Services

If you would like to know more about Pathways and its services, our friendly staff can come on site and share Pathways’ story and information about services. Gather your staff, associates, civic group, or friends – a group of 10-20 – we’ll provide lunch and a presentation. Call the Lunch and Learn Facilitator at (606) 329-8588, extension 4128.

Pathways to Bright Futures is an operating foundation supporting the consumers and communities served by Pathways. The funds raised by the Pathways to Bright Futures Foundation are used to support activities in one of three areas: expansion of autism services, youth substance abuse prevention, or special projects. The Foundation Board is comprised of primarily community volunteers who are interested in seeing these causes funded. Samples of the Foundation’s projects include, but are not limited to, assisting in the educational development of persons serving in autistic treatment, annual provision of anti-substance abuse curricula in area schools, and placement of tablets in special needs classrooms. For more information, contact the Board Facilitator at (606) 329-8588, extension 4128.

PATHWAYS TO GO is a mobile behavioral health clinic that travels to remote and other designated locations to offer high-quality services to individuals who may be struggling to get services through traditional means. Lack of transportation or high-speed internet and/or family or cultural stigma may be reasons individuals don’t seek services at a brick and mortar locations. Pathways can provide telehealth services on the mobile clinic and is partnering with healthcare providers, health departments, and organizations representing underserved populations.

ACT encourages people to embrace their thoughts and feelings rather than fighting or feeling guilty for them and is paired with mindfulness-based therapy. Medical conditions such as anxiety, depression, OCD, addictions, and substance abuse can all benefit from ACT and Mindfullness-Based Cognitive Therapy. ACT develops psychological flexibility and is a form of behavioral therapy that combines mindfulness skills with the practice of self-acceptance.

Child-Parent Psychotherapy (CPP) is an intervention for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including post-traumatic stress disorder. The treatment is based in attachment theory but also integrates psychodynamic, developmental, trauma, social learning, and cognitive behavioral theories. Therapeutic sessions include the child and parent or primary caregiver. The goal of CPP is to support and strengthen the relationship between a child and his/her caregiver as a vehicle for restoring the child’s cognitive, behavioral, and social functioning. Treatment also focuses on contextual factors that affect the caregiver/child relationship.

Eye Movement Desensitization and Reprocessing (EMDR) is a fairly new, nontraditional, evidenced-based practice psychotherapy that works by using a patient’s own rapid, rhythmic eye movements to dampen the power of emotionally-charged memories of past traumatic events. Research shows that EMDR is rapid, safe, effective, and does not involve the use of drugs or hypnosis. It has shown to be effective in the treatment of anxiety and panic disorders and has an 80 percent success rate in the treatment of Post-Traumatic Stress Disorder (PTSD). EMDR is an eight-phase treatment method: history taking, client preparation, assessment, desensitization, installation, body scan, closure, and reevaluation of treatment. It works by activating both hemispheres of the brain at the same time through bilateral stimulation.

Individual Placement and Job Support is an evidence-based model of supported employment providing a high standard of service to individuals with disabilities who would like to obtain gainful employment. Services provided include exploration of person-centered employment interests, rapid job search, zero exclusion (i.e., all consumers are eligible for IPS services regardless of their progress or recovery status). IPS provides long-term individualized supports to ensure ongoing employment success.

The Matrix Model is a structured, multi-component behavioral treatment model that consists of evidence-based practices, including relapse prevention, family therapy, group therapy, psycho-education, and self-help, delivered in a sequential and clinically coordinated manner. The model consists of 16 weeks of group sessions held 3 times per week, which combine cognitive behavioral therapy, family education, social support, individual counseling, and urine drug testing. The Matrix Model is an easy-to-use manualized treatment protocol that gives patients the skills and understanding they need to overcome substance use disorder. It has been refined over the past 30 years to integrate cognitive behavioral therapy, contingency management, motivational interviewing, 12 Steps facilitation, family involvement, and other elements to successfully treat individuals struggling with substance use.

Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it is more focused and goal-directed, and departs from traditional Rogerian client-centered therapy through this use of direction, in which therapists attempt to influence clients to consider making changes, rather than engaging in non-directive therapeutic exploration. The examination and resolution of ambivalence is a central purpose, and the counselor is intentionally directive in pursuing this goal. MI is most centrally defined not by technique but by its spirit as a facilitative style for interpersonal relationships.

PCIT is a treatment for young children with behavioral problems and is conducted through coaching sessions during which the parent and child are in a playroom while the therapist is in an observation room watching the interaction through a one-way mirror and/or live video feed. The parent wears a bug-in-the-ear device through which the therapist provides in-the-moment coaching skills to help parents learn to manage their child’s behavior.

While it may look like an ordinary playtime, play therapy can be much more than that. Play therapy is a form of therapy used primarily for children because of their inability to process their own emotions or articulate problems to parents or other adults. A trained therapist can use playtime to observe and gain insights into a child’s problems. The therapist can then help the child explore emotions and deal with unresolved trauma. Through play, children can learn new coping mechanisms and how to redirect inappropriate behaviors.

Race-Based Trauma is a promising practice related to the treatment of post-traumatic stress disorder where the traumatic response to stress follows a racial encounter. Race-based traumatic stress combines theories of stress, trauma, and race-based discrimination to describe a particular response to negative racial encounters. Despite the limited research that examines race-based traumatic stress specifically, trauma research suggests that an individual’s response to a stressor is highly dependent on that person’s perception of the stressor; what one person may experience as traumatic, another person may not experience as such.

Trauma-focused cognitive behavioral therapy (TF-CBT) is an approach shown to help children, adolescents, and their parents (or other caregivers) overcome trauma-related difficulties, including child maltreatment. TF-CBT helps children address distorted or upsetting beliefs and attributions and learn skills to help them cope with ordinary life stressors. It also helps parents who were not abusive to cope effectively with their own emotional distress and develop skills that support their children.

Case management is a collaborative process of planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s needs. Case managers assist with accessing social, medical, educational, and other identified needed services and supports.Case management involves comprehensive service planning that involves the individual and family to ensure that needs are identified and appropriately met. Services are available in all ten counties served by Pathways.

Pathways’ Center for Autism and Developmental Disabilities (CADD) provides a continuum of treatment options for those consumers with Autism and related neuro-developmental disorders. Treatments available include occupational and speech therapies with the goal to soon integrate physical therapies as well. Trained and supervised behavioral health associates target behavioral interventions to develop intensive behavioral treatment programs utilizing Applied Behavior Analysis. Diagnostic services in Ashland include a comprehensive psychological assessment and are offered as a means to achieve differential diagnoses when Autism Spectrum Disorder is suspected. CADD is located at 3701 Lansdowne Drive in Ashland, Kentucky, and takes referrals from all ten counties served by Pathways.

Day Training is a program for adults with intellectual and developmental disabilities which provides support for these individuals during the day from 8am –3pm. In Day Training, individuals are assisted in developing and honing the necessary skills to become more independent in the community. This service also offers prevocational skills to aid individuals in seeking and reaching employment. Day Training services are offered in Carter and Rowan counties.

Horizon Village is a HUD group living complex which consists of 15 individual apartments as well as a 15-bed group living unit in Morehead, Kentucky. Horizon Village specializes in providing housing for individuals with intellectual and developmental disabilities. Individuals must be able to live semi-independently and qualify for HUD housing. Contact the Homeland Property Management site supervisor at 606-780-0047 to start the application process.

This service provides the participant and family with an opportunity to design and direct their self-identified community support needs. Services are available in all ten counties served by Pathways.

