PsycHealth Care Management, LLC. serves people in need.  Dr. Gomez and PsycHealth coordinate care for Medicaid, Medicare and commercial members. PsycHealth Care Management, LLC has many Best Practice Awards. Early in her career, Dr. Gomez trained in the communities of Chicago and worked promoting non-violence and positive parenting.  She has many awards. In 2010, Dr. Gomez was the top psychologist.  Recently, Dr. Gomez published a book called, “This Hurts Me More than It Hurts You”. PsycHealth Care Management, LLC. promotes human rights, non-violence and healthcare services.

Martin Paisner, M.D. is an adult and adolescent psychiatrist as well as an addictionologist.  He is PsycHealth Care Management, LLC’s Medical Director. He completed residency at the University of Chicago.  Dr. Paisner graduated from the Chicago Psychoanalytic Institute.

He is a Director at Chicago Lakeshore Hospital. He belongs to many professional organizations.

PsycHealth Care Management, LLC.  is a full service Managed Behavioral Healthcare Organization (MBHO).

Departments:

• 24/7 On Call
• Clinical Care
• Outreach and Engagement
• Screening and Intake
• Transitional Care
• Home Intervention
• Community Engagement and Resources
• Quality
• Utilization Review
• Communications
• Provider Relations
• Credentialing
• Claims
• Finance
• Educational Materials & Resources
• Publications and Research

Partial Hospitalization Program/Day Treatment (PHP):  PHP is a program providing a more comprehensive and multi-disciplinary treatment plan at a less restrictive level of care than an inpatient setting to address mental health and/or substance abuse disorders.  Services are provided in an outpatient setting with a minimum of six hours a day and a frequency of at least three days a week.

Intensive Outpatient Program (IOP):  IOP Programs provide a more comprehensive and multi-disciplinary treatment plan at a less restrictive level of care than a day treatment or inpatient setting to address mental health and/or substance abuse disorders.  Services are provided in an outpatient setting with a minimum of three hours a day and frequency of at least three days a week.

Acute Inpatient Psychiatric Admission: Inpatient psychiatric admission is required for treatment of a psychiatric disorder requiring admission to a hospital for 24 hour care to reduce the imminent risk of harm to self or others.  Assessment of the member’s presentation deems that services and care cannot be safely provided at a less restrictive setting.

Acute Chemical Detoxification: Detoxification is a medical regimen intended to safely reduce the amount of alcohol or drugs from a member’s body and to control the degree of active withdrawal symptoms.  These services may be provided in an inpatient or ambulatory setting depending on the needs of the member.  Chemical detoxification is always conducted under the supervision of a qualified physician.

Inpatient Substance Abuse Rehabilitation:  Inpatient substance abuse treatment will be utilized in only the most high risk/acute cases requiring 24 hour supervision and is designed to provide short term and intensive educational and multi-disciplinary treatment.

Adolescent Substance Abuse Residential Rehabilitation: Adolescent substance abuse residential treatment will be utilized in only the most high risk/acute cases requiring 24 hour supervision and is designed to provide short term and intensive educational and multi-disciplinary treatment and a stable environment to facilitate the recovery process.

Outpatient Home Health:  Psychiatric home health benefits will be utilized as an acute, short term, crisis stabilization for members who are assessed to be free of imminent risk for harm to self or others and are not in need of a more structured level of care and one of the following: 1) member is homebound or 2) there is clear and reasonable evidence that member requires home health care in order to decrease risk of re-hospitalization.

Outpatient Medication Evaluation and Management: Outpatient medication management benefits will be utilized as stabilization for members who are assessed to be free of imminent risk for harm to self or others and are not in need of a more structured level of care. Outpatient medication management sessions generally occur monthly and always in an office setting.

Outpatient Psychotherapy: Outpatient psychotherapy benefits will be utilized as an acute, short term, crisis stabilization for members who are assessed to be free of imminent risk for harm to self or others and are not in need of a more structured level of care.  Outpatient psychotherapy sessions generally occur weekly and always in an office setting.

Psychiatric Consultations in Non-Psychiatric Facilities:  Psychiatric consultations will be utilized when a member is on a medical unit in a hospital for medical problems and is exhibiting symptoms consistent with imminent risk for harm to self or others, psychosis or member needs chemical dependence treatment.

Electroconvulsive Therapy (ECT): Electroconvulsive Therapy will be utilized as an acute, short term, crisis stabilization to prevent life threatening illness for members with severe psychiatric symptoms who are assessed to be at imminent risk for harm to self or others and for whom problems have persisted despite multiple pharmacological interventions based on an evaluation by a psychiatrist.  ECT may be done either on an inpatient or outpatient basis depending on other symptoms.