Programs and Services

APRC Area Prevention Resources

The Area Prevention Resource Center (APRC), located at Red Rock Behavioral Health Services would like you to be aware of our services and what support the APRC can provide. Our primary focus is to serve as a community resource. We educate and inform communities through multiple strategies including community based services, environmental strategies, early recognition, and referral. Red Rock APRC in Yukon provides services to a two county area which includes: Canadian and Grady Counties. Red Rock APRC in Clinton provides services to a nine county area which includes: Beckham, Blaine, Caddo, Custer Dewey, Greer, Kiowa, Roger Mills and Washita. We take the proactive approach in reducing substance abuse among communities. We identify factors in a community that cause the risk of substance abuse and work to promote protective factors that serve to minimize the risk of substance use/abuse. For more information about the Area Prevention Resource Center please visit www.redrockwestaprc.com

Case Management

Red Rocks Case Management Program is one of the many outpatient series offered to serve adults and youth and families with mental health, behavioral, substance abuse, and co-occurring mental and substance abuse disorders. Case management services are a strength based model for qualifying persons that offers quality assistance in relationship building, goal setting, assessment of needs, linkage to needed resources, advocating for individuals, and referral to appropriate level of assistance.
This service is aimed toward persons who are at risk of hospitalization, or who require assistance to gain access to needed medical, social, education and other services essential to meeting their needs and are preformed at their home site, other community location, or at a Red Rock office. The ultimate goal is to form a partnership with the client which allows each individual to reach their highest level of recovery by receiving these quality client specific and directed services to improve self-sufficiency.

Community Housing

This program is designed to help the client integrate into the community by helping residents gain independence, manage their illness, and learn to utilize community resources. Residents are provided the opportunity to participate in activities of daily living skills and independence. Opportunities are also provided for community, cultural, recreational and spiritual activities. Every effort is made to help the individual secure resources to enable him to live independently. Coordination with outside providers (i.e. schools, doctors, employers, and other community agencies) is maintained to assure quality of service. Community Housing provides opportunities to participate in activities that would typically be found in a home. Residents have adequate personal space for privacy and are encouraged to have their own possessions and decorations. They have daily access to nutritious meals and are encouraged to take increasing responsibility for the cooperative operation of the household. All Red Rock housing facilities meet all local and state safety ordinances. Staff is available to all tenants 24 hours a day to address any concerns. The philosophy of the program is that with support, persons with mental and/or other challenges can become stable in the community, maximize their abilities, and achieve a higher level of functioning and a better quality of life. Community based housing is available for all Red Rock clients.

Crisis Intervention

Red Rocks program philosophy is to stabilize individuals who are experiencing an emotional or psychological crisis, so that they can be treated in the least restrictive environment and quickly return to their lives and routines. When possible, the persons natural support system is utilized to aid this process. The goal is to alleviate the crisis experienced by the individual through timely intervention. Objectives are to identify the source of crisis, and to reduce or eliminate acute symptoms of mental illness, emotional distress, or substance abuse.
Services are available 24 hours a day, 7 days a week. Psychiatrists are on-call for consultation. Crisis staff are trained in Mandt/CPI, CPR, First Aid, Community Resources, and Emergency Detention Procedures.
Services include an assessment of level of acuity, crisis counseling and development of a stabilization plan. The program provides a linkage to community resources for on-going services, face to face and telephone intervention.
The expected outcome is to alleviate the crises of individuals served and to link them to appropriate resources for continuing treatment. This service is available to any person experiencing acute emotional dysfunction due to a mental/behavioral health crisis situation.
During FY09, 78% of adult crisis intervention services and 65% of youth crisis intervention services were followed up with a lower level of care within 8 days. Approximately 84% of adults and 73% of youths receiving crisis intervention service were diverted from inpatient hospitalization or crisis stabilization services.