Respite care provides temporary care for a family member with intellectual or developmental disabilities. Respite care provides vital supportive services to help keep families together, giving families and caregivers relief from their daily routine. These services allow family members and caregivers to engage in activities outside the home without worrying about adequate, appropri- ate care for their loved ones. Respite care can be used in case of emergency, vacations, shop- ping, routine business, or to simply allow the family some time to visit friends or go out for the evening. Services can be provided for a few hours, a day, a week, or longer, if needed. If de- sired, families may choose to train their own personal respite provider for in-home respite ser- vices. Respite can be provided in the family’s home or in the respite provider’s home. In-home respite services are available in all ten counties served by Pathways

The Supported Employment Program seeks to promote growth of individuals with developmental and intellectual disabilities toward higher levels of functioning, greater self-esteem, increased emotional maturity, development of greater general competence, and a sense of personal responsibility. The Supported Employment Program seeks out paid positions in the community, in regular work settings, for persons with disabilities. The goal is to place and support individuals in competitive work settings. Some of the services offered are person-centered job selection, job development, job placement, on-site training, ongoing one-on-one employment support and follow-up, advocacy and training, employment counseling, social skills training, and other supports as appropriate. Supported Employment opportunities for individuals with intellectual and developmental disabilities are based in Boyd, Greenup, Montgomery, and Rowan counties; services are available in all ten counties served by Pathways.

Care coordination synchronizes the delivery of a consumer’s health care from multiple providers and specialists, both within Pathways and with external providers. The goals of care coordination are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce healthcare costs by reducing hospital admissions and emergency department visits.

Pathways offers a variety of primary care services including: physicals (including sports physicals); treatment of cold or flu symptoms; treatment of chronic conditions like diabetes and high blood pressure; prescribing medications such as antibiotics, birth control, etc.; treatment of minor illnesses and injuries like seasonal flu, sinus infections, and sleep issues; and screening for common health problems. The benefits of utilizing Pathways primary care include management of chronic conditions, lower health costs, saving time, gaining a health advocate, and staying healthier. Primary care services are available at the Crisis and Residential Recovery Units – East and West, Carter County Outpatient, and Greenup County Outpatient.

Assertive Community Treatment is a team treatment approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious mental illness. A team of professionals whose backgrounds and training include social work, rehabilitation, counseling, nursing, and psychiatry provide assertive community treatment services. Among the services ACT teams provide are case management, initial and ongoing assessments, psychiatric services, employment and housing assistance, family support and education, substance abuse services, and other services and supports that are critical to an individual’s ability to live successfully in the community. ACT services are available 24 hours a day, 365 days a year. ACT services are provided in Boyd and Greenup counties.

Community Support Services provide activities necessary to allow adults or children identified with a serious mental illness or co-occurring mental illness and substance use disorder to live with maximum independence in the community. These activities are intended to assure successful community living through utilization of skills training as identified in the individual’s treatment plan. Community support is designed to reduce mental disability and restore a recipient to the highest possible level of functioning. Services are provided using a variety of psychiatric rehabilitation techniques to improve daily living skills, such as hygiene, meal preparation, and medication adherence as well as self-monitoring of symptoms and side effects. Consumers are also helped to improve emotional regulation skills, crisis coping skills, and developing and enhancing interpersonal skills. All Community Support Services must be provided in the consumer’s home or in the community. Services are available in all ten counties served by Pathways.

The Dual Diagnosis program is designed for adult individuals who have both an alcohol and/or drug problem and a behavioral health problem. Commonly occurring behavioral health problems for individuals with a dual diagnosis include depressive disorders (depression, bipolar disorder), anxiety disorders (panic disorder, obsessive-compulsive disorder, phobias), and other psychiatric disorders (schizophrenia, personality disorder). For an individual with a dual diagnosis, the first step in treatment is detoxification – a period of time during which the body is allowed to cleanse itself of alcohol or other drugs. Once detoxification is completed, the consumer will participate in individual and group therapy dealing with relapse prevention, cognitive distortions, illness management and recovery, skill building, emotional regulation, and contingency management. Dual Diagnosis services are available in Boyd County.

