SEQUEL. Health Systems. We change lives! Programs & Services HEALING, HOPE & RESILIENCE

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1 Pomegranate SEQUEL Health Systems Acute Hospital & Center for Psychiatry Programs & Services Acute Hospital & Outpatient Care Residential Treament & Emergency Shelter Care We change lives! Age HEALING, HOPE & RESILIENCE

2 About Us SEQUEL-Pomegranate treats mental health disorders, behavioral health disorders, teens referred to us in crisis -with suicidal or homicidal ideation, or psychosis, teens in need of shelter care, or facing juvenile court charges. Our treatment age range is year olds. Our facility spans 54,000 square feet and was custom built for adolescent psychiatric needs in 2008, expanded in 2014, and acquired by SEQUEL Youth and Family Services in October of SEQUEL-Pomegranate Health Systems provides an intensive level of therapy that is both evidencebased and from a trauma-informed care perspective. Asessments are multi-disciplinary under the direction of psychiatrists. Treatment options include an integrative structured program featuring many opportunities to address specific client needs through individual therapy, group therapy, family therapy, art therapy, nursing and case management in a secure, residential treatment facility with medical/nursing care Learn more Angela Nickell, Executive Director We pride ourselves in providing the best individualized care in a therapeutic environment. SEQUEL YOUTH SERVICES 2 Facility photo overview page 3 Acute Hospital page 4 Acute Admissions; Aftercare.... page 5 Medical & Nursing Care page 6 Residential Care & Admissions. page 7 Emergency Shelter Care page 8 Additional Programming, AOD... page 9 [alcohol or drug addiction] Outpatient Service page 10 Clinical Services page 11 On-Site Education page 12 Insurance/Payment page 13 History, Mission page 14 Resource # and Hours page 15 Location & Directions page 16 HEALING, HOPE & RESILIENCE Copyright, March 2017, SEQUEL-Pomegranate Health Systems. For questions or additional information on SEQUEL Youth and Family Services programs and admissions, contact: steve.gilbert@sequelyouthservices.com Steve Gilbert [NATIONAL] For questions or additional information on SEQUEL- Pomegranate Health Systems -[OHIO]-contact: Bus. development/communications ext 341 Residential admissions ext 339 Residential contracts dept ext 346 Acute admissions ( )

3 Pomegranate SEQUEL Health Systems Acute Hospital & Center for Psychiatry We change lives! HEALING, HOPE & RESILIENCE single and double rooms + bath classrooms, dayroom, library art therapy, family therapy, individual therapy, group cafeteria, gym, acute dayroom 54,000 square feet; serving girls and boys; Built in 2008 specifically for the adolescent psychiatric population. Joined SEQUEL Youth and Family Services companies October 2016, with a broad range of programs nationally. Visit for more information. 3

4 Acute Hospital The acute hospital helps teens in crisis. Their care and treatment are directed and supervised by attending psychiatrists, CNP, and their multi-disciplinary treatment team. Referrals can be made by hospital emergency departments, or crisis centers, pediatricians and mental health professionals for direct admit. There is 24-7 monitoring and a small staff -to -patient ratio within a structured therapeutic environment. A stay is typically 7-10 days. Make direct professional admissions to our acute hospital Call Services include: Clients/patients arrive to our acute hospital wing for a short healing respite. Dr. Sathappan, MD, Founder, Medical Director & President, Child & Adolescent Psychiatrist Psychiatric services are under direction of a psychiatrist and include availability of 24-hour, 7-days a week consultation of a psychiatrist or certified nurse practitioner in person and/or by telephone. Acute treatment team meets daily. Medical Service. Patients are seen by a physician or his designee for a comprehensive medical exam. Nursing services are under direction of a registered nurse with a bachelor s or masters degree in nursing. Individual & family therapy is provided by licensed professional counselors and/or social work professionals. Group counseling may include client, family, therapist and/or caseworkers as needed. Art therapy services are provided by a Board Certified Expressive Art Therapist. Dietetic services by a licensed dietician is available as needed. A chef and full kitchen provide nutritious meals and snacks. Teen returns to say thanks! Upon admission 4 Upon discharge

