This information is available in paper form, free of charge, upon request. Allow five business days.
NOTE: Links on this page open a PDF document and may require a separate program
Mental Health Provider Directories
Cache Valley Mental Health Provider Directory 2015
Provider Referral List for Box Elder County
Forms
English Forms
Authorization for Release of Records and/or Request for Access
Form used to authorize BRMH to give out health information and/or receive information from another agency/person. Also for use by BRMH clients requesting access to their own health information or for use by personal representatives.
Incident Report and Review form
Revocation of Auth for Release of Records – Request for Access
Client Admission Form
This form can be filled out electronically and then printed out to bring in or it can be printed blank and then filled out by hand.
Personal History Packet – Adult
Personal History Packet – Youth
Spanish Forms
Authorization for Release of Records and/or Request for Access
Revocation of Auth for Release of Records Spanish
Client Admission Form
Puede completar este formulario electrónicamente, o imprimirlo y completarlo a mano, y luego llevarlo a la oficina.
Personal History Packet – Adult
Personal History Packet – Youth
— Recommended Self-Help Book List ———————————
Here are a list of books that you might find useful in learning about certain topics.
You may try finding them at a local book store or library.
Depression & Anxiety:
The Feeling Good Handbook, by David Burns
The Six Pillars of Self-Esteem, by Nathaniel Branden
When Bad Things Happen to Good People, by Harold Kushner
Brain Lock: Free Yourself from Obsessive — Compulsive Behavior, by Jeffrey Schwartz
Bipolar Disorder Demystified, by Lana Castle
Changing for Good: A Revolutionary Six- Stage Program for Overcoming Bad Habits and Moving Your Life Pos. Forward
Mindfulness:
Full Catastrophe Living, by Jon Kabat-Zinn
Thoughts Without a Thinker, by Mark Epstein
Emotional Alchemy: How the Mind Can Heal the Heart, by Tara Bennett-Coleman
The Road Less Traveled, by Scott Peck
Trauma/Abuse:
I Can’t Get Over It: A Handbook for Trauma Survivors, by Aphrodite Matsakis
The Courage To Heal Workbook: for Women & Men Survivors of Child Sexual Abuse, by Laura Davis
The Courage to Heal: Guide for Women Survivors of Child Sexual Abuse, by Ellen Bass & Laura Davis
Relationships:
Divorce Busting, by Michelle Weiner-Davis
The Five Love Languages, by Gary Chapman
Love Must Be Tough, by James Dobson
My Mother, My Self, by Nancy Friday
Mother Daughter Wisdom, by Christiane Northrup
Parenting:
When Your Child Has Been Molested: A Parent’s Guide to Healing and Recovery, by Kathryn B. Hagans & Joyce Case
Real Parents, Real Children: Parenting the Adopted Child, by Holly Van Gulden & Lisa M. Bartels-Rabb
Learning the Dance of Attachment:An Adoptive Parent’s Guide to Fostering Healthy Development, by Holly van gulden and Charlotte Vick
— Self-Help External Resources ———————————
Advance Directives
Any adult client who is capable has the right to make a declaration of preferences or instructions regarding their mental health treatment. An Advance Directive is a declaration that allows, or disallows, mental health treatment. You can find an example of an Advance Directive form at https://le.utah.gov/xcode/Title62A/Chapter15/C62A-15S1004_1800010118000101.pdf
Circle of Security
Good website for the special and different parenting needed for children who have been traumatized or have attachment difficulties.
Child and Adolescent Bipolar Foundation
A wonderful website for parents of children with bipolar disorder. It is research based, is up to date, provides a parent to parent mentor. There is an annual fee, however.
Depression and Bipolar Support Alliance
Free information on depression and bipolar disorder as well as listings to over 1000 patient support groups across the country.
Mental Health Foundation For Excellence
Global community foundation providing the infrastructure to pool resources to finance recovery-based programs and research
Mental Health Resources
Resources for mental illness at LDS.org.
Mentalhelp.net
Comprehensive Mental Health and Mental Illness information on topics like Depression, Bipolar, Suicide, Anxiety, Addiction, Schizophrenia, and more.
National Alliance on Mental Illness
Not-for-profit, grassroots, self-help, support and advocacy organization of consumers, families, and friends of people with severe mental illnesses.
National Institute of Mental Health
The National Institute of Mental Health (NIMH) website provides information from the Federal agency that conducts and supports research on mental illnesses.
National Mental Health Association
Dedicated to promoting mental health, preventing mental disorders and achieving victory over mental illnesses through advocacy, education, research and service
National Runaway Safeline
Here to listen. Here to help. Site dedicated to helping keep America’s runaway, homeless and at-risk youth safe and off the streets.
University of Virginia Health System (Adult Mental Health)
This site is published by the University of Virginia and has a link to a comprehensive list of many diagnosable mental illnesses in adults.
University of Virginia Health System (Child and Adolescent Mental Health)
This site is published by the University of Virginia and has a link to a comprehensive list of many diagnosable mental illnesses in children and adolescents.
— Spanish Self-Help/External Resources (en Español) ———————————
Directiva Anticipada
Cualquier cliente adulto que no está incapacitado tiene el derecho de hacer una declaración de preferencias o instrucciones a cerca de su tratamiento de salud mental. Una directiva anticipada es la declaración que permite o no permite, el tratamiento de salud mental.
MedlinePlus
Temas de Salud, Enciclopedia Mdica, Tutoriales Interactivo, Pgina Recomendada, Biblioteca Nacional de Medicina, Institutos Nacionales de Salud
NAMI (La Alianza Nacional de Enfermedades Mentales)
La Alianza Nacional de Enfermedades Mentales (NAMI, por sus siglas en inglés) es la organización de salud mental más grande familiares. Tras su fundación en 1979, NAMI se ha convertido en la voz de la nación con respecto a las enfermedades mentales. NAMI es una organización nacional que incluye oficinas en cada estado y en más de 1,000 comunidades locales, alrededor del país, las cuales se reúnen para alcanzar la misión de NAMI a través del asesoramiento, la investigación, el apoyo y la educación.
Publicaciones en Español — National Institute of Mental Health
Todas nuestras publicaciones son gratuitas. Hemos escrito algunas de nuestras publicaciones en un estilo que es fácil de leer y hemos traducido algunas de nuestras publicaciones a español. Nuestras publicaciones están echas en HTML (el formato estándar del Web) y/o PDF (formato de documento portable).
— Prescription Savings Programs/Discount Medications ———————————
RXOutreach
Patient Assistance Program: As low as $20 for a 3 month supply.
Xubex Pharmaceutical Services
For generic medications only. Income at or below 243% of the Federal Poverty Level. $20 fee for a prescription for 90 days ($40 for 180 days, $60 for 360 days
— Patient Assistance ——————————–
NeedyMeds.com
NeedyMeds is a good source of information on patient assistance programs. All information is free and updated regularly.
Partnership for Prescription Assistance
Helps find existing patient assistance programs and determine eligibility. You have to answer eligibility questions. Contains information needed to apply (online application links)
RXAccess
RxAssist offers a comprehensive database of these patient assistance programs, as well as practical tools, news, and articles so that health care professionals and patients can find the information they need. All in one place. Must create a user account.