Outpatient Behavioral Health Services


Important Information For Our Patients -

Welcome to UP Health System - Marquette Outpatient Behavioral Health.  

Our goal is to provide high quality Mental Health and Substance Abuse services to the residents of the Upper Peninsula and surrounding areas.  We are staffed by Psychiatrists, Psychologists, Psychiatric Social Workers, Mental Health Therapists, and Addiction Counselors, and provide an array of services to meet the needs of our patients. 

These services include:
  • Assessment of a wide range of mental health and alcohol/drug concerns
  • Psychiatric evaluation and medication management services
  • Individual Psychotherapy and counseling
  • Family, Marital, and Group psychotherapy/counseling
  • Psychological Testing and evaluation
  • Psychoeducation about a variety of Behavioral Health issues
In order to serve you better, we would like to acquaint you with our policies and procedures.  If you have any questions, you are encouraged to ask one of our staff at any time.

CONFIDENTIALITY

Services at our clinic are confidential.  Information about your services will be released only with your consent, and for the purposes of coordination of care with other providers or agencies, such as your primary care physician or other referral source (e.g. schools, social service agencies, courts, etc.), and for billing purposes.  However, there are certain legal limits to confidentiality of which we would like to make you aware.  We are legally obligated to release information if any of the following circumstances occur:
  • Your clinician feels that you are likely to harm yourself or someone else
  • Reasonable suspicion of child abuse or neglect exists
  • Reasonable suspicion of abuse or neglect of vulnerable or disabled adults exists
  • Your record is court ordered as part of a legal proceeding
  • You commit a crime at our office or against one of our staff members
ATTENDANCE

Behavioral Health services are most likely to be of benefit to you if you keep your appointments and work actively with your clinician(s) to achieve your treatment goals.  Moreover, our ability to serve other patients is hampered by patient cancellations and failures to show for scheduled appointments.  Should you need to cancel an appointment, please give one business day’s notice, and preferably longer if possible.  If you are having problems with consistent attendance, please discuss these with your clinician.

 

Upon the third occurrence of a cancellation without sufficient notice and/or failure to show for a scheduled appointment, your clinician may decline to offer you additional appointments.  It is not possible to make progress on treatment goals without your attendance. 

BILLING AND PAYMENT POLICY

We participate with most, but not all, insurance companies.  Prior to your initial appointment, we verify your insurance benefits, and will inform you at your first appointment of the level of coverage your policy has for our services.  If your insurance changes or you have a secondary insurance policy, it is very important that you inform us immediately so that we can correctly process your claims.  We will bill your insurance company for your services as a courtesy; you are ultimately responsible, however, for the payment of your bill.

 

Payment of patient co-pays and deductibles is expected in full at the time of service.  In the case of Master Medical insurance plans, payment in full is expected at the time of service.  In such cases, you should receive a check from your insurance company for their portion of the charges within approximately two weeks.
You can make your payments by check, credit card, or cash, and will be routinely asked to do so at each visit.  If your child or adolescent is receiving services while you are not present, please make sure that payment for their services is addressed at the time of service.

 

If you become behind in your account, our billing representatives will assist you in making a payment plan for your portion of your bill.  However, should you fail to make payments on your bill we have the right to discharge your from our care, and will assist you in locating care with another provider.
Should you have questions about your bill or need assistance, please contact the Billing Clerk at our clinic, or call one of our Patient Accounts Representatives at (906) 225-4533.

PRESCRIPTION REFILLS

If you need a refill of your medication prior to your next appointment at the clinic, please contact your pharmacy. 
If you have not been seen recently in our clinic, your doctor may decline to refill a prescription request until you have been seen at an office visit.  If that occurs, you will be notified of that decision.

EMERGENCY COVERAGE

During normal business hours, please contact our clinic directly should you be experiencing a clinical emergency.  During evenings and weekends, please call the hospital operator at 1-800-562-9753, and ask to be transferred to our BH after-hours service.  If necessary, you can also go to your local emergency department.