5 Acute Hospital Admissions Acute patients are referred through hospital emergency departments or crisis centers. They may also be admitted through pediatrician offices, counseling agencies, urgent care, family doctor, or schools- directly & state-wide. Admissions forms and video are on our website. All referrals for voluntary admission are reviewed by the acute nursing supervisor and the psychiatrist on duty for appropriateness. Call to speak with a nurse. The acute admissions team obtains patient s demographic information for a timely admission. Acute admissions are scheduled upon confirmation, bed availability and meeting criteria. Acute patients are transported by ambulance from ED. Dr. Sathappan, MD, Psychiatrist & Medical Director Acute Outpatient & Aftercare Following a stay in an acute hospital, its important to have follow-up care. SEQUEL- Pomegranate outpatient services assist with continuity of care. Each teen receives a 30 day supply of medication and an appointment with our outpatient department and/or an appointment with a psychiatric service provider within the community. Some patients are referred for residential treatment. Follow-up care is important. We provide outpatient care including medication management and therapy. [99% patients & parents rate courtesy of acute staff above average to excellent; 96% patients and parents rate admission process average to excellent; 98% positive impression upon arrival; 93% above average to excellent informed of treatment progress ; 98% pleased with discharge process. N=319] 5

6 Medical & Nursing Upon admission to SEQUEL-Pomegranate Health System s programs, adolescents will receive the following: Psychiatric evaluation Medication management (as applicable) History and Physical Psychological Assessment (if ordered) Nursing Group SEQUEL-Pomegranate offers 24-hour nursing care and a psychiatrist and/or CNP is available 7 days a week. With the offer of a comprehensive range of services, SEQUEL- Pomegranate ensures that the adolescents under our care are receiving appropriate treatment and education for both their physical as well as their mental health needs. GeneSight Testing by Assurex Health is DNA based personalized psychopharmacology based on how an individual metabolizes a medication. Using GeneSight allows for a tailored medication match to get on the right treatment faster. GeneSight analyzes a child s genes to help the healthcare provider select which medications are more likely to work better for each child s specific needs and less likely to cause side effects. There are GeneSight tests available for ADHD, depression, anxiety, bipolar disease or other behavioral healthcare conditions. GeneSight testing is typically covered by insurance and/or by Medicaid. 6 SEQUEL-Pomegranate Health Systems has utilized GeneSight testing successfully for over 4 years.

7 Residential Treatment We treat mental and behavioral health disorders for boys and girls age SEQUEL- Pomegranate is a secure residential treatment facility with 5 campuses on-site: Sathappan, Kennedy, Meena, Celso and Kaufman. A residential stay might range from 4-6 months +. Mental Health Conditions SEQUEL-Pomegranate s mental health treatment offers an integrated program including psychiatric and psychological evaluations, multi-disciplinary counseling services with both individual and group options, and an evidence-based medical model approach to treating the DSM mood, anxiety, and psychotic disorders in adolescents. We also offer DNA-based GeneSight testing by Assurex Health-this is personalized, tailored psycho-pharmacology. Behavioral Disorders SEQUEL-Pomegranate s behavioral treatment offers a structured program with specialized training to decrease disruptive behaviors, address maladaptive thought patterns, and collaborate with probation and diversion officers, counselors and caseworkers. 45 Day Diagnostic Evaluation This service offers a comprehensive evaluation, including psychological and psychiatric assessments, as well as, stabilization/brief treatment for adolescents with a variety of emotional and behavioral problems. There are developmentally appropriate therapeutic activities in a closely supervised environment. Extensive opportunities for observation, assessment, and intervention are possible in this intensive setting. Residential Treatment Center Admissions SEQUEL- Pomegranate takes referrals from physicians, shelter care, department of children service, schools, probation office, pediatricians, social work and mental health professionals. Each patient and family is welcomed through the intake and assessment process. SEQUEL Pomegranate representatives inquire about the child s previous treatment, clinical history and family information. The Columbus Dispatch Student Scholar-Athlete Awards Sponsor 2016 Admissions are scheduled upon confirmation of bed availability. If you have any questions, please contact our Residential Admissions Department & UR Manager, at ext. 339, or visit the website for FAQ/Admissions info, and/or submit a referral inquiry online. It s important to have signed consents to admit or treat. Our clinical director reviews each admission, the adolescent s unique needs, and treatment criteria against our current milieu, treatment methodologies, and bed availability. Insurance pre-certification must preceed approval. To assist in the referral process, download, print, and complete our Referral/Admission form from the website and either scan and or fax it to us along with the requested documentation. Submit referrals via to: referrals@phs-kids.com or via fax to: (800) [92% Pomegranate residents agree my condition has improved since my admission -N=1168] 7

8 Emergency Shelter Care Emergency Shelter Care This program offers a 24-hour secure facility for adolescents; providing stabilization and effective transition for those who may have disrupted another placement or who are in current crisis. The goal of the emergency shelter care program is to: Provide a 24 hour secure placement option for youth that have met criteria to be removed from an established placement or dysfunctional home by children service. Stabilize the youth and prevent any further re-traumatization that may already come with the placement. Work collaboratively with families, kin, providers and referral sources to ensure a smooth and effective transition to community-based or other placements once a client s needs have been identified. Each room has a window and bathroom; teens often decorate and personalize their room Art Group Project- Celso Wing 8 Call ext 339, or fax request to for shelter care placement Shelter care referrals are typically placed through county child protective services.