DUI services provide instructional programs for individuals convicted of driving under the influence of substances. The program is offered in accordance with Kentucky Revised Statutes and Kentucky Administrative Regulations to provide all convicted offenders within Pathways’ ten-county area with an assessment by a certified assessor and specific treatment plans. Offerings include assessment, Crisis and Residential Recovery Unit services, case management, 20-hour educational classes, outpatient counseling, intensive outpatient counseling, and other referrals as necessary within the counties of Boyd and Rowan on a bi-weekly basis. Individuals in this program may self-refer or be referred through the legal system. DUI assessments are available in all ten counties served by Pathways. The DUI 20-hour educational program is available in Boyd and Montgomery counties.

Early Childhood Mental Health is a specialized program that works in cooperation with local childcare centers and other early childhood providers to improve the childhood experience of children ages birth to five by addressing their cognitive, emotional, social, and relational needs. The program creates a seamless system that incorporates birth-to-five-year-old children with social and/or emotional issues through early identification, education, and treatment in order to prevent delayed intervention. Services include assessment of behavioral needs, therapeutic treatment services, case management, family supports, collaboration with other state, local, and private agencies, fostering community awareness of the need for behavioral services, and providing outreach and instructional programs to caregivers and families. ECMH referrals can be made by parents, childcare providers, physicians, and early educators. Services are available Monday through Friday from 8:30am until 5:00pm. Early Childhood Mental Health services are available in all ten counties served by Pathways.

Group therapy is a form of psychotherapy that involves one or more therapists or peer support specialists working with several people at the same time and is often integrated into a consumer’s treatment plan coupled with individual or family therapy. Group therapy can be very effective, especially for individuals suffering from substance abuse, depression, and traumatic stress. Pathways employs a variety of evidence-based practices when working with individuals in a group setting, including dialectical behavioral therapy, mindfulness-based cognitive therapy, Matrix Model, and CORE. Common groups include Illness Management and Recovery, Anger Management, Parenting, Substance Abuse, and gender-specific groups. Pathways offers groups at all outpatient locations. Services are available in all ten counties served by Pathways.

High Fidelity, an evidence-based practice driven by the National Wraparound Initiative, is a youth-guided and family-driven planning process that follows a series of steps to help youth and their families realize their hopes and dreams. Pathways employs two HiFi case managers; one in the Gateway Region (Bath, Menifee, Montgomery, Morgan, and Rowan counties) and one in the FIVCO Region (Boyd, Carter, Elliott, Greenup, and Lawrence counties). These two case managers can have up to ten consumers each on their caseloads serving the most intense youth with serious and complex needs. For more information on this service, call (606) 324-3005 in the FIVCO Region or (606) 784-4161 in the Gateway Region, toll free in Kentucky at (800) 562-8909. Services are available in all ten counties served by Pathways.

iHOPE is a collaborative effort between the Department of Behavioral Health and Pathways to identify and serve youth and young adults with symptoms of psychosis as early as possible and provide support and treatment based up-on current research. To be eligible for iHOPE services, the consumer must be ages 15-30, at risk of experiencing a psychotic episode (prodromal symp-toms), or have been diagnosed with a psychotic disorder within the last year. Confirmation is needed that symptoms are not caused by a medical condition or substance use disorder. Services available in iHOPE are psycho-education, family education and support, medication evaluation and management, individual psychotherapy, supported employment, peer support, community support, case management, and safety planning. Services are available in all ten counties served by Pathways.

In Bloom offers Cognitive Behavioral Therapy to women who are pregnant or parenting a child under two years of age who are experiencing anxiety, depression, Post Traumatic Stress Disorder (PTSD), or substance use disorder (or in recovery). The program offers in-home therapy and attachment parenting sessions, peer groups for mothers, case management, and connects participants to educational and employment services and resources. Services are available in all ten counties served by Pathways.