Crisis Units

Red Rock operates two Adult Crisis Stabilization Units in Oklahoma, one in Norman and one in Clinton. It is the philosophy of the program that stabilization services for co-occurring psychiatric and substance use crises are best provided near the persons home and community where family and significant others are more easily involved. It is also believed that crisis situations can be an opportunity for change, growth and effective treatment for the individual.
Crisis stabilization consists of emergency psychiatric and substance abuse services for the resolution of crisis situations provided in a behavioral health care setting. The program is designed to provide acute psychiatric crisis stabilization, including medically supervised detoxification service to persons 18 years or older who are either admitted voluntarily or involuntarily (under an emergency detention). Services are considered integrated when the care provided is to a person with a mental health and substance abuse diagnosis (Co-occurring). The Crisis Unit is staffed daily by a multidisciplinary team of professionals, including a psychiatrist, registered nurses, masters level licensed staff, bachelors level staff, and mental health techs. Crisis stabilization services will include a safe, secure environment, medication assessment, therapeutic interventions, Intervention team meetings, stabilization of the crisis, education, discharge planning and referral to the appropriate level of follow-up service. The average length of stay is 3-5 days.
These services are designed and implemented to:
Improve quality of life
Reducing symptoms and improving functioning through medication, education and access to Red Rock continuum of care after discharge
Returning the person to the community as soon as possible and avoiding further inpatient treatment when possible.
Support recovery and resilience through the use of access to Recovery Support Specialists
Red Rock BHS also operates a Childrens Crisis Stabilization Unit in Oklahoma City, it is a 15 bed, locked, secure psychiatric crisis care program that operates 24 hours a day, 7days a week, 365 days a year. The program is designed to provide 24 hour, 7 days a week evaluation, crisis stabilization and social service intervention to a child in need of assistance for emotional or mental distress including those who present with co-occurring substance abuse disorders or to a child experiencing substance abuse related crises including those with co-occurring mental health disorders who do not require mental health crisis stabilization services.
The target population of individuals will range from ages of children 10 years up to age 18 years. The Childrens Crisis Stabilization Unit will have the capability of providing services to children who are either admitted voluntarily or involuntarily. Crisis stabilization services will be provided in the least restrictive setting possible, when other community resources have been determined to be inadequate to meet the current psychiatric needs of the child. Every effort will be made to avoid hospitalization and return the child to his/her home.
The Crisis Unit is staffed daily by a co-occurring disorder capable multidisciplinary team of professionals, including a child psychiatrist, registered nurses, masters level licensed staff, bachelors level staff, and mental health techs adequate in number to meet the clinical needs of the individuals served.
Crisis stabilization services will provide a safe, warm, welcoming, culturally, age appropriate and secure environment with medication assessment, individual, family and group therapy, education, and therapeutic recreation. Following assessment, an individualized crisis plan will be developed, utilizing strengths and abilities, needs and preferences, natural supports and community resources. Discharge planning will begin at the onset of services and are continuously evaluated to ensure a continuity of care and minimize the likelihood of re-admission. Linkage services will be provided to communicate and coordinate with other service providers to assure appropriate referrals to the appropriate level of follow up services are made. Referral to Outpatient services will be the primary course of action for children meeting criteria for such services. The expected length of stay is decided on an individual basis but would not exceed 7 days.

GEAR UP- Chandler, Chickasha, & Shawnee Youth Program

Gear-Up is a program that partners Red Rock BHS with parents, local schools, and other persons and/or agencies involved in a childs life. We work with children and adolescents who are experiencing difficulty at school or home due to emotional, behavioral, and/or social problems. Children receive services from qualified and passionate professionals through Gear-Up Red Rock program in their home, school, and/or Chandler Chickasha, or Shawnee Red Rock BHS location. We serve various schools within Lincoln, Grady, and Pottawatomie Counties.

An important part of the services is our preventive approach to meeting childrens needs. We provide help to children already having problems but we also take a proactive approach. This approach is used to help children who are at riskfor developing problems with emotional, behavioral, or social problems from loss, traumatic events, or difficulties accepting life changes.