9 Additional Programming Alcohol or Drug/Substance Abuse counseling [AOD] includes: Psycho-educational groups, which teach about the different types of substance abuse. Skills development groups, which practice the skills necessary to break free of addictions. Cognitive behavioral groups, which challenge patterns of thinking and action that lead to addiction. Support groups, where peers can challenge each other s excuses and support and encourage constructive change. Process group psychotherapy which enables clients to rethink the rational and irrational choices and decisions that they have made which led them to the substance use. MARYHAVEN AOD Education (Offered on our Meena Unit -now in 2nd year.) Maryhaven is now offering alcohol and drug addiction group programming & education at SEQUEL- Pomegranate Health Systems. Maryhaven is a well-known treatment provider for alcohol and drug addiction in Central Ohio, accepting voluntary admissions, medical and court-referred clients. Maryhaven has operated in Central Ohio for over five decades and in that time, served over 175,000 people. PREP Program HS graduates from our DYS wing above-are now ready for the future! PREP is Personal Responsibility Education to help teens succeed, prevent pregnancy and sexually transmitted diseases such as HIV, and learn life skills to help with independent living. PREP is offered through a grant from ODH administered by Nationwide Children s in Region 9 (Central Ohio). We received the Ruckus award at Nationwide for excellence in teaching. SEQUEL-Pomegranate is in its fifth year offering the PREP Program to its residential clients. Court-Referred Teens SEQUEL-Pomegranate offers programming for youth referred through the Department of Youth Services, DYS, as well as county juvenile and family courts. 9

10 Outpatient Service To assist in continuity of care, SEQUEL Pomegranate Health Systems offers outpatient services to adolescents. Outpatient services can include: Diagnostic assessment, Individualized treatment recommendations and planning, Individual sessions, Family sessions, and Medication management Outpatient services through SEQUEL Pomegranate Health Systems is designed to be a bridge between acute care and/or residential treatment and linkage back into the community. By working with our nurse practitioners and therapists, adolescents and their families can expect comprehensive, professional, caring individuals whose purpose is to provide the best care to address issues such as depressive symptoms, behavioral problems, interpersonal relationships, trauma, and other stressors. The SEQUEL- Pomegranate Health Systems Difference: Medical Model A Comprehensive Range of Services for Teens in Crisis Psychiatric: psychiatrist and/or certified nurse practitioner on -site 7 days a week; psychiatric evaluation; daily treatment team in acute; weekly in residential. Medical: Physical examination, dental, vision, vaccine clinic. Nursing: Charge nurse on each wing. Medical model approach including diabetes, pregnancy, nursing group, wellness, STD prevention, and more. PREP grant- personal responsibility education. Medication: Least possible for best possible outcome. Genesight testing by Assurex Health-DNA based medication management. Clinical: Individual, group, family therapy, trauma informed care, art therapy, DBT and CBT informed care, EMDR Educational: Westwood-Lumin Acaademy on site-classroom on every unit; Columbus City school tutors. Client Rights: patient handbook, student senate, strength-based system, rewards, family visits, community outings. Cloud of Care: CPST +Therapist Youth Leader & team. Ratio 1:5 cloud of care + dietician, chef, facilities team Recreation: Taekwondo, martial arts, gym-basketball, volleyball, video games, Wii, courtyard & outings Administrative: focus on advocacy, alliances, education and continuous quality improvement. Specialists in Adolescent Psychiatry for Mental and Behavioral Health Disorders. HEALING, HOPE & RESILIENCE 10 We Change Lives!