CHILDREN IN THE WAITING ROOM

We do attempt to equip our waiting rooms with toys and books suitable for children.  However, please do not leave your children unattended in our waiting room.   We cannot be responsible for the supervision of unattended children in the waiting room.

COMPLAINTS and RECIPIENT RIGHTS

Should you have a complaint about services at our clinic, please feel free to address that with your clinician or one of our staff members.  You may also discuss your concerns with a Clinic Supervisor or Director.
Recipients of substance abuse services have a set of rights under Michigan law, and will be oriented to those rights at their initial appointment.  In addition, recipients of services from UP Health System - Marquette have rights and responsibilities as defined by UP Health System - Marquette Policy. 
Should you feel that your rights have been violated, we encourage you to contact a Clinic Supervisor, Director, or the UP Health System - Marquette Patient Advocate, at (906) 225-3183 or toll free at 1-800-562-9753.

BHS OUTPATIENT CLINIC
Marquette:
Robert C. Neldberg Building, Sixth Floor
580 W. College Avenue
Marquette, MI 49855

(906) 225-3985

Hours of Operation:

Monday - 8-5
Tuesday & Wednesday -  8-6
Thursday and Friday  -  7-5
 

Scheduling an Appointment

In order to schedule an outpatient appointment, please call us at 225-3994 or 1(800) 562-9753, ext. 3994 for pre-registration. 

 

At the time of your call, we will be asking you for basic information, such as your name, address, phone number, and insurance.  We will also ask about the reason that you are scheduling the appointment and what kind of a clinician (psychologist, therapist, psychiatrist, substance abuse counselor) that you want the appointment with.  If you aren't sure, we will help you figure it out. We look forward to meeting you!

 

*Appointments With a Psychiatrist:  An initial appointment with one of our psychiatrists requires a referral from a primary care physician.  Contact your physician and request that a referral be sent to UP Health System - Marquette Behavioral Health-Outpatient.  Once we have received the referral from your physician, it will be reviewed by one of our psychiatrists and we will contact you to schedule the appointment.  Please note that this process can take several weeks. 

Outpatient Programs - Addiction and Mental Health

Substance Abuse Treatment Group
Evidence-Based: Living In Balance and PRIME Solutions  Level – I (outpatient)
2 groups (evenings) per week plus an individual session every other week.  Family sessions also available.

Substance Abuse Treatment Group
Evidence-Based: Living in Balance and PRIME Solutions
Primary care program for those with a substance abuse diagnosis.  Appropriate for those who have already completed a court-ordered education program and have re-offended &/or for those who do not meet criteria for substance dependence.
Twelve (12) weeks of group therapy with three (3) individual sessions.

Continued Care Programs
Evidence-Based Programming: PRIME Solutions
Aftercare services for those who have completed a primary substance abuse treatment program.
Weekly group therapy with individual sessions.  Family sessions also available.

Impaired Professionals Program
Approved provider with the Michigan Health Professional Recovery Program (MHPRP) and the Lawyer’s and Judges Assistance Program (LJAP).  “Un-licensed” professionals also welcome, i.e., teachers, police officers, etc.)
Weekly group therapy with individual sessions.  Family sessions also available.

Enhanced Outpatient Program
Evidence-based:  Living In Balance
Substance abuse treatment for those who need a firm foundation for recovery from addiction. 

 Buprenorphine

Buprenorphine (Suboxone) became available for the outpatient treatment of narcotic addiction (opiate dependence) in 2003. 

This medication is intended to reduce cravings for narcotics.  In this way, it is similar to methadone.  It may not be as effective as methadone for many individuals, but it does have a number of advantages. 

The advantages of this treatment include the following:

*Office visits once to twice a month instead of daily visits to a methadone clinic.

*Significantly reduced risk of narcotic overdose.

*Significantly reduced withdrawal (abstinence syndrome; “dope sickness”) than with methadone.

It is important to understand that this medication is not for everyone who abuses narcotic drugs.  It is only for those who are currently addicted to narcotics and have been unable to stop “using” despite efforts to do so (e.g. rehabs, NA attendance, etc.).