Individual Placement and Job Support is an evidence-based model of supported employment providing a high standard of service to individuals with disabilities who would like to obtain gainful employment. Services provided include exploration of person-centered employment interests, rapid job search, zero exclusion (i.e., all consumers are eligible for IPS services regardless of their progress or recovery status). IPS provides long-term individualized support to ensure ongoing employment success. To make a referral, please call 606-324-3055, extension 4163, or ask for the IPS Supervisor. Services are available in Bath, Boyd, Carter, Greenup, Lawrence, Montgomery, Morgan, and Rowan counties.

Individual therapy is a form of therapy in which the consumer is treated in a one-on-one basis with a therapist. This treatment setting allows the therapist and consumer to focus on rapport building and working together to solve the presenting problem. Pathways utilizes evidenced-based models such as cognitive-behavioral therapy, reality therapy, rational-emotive therapy, acceptance commitment therapy, and brief therapy, among many others. Pathways offers individual treatment in all outpatient offices. Services are available in all ten counties served by Pathways.

Pathways’ Intensive Outpatient Program (IOP) meets in a group setting and is therapeutic counseling for individuals in need of a more rigorous substance use disorder treatment program. IOP consumers meet with a therapist at least six hours each week and complete a minimum of 24 sessions. During the sessions, clients complete the Matrix Model curriculum which is an effective, evidence-based practice. The sessions focus on early recovery skills, relapse prevention, group therapy, and counseling. Group members are asked to read, complete handouts, and participate in activities. Before attending IOP, all consumers receive a comprehensive assessment with an individualized treatment plan. IOP services are available in Boyd, Carter, Greenup, Lawrence, Montgomery, and Rowan counties.

Boyd

• Daytime 9:00 AM – 12:00 PM, Monday – Thursday
• Evening 5:00 PM – 8:00 PM, Monday – Thursday

Carter

• Daytime 9:00 AM – 12:00 PM, Monday – Thursday

Greenup

• Daytime 1:00 PM – 4:00 PM, Monday, Tuesday, Wednesday & Friday

Montgomery

• Daytime 9:00 AM – 12:00 PM, Monday – Thursday
• Evening 5:00 PM – 8:00 PM, Monday – Thursday

Rowan

• Daytime 9-12 Monday- Thursday
• Evening Monday-Thurday5-8 PM

The KSTEP program integrates best practice in substance use disorder (SUD) treatment services, child welfare practice, and family preservation services into an approach to deliver services that address the special needs of SUD affected families involved with the Department of Community Based Services (DCBS). DCBS partners with Pathways to implement a continuum of care for adults and children that includes mental health services and substance abuse services through the KSTEP program. KSTEP services are available in Bath, Boyd, Carter, Elliot, Greenup, Lawrence, Menifee, Montgomery, Morgan, and Rowan counties.

KY-Moms MATR is a program designed to educate the public about the impact of substance abuse on pregnancy and child rearing. The program emphasizes the importance of smoking cessation and positive lifestyle choices to help babies be born healthy and drug-free. It also links expectant mothers to services that will help them have healthier babies. Mothers seeking recovery assistance will receive preference for admission into recovery related programs. The goal of the program is to help pregnant women get the services they need during and after pregnancy in an effort to foster a happier, healthier pregnancy and baby. Case managers who understand family issues are available to help direct women to services for themselves and the baby. Expectant mothers can become involved at any time during the pregnancy, and case managers will follow up with the mother and baby for up to 60 days post-partum. Services are available in all ten counties. Individuals interested in services may contact (606) 326-2875 to be linked with a provider.

Pathways offers Vivitrol and Suboxone products for consumers who have been diagnosed with an Opioid Use Disorder and are agreeable to follow the treatment protocol including individual and group therapy, Case Management and Peer Support Services along with Care 9 Coordination. Pathways recognizes the need for quality Substance Use services and is commitment to be a part of the solution by helping consumers gain sustainable recovery. Services are available in all ten counties served by Pathways.

