Sliding-Scale Psychiatric and Counseling Services

Update on 3/26/14

With the Affordable Care Act (aka Obamacare), it’s hopefully easier for people to become insured and thus to find affordable psychiatric and counseling services.

The deadline to sign up is March 31st. To be honest, I’m not sure what will happen if you find yourself uninsured after March 31st.

For more details on the Affordable Care Act, please see my post on that subject.

(Last updated 5/14/12)

If you are uninsured or cannot afford your copay for counseling, it’s often helpful to contact universities and hospitals to see if they offer sliding-scale services and to call DBSA or your local NAMI to ask if they can provide you with some suggestions based on your location.

Compared to finding a therapist, it is much more difficult to find a place that offers sliding-scale psychiatric services so that you can see a psychiatrist and get prescription medication. It would be best to start out by calling DBSA or your local NAMI to ask for referrals. If those referrals don’t pan out, you might want to contact the closest City of Chicago Mental Health Center. Please note that due to budget cuts, several locations have been closed. There is a way to see a psychiatrist and get free medications from Stroger Hospital, but it is very time-consuming.

Below are some places that I have found so far. Please call them first to verify that they offer sliding-scale and to ask if their fees have changed. If you know of a resource that isn’t in this list, please feel free to leave a comment or email me.

Please also read my post How to Choose a Therapist.

Adler School of Professional Psychology
Dreikurs Psychological Services Center
65 E. Wacker Place
(312) 327-0959

Advocate Illinois Masonic Hospital
938 W Nelson (Wellington Brown)
(773) 296-3220

C4
multiple locations
(773) 761-9000
Lowest is $8

Cathedral Counseling
50 East Washington Street
(312) 252-9500

Catholic Charities
641 W. Lake Street
(312) 655-7725

Chicago Center for Family Health
20 North Wacker Drive
(312) 372-4731

Jewish Child and Family Services
(773) 866-5035
Multiple locations including:
Adult and Family Services
3525 W Peterson Ave, Chicago, IL
773 866 5035

Family Institute at Northwestern University
(847) 773-4300
Multiple locations including one in Loop and one in Evanston
Therapist is a doctoral student
Individual and couples: lowest may be $0

Lakeview Center on Psychotherapy
3322 North Ashland Avenue
Chicago, IL 60657
(773) 525-3322
DBT group led by doctoral student: lowest is $1
Individual DBT: lowest is $5
Might have other forms of individual and group therapy
*Also has a mental illness support group

Swedish Covenant Hospital
Anderson Pavilion
2751 W Winona Ave. Suite 253
Chicago, IL 60625
(773) 878-8200
Therapist is a doctoral student
Individual and couples: lowest is $0 – $5
Does not offer group

———————————————————————————————————————-

City of Chicago Mental Health Centers (MHC)

Please call in advance to verify that the location you’re interested in hasn’t been shut down.

Englewood MHC
641 W. 63rd Street
(312) 747-7496
Hours of Operation: Mon – Fri: 8:30 am – 4:30 pm

Greater Grand/MID-South MHC
4314 S Cottage Grove
(312) 747-0036
Hours of Operation: Mon – Fri: 8:30 am – 4:30 pm.

Greater Lawn MHC
4150 West 55th Street
(312) 747-1020
Hours of Operation: Mon – Fri: 8:30 am – 4:30 pm

Lawndale MHC
1201 S Campbell Street
(312) 746-5905
Hours of Operation: Mon – Fri: 8:30 am – 4:30 pm.

North River MHC
5801 North Pulaski Road
(312) 744-1906
Hours of Operation: Mon – Fri: 8:30 am – 4:30 pm.

Roseland MHC
200 East 115th Street
(312) 747-7320
Hours of Operation: Mon – Fri: 8:30 am – 4:30 pm.

———————————————————————————————————————-

John H. Stroger Hospital
Fantus Health Center aka Fantus Clinic
(the walk-in clinic at Stroger Hospital)

621 S. Winchester Ave
Chicago, IL 60612
312-864-6221

From a guest editor in 2009:

Stroger is the absolute last-ditch option for anyone in Chicago with no health insurance. It is the city-run hospital, and one that is absolutely swamped with people right now. You can see a doctor every day (with common specialists also available), as long as you are willing to jump through as many hoops as possible.

