391

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Grief and Loss Support for Children

Center for Grieving Children
P.O. Box 1438 
49 York Street
Portland, ME 04104 
(207)775-5216

Services: 

  • Peer Support Groups for children age 3-18 and parents who have experienced the death of a relative or close friend which are led by trained volunteers with professional supervision. 

  • “Tender Living Care” program provides support for children who have loved one with a serious or life threatening illness. 

  • Home visits by volunteers.

  • 8-week peer support group called “Time of Change.”

  • Community Outreach and education regarding grief and bereavement issues. 

  • Crisis intervention support for schools. 

  • Resources for starting new grieving programs.

Pathfinders
Hospice of Eastern Maine
885 Union Street, Suite 220
Bangor, ME 04401
(207)973-8269
800-350-8269

Services: Support groups for grieving children.

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Out of Home Treatment

When a child does not have life-threatening safety issues that require hospitalization, but is behaving in ways that are unmanageable at home or is in acute emotional distress, he or she may benefit from the structured environment of a residential treatment center. These programs focus on the development of positive coping skills and self-responsibility, often utilizing behavior modification therapies in which the child must exhibit appropriate behaviors in order to receive privileges and desired rewards. The goal is to enable the child to return home with these new skills in place. Parents are required to stay involved with the assessment, treatment planning, and discharge processes. Family connections can help to motivate a child to use positive coping skills and behaviors so that he or she can return home.

Some residential programs provide chemical dependency treatment, while others work with pregnant and/or parenting teens. Most provide mental health assessment and counseling. Residential treatment facilities are located in individual community homes or in a campus type setting.  Generally, 8 to 12 children live with "house parents" who provide supervision for daily living activities. Mental health clinicians and other treatment providers are a part of each care plan. The children attend school either at the facility or in a community school and have scheduled visits with their parents.

The following page describes the services and case management procedures provided by Children’s Behavioral Health Services, (formerly: Department of Behavioral and Developmental Services) in relation to these kinds of services.

Accessing Out-of-Home Treatmentfor Your Adopted Child

 Even with the best services in place, there can be situations in which home-based and outpatient treatment of emotional and behavioral problems are not enough to maintain safety and stability for a child and his or her family. After exhausting all other options, leaving the home temporarily to obtain more intensive supervision and treatment may be the best option for a child.  The Department of Children's Behavioral Health Services (CBHS) believes that every child in the state of Maine has a right to the most appropriate care available, in the least restrictive environment.  To this end, CBHS has initiated the Intensive Temporary Out of Home Treatment Services (ITOOHTS) program.  This program provides funding and case management support for short-term and intensive treatment in a residential setting.  

Effective July 1, 2001, all children and families who wish to access ITOOHTS will be required to have a Community Case Manager who will assist you and your family to find the most appropriate services in your area. 

The Community Case Manager will meet with you and your child and review your child’s medical records, psychological and psychiatric assessments and evaluations, Individualized Education Plans (IEPs), Pupil Evaluation Team (PET) minutes, and other pertinent records. With this information in mind, the case manager will arrange for the most appropriate level of care for your child. Specific community agencies have contracted with BDS to provide this service. 

For a list of Community Case Management agencies in your area, please call the appropriate toll-free number for your particular region and ask to speak to a Family Information Specialist.  

Region I: 800492-0846

Region II: 800-866-1814

Region III: 800-767-9857 (Aroostook) or 1-800-963-9491 (Hancock, Penobscot, Piscataquis, Washington Counties)

In addition to consultation with the adoptive parents, the Community Case Manager will work with the CBHS Mental Health Program Coordinator to determine the need for residential treatment services.  If a determination for ITOOHTS is made, the proper forms will be completed and the Mental Health Program Coordinator will present this information to the CBHS Internal Team, which includes, but is not limited to, the Systems Access Coordinator, the Utilization Review Nurse, Mental Health Program Coordinator, and Regional Children’s Team Leader.  Clinical information will again be reviewed, ideas discussed, and if all agree, the application will be approved.  At this time, the facility being requested may be questioned.  The Internal Team may suggest different treatment facilities, and outline the pros and cons associated with each facility. Again, the primary objective is to facilitate the child’s return back to the home as soon as possible.  Funding sources for treatment costs will be discussed, such as private insurance, Social Security, trust accounts, and supported adoption funds.