The Opportunities for Women program addresses the problems that keep women from providing for their families, such as holding down a job or going to school to get a certificate or degree. Case Managers may be able to assist in providing helpful resources which are needed for a better future for women and their children. Opportunities for Women offers assessment, education, and case management. The program assesses for substance use disorder, domestic violence, co-dependency, sexual abuse, and other issues in order to make referrals to get the needed help. It also educates participants in ways that may help women end problems from the past. Support sources help change old habits, improve self-image, and address problems that may be preventing clients from becoming self-sufficient. Finally, the program also provides case management services by identifying help needed or linking participants with the necessary resources. Providers assist in applying for emergency protective orders, if warranted, and going to court for domestic violence order hearings. Opportunities for Women services are available in Boyd, Carter, Greenup, and Lawrence counties. Providers offer free weekly parenting classes to interested participants in Boyd, Carter and Lawrence counties, and a women’s education class in Lawrence county. Individuals interested in services may contact (606) 326-2875 to be linked with a provider.

PUSH provides a support network for parents needing help with childhood behaviors, school issues, education laws, disability laws, the provision of local resources, and the skills to advocate, when needed. In particular, it provides support from other parents who understand the special issues surrounding children with disabilities. Discussions often focus upon techniques that have worked for others. Speakers are invited to present on various topics related to disability laws and educational laws regarding special education and 504 regulations. A lending library is also available to members. PUSH support groups are available in Boyd, Carter, Elliott, Greenup, and Lawrence counties.

Peer Support services are the social and emotional support provided by persons with lived experience of a mental health and/or substance abuse condition to others sharing a similar mental health and/or substance abuse condition to bring about a desired social or personal change. Peer support is an emerging evidence-based practice that helps people recover from mental illness or addiction with assistance from someone who has experienced mental illness or addiction and is in recovery. Services are available in all ten counties served by Pathways.

Pathways offers integrated behavioral health and substance abuse treatment for children and adolescents at every school in all ten counties served. School-based services offer individual therapy, group therapy, anger management, risk assessments, presentations on various topics (suicide prevention, dealing with bullies, etc.), professional development trainings (ADHD in the classroom, recognizing abuse, etc.), collateral services, and crisis management. School-based therapists work in conjunction with school counselors, Family Resource Center staff, teachers, and others to ensure successful educational outcomes. A minor may sign consent for treatment when in crisis, but a parent/guardian’s authorization must be obtained once stable. Services are available in all ten counties served by Pathways.

START teams serve families with young children who have experienced child neglect or abuse due to parental substance use disorders, with a focus on helping parents overcome their substance use disorder and promoting parental capacity to care for their children. Highly-trained family mentors and child protective service workers assist families having children five years or younger, often including substance-exposed newborns with substantiated abuse or neglect and child safety risks. Key START partners include judges, foster parents, mental health providers, and substance abuse treatment providers. START services are available in Boyd County.

Prime for Life is an evidence-based motivational prevention, intervention, and pretreatment program specifically designed for people who might be making high-risk choices. It is designed to change drinking and drug use behaviors by changing beliefs, attitudes, risk perceptions, motivations, and the knowledge of how to reduce risk of alcohol and drug related problems throughout a lifetime. Prime for Life includes both prevention and intervention content; it is also designed in a way that serves universal, selective, and indicated audiences with program delivery options for each. Services are available in all ten counties served by Pathways.

QPR is an educational program designed to teach lay and professional “gatekeepers” the warning signs of a suicide crisis and how to respond. Gatekeepers can include anyone who is strategically positioned to recognize and refer someone at risk of suicide (e.g., parents, friends, neighbors, teachers, coaches, caseworkers, police officers). The process follows three steps: (1) question the individual’s desire or intent regarding suicide, (2) persuade the person to seek and accept help, and (3) refer the person to appropriate resources. Services are available in all ten counties served by Pathways.