HIV/AIDS Counseling, Testing and Referral

Red Rock has provided convenient, confidential and anonymous HIV counseling, testing and referral services since 1998 serving multiple race/ethnicities and ages and those at behavioral risk for acquiring HIV. A comprehensive assessment is completed with each test administered. The assessment measures medical needs, psychosocial and mental health needs. Red Rock will identify the needs of the consumers and link them with proper referrals for services as needed. During FY09, Red Rock provided HIV/AIDS counseling, testing and referral services to 654 people.
Services are provided in our North Rock Medication Clinic which is located at our main office situated in a fixed location at 4400 N. Lincoln Blvd, Oklahoma City. Red Rock also provides convenient, confidential and anonymous HIV counseling, testing and referral services at Expressions Community Fellowship which is situated in our outreach location at 4010 N. Youngs Blvd., Oklahoma City.

Individual and Group Therapy for Children and Adults

Outpatient treatment programs provide individual, group and family counseling. They offer comprehensive, coordinated, and defined services that may vary in level of intensity. Outpatient programs address a variety of needs, including, but not limited to: situational stressor, family relations, interpersonal issues, psychiatric illnesses, addictions and mental health issues. Red Rocks Outpatient Programs serve individuals with mental health, substance abuse, and co-occurring mental and substance abuse disorders. Services are specific to the developmental stage and needs of each client. Treatment is provided in the community as well as at Red Rock office locations. Substance abuse counseling provides education, support, and the skills needed to battle chemical use/dependency. These services include HIV education, training and counseling for substance dependent persons and their spouses/partners. All drug dependent clients are referred for HIV testing and counseling. The goal of the outpatient programs is to provide accessible, comprehensive services responsive to each individual client and for each to obtain their optimal level of functioning in the home and community. This will be evidenced by effective management of psychiatric symptoms and/or substance use. Almost 70% of outpatients met their individualized treatment objective over the course of treatment.

Interim Services

Should the consumer not meet criteria for services or require services beyond the scope of Red Rock BHS, interim services shall be provided until the individual can be admitted to a treatment program that better services the needs of the consumer. Interim services will be provided within a minimum of 48 hours after first requesting services at Red Rock BHS. These services will be provided directly by Red Rock or through arrangements with other public or non-profit private entities.
At a minimum, interim services shall include counseling, information and education about HIV/AIDS, Hepatitis C, and Tuberculosis (TB), about the risks of needle-sharing, the risks of transmission to sexual partners and infants, and about steps that can be taken to ensure that HIV/AIDS, Hepatitis C, and TB transmission does not occur, as well as referral for HIV/AIDS, Hepatitis C, or TB treatment services if necessary. The preceding information will be maintained and updated in Red Rocks Consumer Orientation Guide.
Should Red Rock not be able to provide services to a pregnant consumer, Red Rock will make available interim services, as outlined above, as well as counseling on the effects of alcohol and drug use on the fetus, and referral for prenatal care, within 48 hours of the request for services.

North Rock Medication Clinic and Community Pharmacy

North Rock is a collaborative effort between North Care Center and Red Rock Behavioral Health Services. It provides psychiatric evaluations, pharmacological management, and medication training and support for clients of North Care and Red Rock.
North Rock Community Pharmacy is located at Red Rocks main facility in Oklahoma City at 4400 N. Lincoln Blvd. To assist clients who need medication refills, the pharmacy has a refill phone line. The refill line is checked regularly and the consumer has a minimum wait to pick up medication refills.
In addition to North Rock, medication clinics are provided on a regular basis at other Red Rock locations. Prescriptions are faxed to the North Rock Pharmacy, filled, and returned by either direct mail or courier. During FY09, 13,671 medication clinic visits were provided to Red Rock clients. In order to increase accessibility to medication clinic services, Red Rock developed a Telemedicine network that consists of 13 videoconferencing endpoints spread out over 10 Red Rock locations. Telemedicine uses audio and video multimedia telecommunication equipment which permits two-way real-time communication between the health care provider and a client who are not in the same physical location. Telemedicine services are used to provide Medication Clinic to more rural and underserved locations. During FY09, Red Rock provided 2,210 medication clinic visits through our Telemedicine network.