11 Clinical Services SEQUEL-Pomegranate s treatment programs are designed to serve the needs of adolescents with moderate to severe psychiatric symptoms and functional impairments. Most adolescents referred to SEQUEL Pomegranate have histories of multiple disrupted placements and mental health treatment including acute psychiatric hospitalization and stays at residential treatment facilities. To meet their need, SEQUEL Pomegranate lends the elements of the traditional medical and therapeutic community models of treatment including DBT/CBT informed therapy, EMDR, art therapy and NMT- Neuro-sequential Model Therapeutics by Dr. Bruce D. Perry, Traumainformed Care. A multi-disciplinary team, supervised by an attending child psychiatrist, therapist or nurse practitioner, directs the treatment and care of each adolescent and his or her family to benefit from a wide range of individualized and coordinated therapeutic interventions including pharmacologic, psycho-educational, cognitive behavioral, psycho-social, expressive, recreational and milieu therapies. Our services include: Individual Therapy Each resident participates in individual therapy with her/his primary therapists, a licensed social worker or professional counselor, no less than twice weekly. Family Therapy Family therapy is provided by each resident s primary therapist. Weekend and evening sessions are made available for biological, adoptive and foster parents who must travel a significant distance to the facility. Group Therapy Each resident participates in group therapy no less than four times weekly. Group therapy includes both dynamic and didactic modalities and cognitive behavioral therapies. Milieu Therapy SEQUEL-Pomegranate strives to sustain and continuously strengthen a therapeutic, mentoring and normalizing culture which is essential to adolescents efforts to recover from mental illness, learn to care for themselves and others and progress personally and socially. Social, Recreational, Expressive & Therapeutic Activities Residents are provided with opportunities for daily physical recreation, small and large group social events, arts, crafts, music and other expressive activities and community outings. Structured therapeutic activities include anger management, leisure education and social skills. Individualized Treatment All treatment and care are individualized and carried out in accordance with each resident s individual service plan under the direction of his/her multi-disciplinary treatment team, directed and supervised by a child psychiatrist, therapist or psychiatric nurse practitioner. CPST Community Psychiatric Supportive Treatment services are focused upon the coordination of each resident s individual service plan across SEQUEL-Pomegranate s professional disciplines and departments and the resident s custodial child welfare agency, biological, adoptive or foster family and home community. Life Skills SEQUEL- Pomegranate provides life skills assessments and programs for all residents 16 years of age or older and younger adolescents whose permanency and discharge plan is independent living. The life skills program is supervised by a licensed social worker or professional counselor and life skills groups are conducted by trained and certified staff. 11

12 On-Site Education Education Regular and special education programs are provided by SEQUEL-Pomegranate s education partner Westwood/Lumin Academy. Education diagnostic and instructional services are offered both on-line in computerized classrooms and traditional paper and pencil modalities. SEQUEL- Pomegranate strives to assure residents have the resources and tools required to master basic academic competencies, especially literacy, and build upon them because education is the primary force for individual and collective progress and achievement in American society. Lumin/Westwood Academy Accredited education when and where teens need it. There is a classroom on each campus-celso, Kaufman, Kennedy, Meena, Sathappan, offering superior tailored education designed to help students succeed. Lumin Academy also includes a unit on martial arts, allowing teens to learn focus and concentration. Middle and Senior High School Community Based Progam & Modules SEQUEL-Pomegranate provides mental health curriculum on bullying prevention, suicide prevention, self esteem, teen dating violence prevention, abuse prevention, and life skills. Each downloadable module comes with a facilitator s manual and a Power Point for educators, administrators and students. Therapists, CPSTs, and nursing staff are available for in-service training or on-site tours and workshops. 12 Tutors from Columbus Public Schools are here to help teens succeed, to catch up in challenging subjects, to pass the GED. Providing tailored alternatives for students with special needs according to their IEP. Some students may elect to be transported to their own school rather than attend on-site.

13 Insurance SEQUEL-Pomegranate Health Systems accepts most private insurance or employer s health plans with coverage for behavioral health residential treatment and/or acute inpatient psychiatric hospitalization, and referrals through County Children Service or the Juvenile Court System. We take Medicaid. There is usually a limit on the number of days of insurance coverage- 30, 45, 60/year. SEQUEL-Pomegranate works with each utilization review team on a case-by -case basis. Some typical providers include: Anthem -Blue Cross & Blue Shield Aetna Cigna United Health Care United Behavioral Health Value Options Medical Mutual of Ohio Dedicated to healing, hope & resilience We also take the managed care plans such as CareSource, Molina Healthcare, United Healthcare Community Plan, Paramount Advantage and Buckeye Community Health Plan. Please call your insurance company directly to verify if residential treatment for mental/ behavioral health is a covered service prior to referral. [Pre-certification is helpful prior to admission.] SEQUEL-Pomegranate is Licensed, Accredited and Certified Licensed and Certified by The Ohio Department of Mental Health & Addiction Services, (MHAS) Accredited by The Joint Commission, (TJC) on Hospital Accreditation. Diversity, Inclusion, Rights & Privacy 2016 SEQUEL-Pomegranate Associates wear blue to raise awareness in preventing child abuseat picnic table in our interior courtyard SEQUEL-Pomegranate Health Systems does not discriminate against any person on the basis of race, color, national origin, disability, sexual orientation, or age in admission, treament, or participation in its programs, services and activities, or in employment. For further information about this policy, contact our Civil Rights Officer at Residents receive a client handbook, rights and responsibilities and HIPAA patient privacy information on admission. 13