Buprenorphine Treatment for Narcotic Addiction
Addiction specialists consider addiction a chronic disease and treat it accordingly.  We know that some individuals are more likely to become addicts because of hereditary and environmental factors.  Addiction changes brain chemistry.  An addict may first use to get “high,” but after a while, the addiction “takes over” those parts of the brain that control natural cravings and the addict needs drugs to avoid withdrawal or to feel “normal.” 

Abstinence is best but if an addict is unable to stop using, buprenorphine treatment may be appropriate.  This drug can be used for detoxification or for maintenance.  When used for maintenance, it binds to the same sites in the brain as narcotics (heroin, oxycodone, hydrocodone, morphine, etc).  It reduces craving, allowing the addict to become less “obsessed” with drugs.  The addict will then be more likely to return to normal activities such as work, school, parenting, etc. 

Recovery is, however, far more than just staying clean.  Recovery involves emotional and spiritual growth.  To recover, an addict must come to terms with the past and make a serious effort to heal emotional and spiritual wounds.  Buprenorphine alone does not provide emotional or spiritual healing.  It can free the addict from cravings and help the addict begin the long and hard process of recovery.

Buprenophine
 
Buprenorphine Treatment at UP Health System - Marquette Behavioral Health

If you are interested in being considered for buprenorphine treatment at UPHSM Behavioral Health, please review the Program Requirements and Patient Responsibilities listed below, then contact us at (906) 225-3994 or
1 (800) 562-9753, ext. 3994, to request an application or click on the links below to print.

Applicants must be actively involved in substance abuse counseling in order to be considered for admission.

Part 1. Buprenrophine Treatment Application
Part 2. Buprenorphine Treatment Application

Returned applications are reviewed by a committee of UP Health System - Marquette Behavioral Health addiction professionals, usually within one week.  Following a review, applicants will be contacted by phone or mail.  All applicants are provided with treatment recommendations which may or may not include participation in our buprenorphine treatment program.

Please be aware that we have a limited number of patients that we can accept for treatment with buprenorphine.  Applications will be reviewed against established criteria to identify those who are most likely able to benefit from treatment with buprenorphine. 

BUPRENORPHINE TREATMENT PATIENT RESPONSIBILITIES

Store Medication Properly.  All medications must be kept out of the reach of children.  It also must be safeguarded from inadvertent use by other adults or intentional use by those who abuse drugs.

 

Take as Prescribed.  You must take exactly as prescribed.  You may not adjust the dose yourself.  You may not “share” your medication with others.

 

Comply with Pill Counts.  You may be asked to bring in your medication for a pill count.  You must come to the office within 24 hours of such a request.

 

Comply with Drug Testing.  You will be asked to come to the office for random drug tests.  Our drug screens are “supervised,” meaning that a staff person will be in the restroom with you in order to insure that the specimen is coming from your body.  You must come to the office within 24 hours of such a request.
Notify the Office Immediately if Medication is Lost or Stolen.  You are required to contact the police and bring a report to the office.  Depending on the circumstances, we may choose not to reorder your medication.

 

Notify in Case of Relapse.  Call us immediately if you relapse.  Although we understand that relapse may be part of the disease process, we believe honest communication is essential to a beneficial doctor-patient relationship.  We need to know about relapse before a positive drug screen. 

 

Know the Office Policies that Pertain to Buprenorphine Treatment.  You must review this information in its entirety, including your responsibilities, office hours, payment, etc.
Payment for Services.  Patients not current with payment are not considered active patients and we are under no obligation to provide further treatment.

Please Note: 
Physicians are limited, by law, as to the number of patients that they can be prescribing buprenorphine to at one time.  Receiving buprenorphine is a privilege and the demand for this service is extremely high.  If you are accepted for admission, it is our sincere hope that you will cooperate with all program requirements and expectations but if you do not, we are under no obligation to continue treatment.

Questions??
Contact us at (906) 225-3994 or 1 (800) 562-9753, ext. 3994.