Once a determination for this level of care is made, the child will be accepted by the treatment facility, and a date for admission will be set.  Shortly after admission, a Utilization Review Nurse from CBHS will be in contact with the facility in order to ensure that the care and treatment being provided meets the needs of the child and is delivered in the least restrictive manner.  The Utilization Review Nurse will also work with the Community Case Manager and the adoptive parents in planning for the child’s return to the home with appropriate community-based treatment and family support.  

Prepared by CBHS Staff

July 23, 2001

Out of Home Treatment Facilities
This is a partial list - contact your local CBHS office for a complete listing of programs in your area.

Alternative Services 
(three locations in Central Maine)
140 Canal Street
Lewiston, ME 04240
(207)777-1107

Rumford Group Homes
160 Lincoln Avenue
Rumford, ME 04276
(207)364-3551

Goodwill Homes for Boys and Girls
(several locations in Central Maine) 
P. O. Box 159
Hinckley, ME 04944
(207)238-4000

St. Andre’s Home, Inc.
(Bangor and Biddeford locations)
283 Elm Street
Biddeford, ME 04005
(207)282-3351

Ingraham - MaineStay
237 Oxford Street
P.O. Box 1868
Portland, ME 04104
(207)874-1055 (administrative)
(207)774-HELP (crisis line)

The Spurwink School
(many Southern Maine locations)
899 Riverside Street 
Portland, ME 04103 
(207)871-1200

Atrium House West
P.O. Box 1156
Bangor, ME 04402
(207)941-2824

Sweetser Children’s Services
(many Southern Maine locations) 
50 Moody Street
Saco, ME 04072
(207)284-5981
800-434-3000

KidsPeace National Centers
73 Mariaville Road
P.O.  Box 787
Ellsworth, ME 04605
(207)667-0909
800-992-9543

Weymouth House, Inc.
P.O. Box 279
Newcastle, ME 04553
(207)563-1444

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Inpatient Psychiatric Treatment

When a child or adolescent’s behavior indicates that he or she is either imminently suicidal or a danger to others, emergency psychiatric intervention should be pursued.  If the crisis is prolonged, hospitalization may be the only way to protect the child and family. When a child is admitted to this level of care, he or she will be evaluated, and treatment goals will be set.  Parental involvement is critical for creating appropriate treatment plans during and after inpatient care, and most child and adolescent units of psychiatric hospitals require parent participation in family meetings or therapy. Parents should ask to see their child's treatment plan and ask questions about how it will be accomplished and what type of support is available after the child is discharged. 

Inpatient Psychiatric Facilities

Acadia Hospital
268 Stillwater Avenue
Bangor, ME 04402
(207)973-6100, (207)973-6103 (TTY)
800-640-1211

St. Mary’s Regional Medical Center
Campus Avenue
Lewiston, ME 04243
(207)777-8100

Augusta Mental Health Institute
P.O. Box 724
Augusta, ME 04332
(207)287-7200

Seton Unit
MaineGeneral Medical Center
30 Chase Avenue
Waterville, ME 04901
800-225-3131

Maine Medical Center
22 Bramhall Street
Portland, ME 04102
(207)871-2381

Spring Harbor Hospital
175 Running Hill Road
South Portland, ME 04106
(207)761-2200
888-524-0080 

Northern Maine Medical Center
194 E. Main Street
Fort Kent, ME 04743
(207)834-3155

 

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National Alliance for the Mentally Ill (NAMI), Maine Chapter

NAMI Maine is a family-centered, nonprofit organization dedicated to improving the quality of life for everyone affected by mental illness. Services are provided both directly and through a statewide structure of local affiliates and support groups. For the most current information about support groups, please contact Deb Daniels at 1-800-464-5767 or 207-622-5767.

Click here for a NAMI chapter near you.

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National Resources for Children’s Mental Health

American Academy of Child and Adolescent Psychiatry
Washington, DC
800-333-7636
www.aacap.org

American Psychiatric Association
Washington, DC
(202)966-7300
www.aacap.org

Anxiety Disorders Association of America
Rockville, MD 

(301)231-9350
www.adaa.org

Child Trauma Academy
www.childtrauma.org

Federation of Families for Children’s Mental Health
Alexandria, VA
(703)684-7710
www.ffcmh.org

Maine Association for Infant Mental Health
592 Sawyer Road
Greene, ME  04236
(207)375-8184

 

Child Welfare Training Institute
Muskie School of Public Service
University of Southern Maine
45 Commerce Drive, Suite 11
§ Augusta, Maine 04330
207.626.5200
§ 207.626.5088 (fax) § 207.626.5282 (TTY)