14 14 History, Mission History Pomegranate of Central Ohio, Inc. was first founded in 2008 in Columbus, Ohio replacing a predecessor facility in Byesville, Ohio. Pomegranate doubled its acute hospital capacity to 20 beds in 2013, completed a residential expansion to 70 beds in 2014, and has continued to add programming, services- and other quality enhancements. October 27th, 2016, Pomegranate Health Systems was acquired by SEQUEL Youth and Family Services to join a broad range of other outstanding programs across the nation. Mission The Mission of SEQUEL Pomegranate is to help children and adolescents and their families recover from the effects of mental illness, learn to care for themselves and each other; and achieve the highest possible quality of life in their homes and communities. Goal Our Goal at SEQUEL-Pomegranate Health Systems is to alleviate suffering, promote holistic development, and provide an enabling environment in which disenfranchised and traumatized children can thrive. Our Core Values: Building Alliances through Education & Advocacy Empty shoes of those who died by suicide in Franklin County 2013 Safety Trauma-Informed Therapeutic Milieu Strength-Based Services Self-Sufficiency Education Permanency Our central corridor became a walk of inspiration with life size murals and quotes in early NAMI Franklin County & NAMI Ohio SEQUEL-Pomegranate supports the National Alliance on Mental Illness in Franklin County-that s our team Pomegranate, above. Walk with us at the NAMI Walk! MHA-Franklin County SEQUEL-Pomegranate is a member-sponsor of Mental Health America- FC. Mental Health America provides education, support groups and advocacy. AFSP American Foundation for Suicide Prevention We re sponsors of Out of the Darkness Community walk for families of those who died by suicide and are focused on prevention and advocacy. OSPF Ohio Suicide Prevention Foundation Sponsors of Kognito Avatar training for suicide prevention and postvention for families of those who died by suicide. OHA Ohio Hospital Association Dedicated to education and advocacy initiatives of Ohio Hospitals and medical professionals for continuous quality improvement. OACCA Ohio Association Child Caring Agencies Ohio s first statewide child advocacy organization, OACCA provides leadership and a forum for Ohio s at-risk children, families, and community providers. OACYCP Ohio Association Child and Youth Caring Professionals supporting innovative, evidence-based education, training, practice and certification in providing quality residential care.

15 Resource # and Hours Who to call when you need: Secure Residential Treatment for Mental Health, Behavioral Disorders, and Acute Psychiatric Hospital. Referrals@phs-kids.com. Acute Hospital: ; -Acute Fax Line: Residential Treatment: ext 339; -Residential Fax Line: ; Shelter Care: Main Office/Admin: Hours: -Admissions forms & videos on our website- Our administrative office hours are from 9am to 5pm. The front desk is manned from 8:30am to 7:30pm. Acute visitation is 4 pm-7pm Monday thru Friday, and 2 pm-5 pm Saturday & Sunday for up to 1 hour. [If alternate arrangements are needed, parents/guardians will need to speak to the therapist.] Do not bring outside food, drink, cell phones, or valuables. Beverages & snacks available at Pomeganate. Residential visitation is 6-7:30pm for 20 minutes, 10-12:30pm and 5-7:30pm Saturday & Sunday for 1 hour. [If alternate arrangements are needed, parents/guardians will need to speak to the CPST.] Two of several calming rooms with surround-sound. Committed to permanency 15

16 Location: 765 Pierce Drive Columbus, Ohio Main Office: Main Fax: Residential Referrals: ext 339 Fax: Acute Hospital: Acute Fax: Pomegranate SEQUEL Health Systems Acute Hospital & Center for Psychiatry Directions from Interstate 70 (Westbound from downtown Columbus): Take Exit 98B for Mound Street Exit left onto Mound Street which turns into Harmon Avenue Continue past Franklin County Children Service on your right, around the bend to Buchanan- follow to Pierce Drive, a one-way. Pomegranate is just South of (behind) COMTEX. Directions from Interstate 71: Take Exit 105 for Greenlawn Avenue heading North on I-71; just S. of I-70 Head West on Greenlawn Avenue Turn Right onto Harmon Avenue Entrance is on your Left after Renick Street, just past Life-Care Alliance to your right. [Located West of German Village near the former Clipper Stadium, across from Lifecare Alliance.] Our Website: [our national programs] March 2017 SEQUEL-Pomegranate Health Systems