1. P. Dave Whittaker, PhD Clinical Psychologist

2. Horizons Clinic Originated from a DSRIP-funded grant to help Covenant’s Behavioral Healthcare be optimally utilized. Rapid readmissions of patients with behavioral problems to the Inpatient Unit (Plaza) and/or the Adult ER were exerting a strain on both departments.

3. Rapid Readmission Definition The patient must meet at least one of the following criteria: Referral from Covenant’s Inpatient BHU after 2 inpatient admissions within 30 days or 3+ inpatient admissions within the past year. Referral from Covenant’s Adult ER for patients with a primary mental health diagnosis and who do not need inpatient admission. The referral can be made at the 1st ER visit.

4. Warm Handoffs If one of the aforementioned criteria is met, a “warm handoff” can be done by one of our staff. This warm handoff meeting allows Horizons Clinic staff to explain the program to patients, and if on site, patients can even be given a tour of our clinic. The Psych Assessors can also do warm handoffs from the ER.

5. Patient Variables Many of the patients in this rapid readmission category show some common characteristics. Homelessness Have a SMI (i.e., schizophrenia, bipolar disorder) Have a serious Substance Use Disorder Poor resources No Travel Resources No money for medications No intermediate support between discharge and outpatient follow up

6. Treatment Options Our outpatient program treats a wide variety of mental health and substance use disorders. Staff will provide therapy (group and individual) as well as resource management. Substance use disorders-emphasis will be Mondays, Wednesdays, & Fridays; General MH emphasis will be on Tuesdays and Thursdays. The groups will consist of many topics, including: Anger Management Stress Management Quality of Life Substance abuse recovery Anxiety/Mood Regulation Resource Management

7. Horizons Clinic Contact Information If wanting to make a referral, please contact staff via telephone or email. Below are the Horizons Clinic Staff, their contact information and address: Dr. Dave Whittaker, Psychologist Phone: 725-7032 Tammie Nichols, LPC, LCDC Phone: 725-7030 Victoria Medina, LMSW Phone: 725-7033 Horizons Clinic Address Covenant Medical Center, Lakeside Campus 4001 22nd Pl, (1 st Floor) Bldg. 66 (Behavioral Health) Lubbock, TX 79410 Main Number: 725-7034 Fax: 723-7066

8. Thank You for your kind attention! Any Questions?