Jordan's Crossing Residential Program for Women with Dependent Children

The Jordans Crossing program is a residential program for Women and children. The focus of the program is to provide women with chemical dependency or co-occurring, chemical dependency and mental illness, with therapeutic interventions and education to maintain sobriety and effectively parent their children outside the structure and support of residential treatment. The vision of the Jordans Crossing program is to break the generational curse of addiction for families in our community. Relapse prevention, emotion management, relationship education/skills, parenting education/skills, case management, and trauma work are key components of our program. The following is a brief overview of the services offered. The women all receive a minimum of 24 hours of direct service a week, most of them average 27 -28 hours, and some even hit 32 hours a week if they take advantage of every opportunity to engage in treatment. The difference in treatment hours is a result of offering needed but elective hours of service such as; 1.5 hours of Co-Occurring group, 3 hours of family group (1.5 without children and 1.5 with children), 6 hours of Parent Interaction Group, 1.5 hours of Orientation group, and 1.5 hours of community meeting. All the women get 24 hours of combined therapeutic and education groups Mon - Fri 9:00 am to 4:00 pm. The other special interest groups occur after 4:00 daily and on the weekends. Included in the 24 hours of core treatment for all the consumers is 1.5 hours of Applied Parenting, 1.5 hours of Parent Education, and 1.5 hours 2X weekly of Parent interaction group. The consumers who have children over age 4 living at JC are required to attend 6 additional hours of Parent Interaction group with the children weekly. The consumers who have children visiting on the weekends have the option to attend Family Group with Children on Sunday afternoon. In addition, the women attend in-house or outside spirituality group for 1.5 to 4.5 hours weekly, and in-house or outside 12 step meeting daily. The spirituality groups and 12 step meetings do contact as direct service hours provide by RR, but do count toward the consumer's weekly hours for TANF pay. Consumer are not required to have children placed at JC to engage and benefit from our program. Consumers are required to have dependent children and working on reunification. Several of our consumers have children that come and visit, visit range from 2 hour supervised visits to spend the weekend. Several of our children that are placed at JC with mom leave for a 24 hours each weekend to visit with extended support systems. It was always seemed to balance out on billing, we typically have about the same number of children visiting on the weekend as we do go on an overnight visit.

Outpatient Services

Red Rocks Outpatient Programs serve adults and youth and families with mental health, behavioral, substance abuse, and co-occurring mental and substance abuse disorders. Services are recovery focused and consumer driven and may be provided in the community as well as at Red Rock office locations. Substance abuse counseling provides education, support, and the skills needed to battle chemical use/dependency. These services may include HIV education, training and counseling for substance dependent persons and their spouses/partners. All drug dependent clients are referred for HIV testing and counseling. The goal of the outpatient programs is to provide accessible, comprehensive services responsive to each individual client and for each to obtain their optimal level of functioning in the home and community. This will be evidenced by effective management of psychiatric symptoms, behavioral issues and/or substance use. Specific services vary some by location.

PACT- Program for Assertive Community Treatment

Red Rock has PACT Teams serving Oklahoma County, Pottawatomie, and Seminole County. PACT is an effective, evidence-based, outreach oriented service delivery model for people with severe and persistent mental illness. Using a 24-hours a day, seven days a week, team approach, PACT delivers comprehensive community treatment, rehabilitation, and support services to clients in their homes, at work and in community settings. PACT has been shown to reduce hospitalization, homelessness and incarceration.
Many PACT clients have a history of multiple hospitalizations, involvement with the judicial system, and may be difficult to engage in traditional mental health services. The PACT Team uses an integrated service approach by merging clinical and rehabilitation staff expertise within one team.
Red Rocks PACT teams are truly multidisciplinary. Each includes a psychiatrist, registered nurses, licensed therapists, certified case managers and Recovery Support Specialists.
Within the teams are further specialty designations:
A Substance Abuse Specialist assesses and treats client with dual disorders;
A Vocational Specialist assesses and plans work related activities, including strategies for finding employment;
A Housing Specialist works with the client in finding housing, matching a potential roommate, and developing relationships with landlords;
A Recovery Support Specialist is an individual who has personally experienced mental illness. This member of the team is in a unique position to provide insight to both clients and staff on the effects of mental illness and to suggest possible treatment strategies.
There are several unique characteristics of the PACT model: The Team is the primary provider of service and has the responsibility to help clients meet needs in all aspects of living in the community.
The majority of PACTs treatment and rehabilitation interventions take place in the community the clients own residence and neighborhood, at employment sites, and in the same places other people spend their leisure time.
Treatment is highly individualized across clients and across time. This is vital given the great diversity among persons with severe mental illnesses.
The PACT Team assumes the responsibility to do whatever needs to be done to assist clients meet their individual goals and treatment needs.
PACT services are delivered in a continuous rather than a time-limited framework.

