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Kaiser Counseling Services

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Last Updated: 02 July 2021

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General | Latest Info

After years of state sanctions and fines, Kaiser Permanente claims it has gone a long way toward improving its Mental Health Care. California's largest insurer, with 9 million members, touts more than 1 200 therapists hired since 2016, improve patient access to appointments and expanded training program for Mental Health professionals. Regulators at Californias Department of manage Health Care report that Kaiser is meeting benchmarks laid out in the 2017 settlement agreement that result from two years of negotiations. But interviews with dozens of therapists, patients and industry experts paint a more troubling picture of superficial gains. Many patients still struggle to access ongoing treatment, often waiting two months between therapy sessions. Kaiser therapists say that the Oakland company has figured out how to game system without meaningfully improving Care. They describe models that rely on perfunctory intake interviews, conducted from call centers, to show improved response times for patients seeking initial appointment, but then fail to follow through with timely or regular follow-up Care. Initial intake isnt starting treatment. It just means the patient has to explain their experience multiple times, says Kirstin Quinn Siegel, licensed marriage and Family therapist at Kaisers Richmond clinic. It is not the way to improve Mental Health services. It is a way to improve their numbers. Such allegations are central to the five-day walkout last week involving thousands of Kaisers Mental Health professionals, who hit picket lines demanding more time for administrative tasks, higher wages and shorter wait times for appointments. Of particular concern, according to therapists, is a telehealth program called Connect 2 Care. Patients who call in with Mental Health issue are offered an appointment, sometimes that day, for intake assessment conducted by phone with a therapist. Calls, which last about 30 minutes, count toward meeting the States ' timely access regulation, which require patients be give initial urgent appointment within 48 hours and non-urgent appointment within 10 days. Standard intake interviews typically last at least an hour and are done in person by a therapist who will provide treatment, according to the American Psychological Association. In contrast, Kaiser has open large call centers in Livermore and San Leandro, lined with cubicles where Connect 2 Care therapists provide initial intakes by phone. But patients speak with Connect 2 Care therapist only once. To book follow-up appointment, they often wait four to eight weeks to see a therapist in person who will provide ongoing Care. When they finally see someone, say Siegel and others, patient tells their story again, and the new therapist has to do another assessment. Many patients report waiting months between each subsequent appointment. Kaiser officials, when touting improvements in their Mental Health Care, note the system meets States ' timely access metric more than 90% of the time in 2019. But therapists say programs like Connect 2 Care are more about savvy record-keeping than good medicine. Michael Torres, child psychologist at San Leandro clinic, says little has changed in the 17 years hes working at Kaiser.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Topic Overview

Sex therapy may be helpful for some men who have erection problems. Sex therapy doesn't involve having sex with or in front of a sex therapist. Also, isn't long-term or open-end therapy. It usually involves working with a therapist who recommends gradual steps to change sexual behavior. Sex therapy helps you understand and accept that emotions can easily become associated with physical factors or reactions. This therapy is based on the following: both partners share responsibility for helping solve problem, even if it is due to physical causes. You and your partner receive information and education about sexual techniques. It is necessary to change any negative attitudes toward sex. It is necessary to open up lines of communication between you and your partner. Talking about multiple causes of sexual problems and how emotions can play a role in physical causes. Using a variety of psychological tests. Talking about natural changes in sexual function that occur with aging. Offering specific suggestions for enhancing sexual enjoyment. Your family doctor may be able to refer you to a sex therapist. Or you can get referral from a psychologist or social worker. Kaiser Permanente Health plans around the country: Kaiser Foundation Health Plan, Inc., In Northern and Southern California and Hawaii, Kaiser Foundation Health Plan of Colorado, Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305 404-364-7000 Kaiser Foundation Health Plan of Mid-Atlantic States, Inc., In Maryland, Virginia, and Washington, DC, 2101 E. Jefferson., Rockville, MD 20852 Kaiser Foundation Health Plan of Northwest, 500 NE Multnomah., Suite 100, Portland, or 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 601 Union., Suite 3100, Seattle, WA 98101


Types of Outpatient Services

More and more medical procedures are being offered in qualified outpatient service centers. Outpatient services are offered in many settings. For instance, medical centers often provide various types of outpatient services, such as pain clinics or rehabilitation centers. Other types of outpatient facilities include: medical group practices. Outpatient clinics at hospitals or other medical facilities. Surgery centers. Imaging centers. Cardiac catheterization centers. Mental or behavioral health centers, which may provide substance use treatment services and mental health services for adults or children. Lab centers. Gastrointestinal centers, which may provide screening or other services such as colonoscopy and endoscopy. Durable medical equipment rental facilities. Physical therapy centers. Chemotherapy and radiation therapy centers. Many outpatient service centers specialize in specific areas of medicine, such as orthopedics or cardiology. These centers, like many hospitals, have advanced equipment and highly trained staff.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Making an appointment

See a specialist to treat specific injuries and ongoing conditions. In-person care Self-care advice 1 If you travel out of state, phone appointments and video visits may not be available due to state laws that may prevent doctors from providing care across state lines. Laws differ by state. 2 Scheduling for specialty care only available Monday through Friday, 7 am to 7 pm 3 Gwinnett County employees call 404-760-3549 for appointments. 4 Due to IRS rules, if you have an HSA-qualified high deductible Health Plan, youll pay full cost for scheduled phone and video visits until you reach your deductible. Once you reach your deductible, your copay will be $0. 5 Classes vary by location and may require a fee. 6 emergency medical condition is a medical condition manifesting itself by acute symptoms of sufficient severity such that you reasonably believe that absence of immediate medical attention would result in any of the following: placing persons ' health in serious jeopardy; serious impairment to bodily functions; or serious dysfunction of any bodily organ or part. Mental health condition is an emergency medical condition when it meets the requirements of paragraph above OR, for members who are not enrol in Kaiser Permanente Senior Advantage, when condition manifests itself by acute symptoms of sufficient severity such that either of the following is true: person is in immediate danger to himself or herself or to others, or person is immediately unable to provide for or use food, shelter, or clothing Due to mental disorder.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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