Psychosocial Rehabilitation

These programs provide opportunities for individuals experiencing mental health or co-occurring mental health and substance abuse disorders to develop independent living skills. Achievement of this goal leads to a higher level of functioning and a better quality of life, allowing clients to become active participants in their communities. Skills of daily living include development of social, independent living and vocational skills; learning to access community resources; lifestyle changes, recovery principles and practices and understanding the nature of their disorder so they may become more proactive in treatment. The overall philosophy is for the client to become as independent as possible, and for services to be provided in the least restrictive setting. Clients are provided opportunities to interact with others in a positive way in an attempt to integrate them into the community. Meetings are held regularly to facilitate client input regarding program structure. All activities follow an established curriculum and are goal oriented. Supportive services are offered to ensure that the basic needs of the client are met in the community. These needs include, but are not limited to, safe and secure housing, accessing community resources and community integration. Coordination, as needed, is maintained with outside providers (i.e. schools, doctors, employers, and other providers). Efforts are made to maintain contact with clients who may not be attending on a regular basis to ensure maintenance of stability and to assess the need for change in level of care. 1,332 clients were served in these programs during the year. Client satisfaction was 4.8 on a 5 point scale. This was the highest of any adult program within Red Rock.

Screening, Assessment and Referral

Red Rock utilizes both licensed contract staff and full-time employees to assess and discuss treatment options with potential clients. Upon evaluation of service need, an intake into Red Rock may be completed, including the development of an individualized Treatment Plan. This plan is designed to assist clients in meeting their psychological and social needs. If, after the initial assessment by a clinician, an individuals needs are deemed best met at a different level of care or by a service that Red Rock does not offer, a referral is made to a service provider more appropriately matched to their needs.

SOC- Systems of Care

This program is a Best Practice Model as established by SAMHSA (Substance Abuse and Mental Health Services Administration). It is child centered, family focused, community based, needs driven and culturally competent. A local community team, with significant parent representation and involvement, serves as the primary body regarding the needs of children and families served.
Through local project directors, the necessary steps are taken to ensure that parents of the children with serious emotional disturbance are active participants in all levels of the project. This is accomplished through parent outreach as well as through coordination with local and state parent advocacy organizations, the project director, state SOC staff and the local community and state teams.
Community based SOC teams are developed and are comprised of parents, community services providers, and other community stakeholders who desire to create a responsive childrens mental health system. The Teams develop a strategic plan for the implementation of the project utilizing the best practice model. The plans include an organizational structure, identification of steps necessary to implement the project, and include strategies for ongoing community development, project sustainability, and the continuous evaluation of family and community needs.
The target population is children with serious emotional disturbance who are at risk of out of home placement, who are having difficulties in two or more life domains, and who are receiving services from multiple social service providers. Individual services are provided under the direction of a child and family team, made up of both formal and informal supports. Services include, but are not limited to crisis intervention, respite care, use of flexible funds to meet immediate needs, and the development of a family driven interagency treatment plan.
This intensive family-based program is available to families in Canadian, Beckham, Custer,Grady, Lincoln, Roger Mills,Pottawatomie and Washita Counties.

Treatment Preference

Red Rock will give preference to the following groups during admissions:
Pregnant injecting drug users;
Pregnant substance abusers;
Injecting drug users;
Women with dependent children;
Persons with HIV/AIDS or Hepatitis C