First, you have to make it to the West Loop location by 7AM, or you’ve lost your chance completely. Then, you have to be one of the first 85 people checked in, or again they turn you away. Then you wait in the waiting room until they call your name, and you have to be seen before closing time, or you don’t get seen at all and are told to come back again the next day.

If you’re lucky enough to get seen, you also have to file additional paperwork for Stroger’s discount plan, information on which is only given out if you are already being seen. Luckily, any medications prescribed to you are then free, but you may have to wait a large number of hours to be seen at all.

Free and Reduced Fare RTA Pass (Includes Psychiatric)

See: http://www.rtachicago.com/fare-programs/reduced-fare-program.html

Applying for a Reduced Fare RTA Pass

The process of getting a reduced fare RTA pass can be time consuming but relatively simple.

To get the pass, you have to get the application from downtown. The location is RTA’s Customer Service Center at 165 N. Jefferson in Chicago. Their hours are Monday through Friday, 8:30 a.m. to 5:00 p.m.

If you are affiliated with a social service they might already have some in their office for their clients or can help you get one. You will need to ask though.

Once you have the application, you fill it out and have your doctor write a brief letter about your condition and/or diagnosis. Psychiatric conditions do appear to be covered.

There does not appear to be an income or resources limit.

With the filled out form and a copy of your state ID, you then need to get a photo ID. You can get this done at multiple places, including having a passport photo taken. See http://www.rtachicago.com/CMS400Min/uploadedFiles/Sr_Registration_Centers.pdf for a list of locations to get your photo taken and drop off your application.

For example, at the Levy Center on Aging in Lincoln Square, you get your photo taken on a digital camera (so it was a color photo) and pay the person $1. They then submit you application and ask you to wait 4-6 weeks to receive your card.

Using the Card

One you have your card, you can load money onto the card and pay a reduced fare on the CTA. It’s 85 cents for a ride and 15 cents to transfer. Second transfers are free.

You can also use it on the Metra and PACE because it is part of RTA. However, they have different rates.

Monthly Reduced Fare CTA Passes

In addition, you can also purchase a separate reduced fare pass. Unfortunately, the only reduced passes are monthly passes, which are $35. There are no reduced passes for day, week, etc. To get this pass, you can get it where CTA passes are sold or purchase it online. To buy it online, visit http://faremedia.chicago-card.com/store/main.aspx?DepartmentId=34

When using the monthly pass, you first insert your monthly pass into the machine then your photo ID reduced fare pass. You have to keep your reduced fare pass on you even if you are using the monthly pass. If you accidentally insert your photo ID reduced fare pass first you will get charged and the money is unlikely to be refunded.

The Free Transit Card

There is also a People With Disabilities Ride Free program. This can be extremely difficult to get because you first need to be awarded Social Security Disability, then successfully enroll in Circuit Breaker, which does have income and assets guidelines, and then you are eligible for the free card. Once you have the free card, you can ride for free on CTA buses and trains, Metra, and PACE. You’ll have to reapply for Circuit Breaker once a year.

Department of Rehabilitation Services (DRS)

The Department of Rehabilitation Services is meant to help people with disabilities find jobs. I have found from personal experience and talking to others that the quality of the services offered by DRS varies greatly from office to office, even within the same state.

One of the services I was offered was help paying for school. However, two counselors told me that DRS was unable to pay toward grad school or a second bachelor’s. However, you might be able to get help paying for your first Associate’s or Bachelor’s. I strongly suggest asking your counselor if you have any questions about this as soon as possible.

At least at the offices I went to, it was clear that the counselors were only equipped to help people looking for entry-level minimum wage jobs and/or help review a cover letter or resume. However, if you’re affiliated with a college or university, I suggest contacting the Career Services office there first because they’re more likely to get back to you in a timely manner than DRS simply because they’re likely to have a smaller caseload.

DRS can also help you attain some of the specialized equipment you need for school and/or work that is related to your disability. For example, a friend of mine with severe visual impairment was able to have DRS cover the costs of the computer software she needed. However, she told me that it was a very lengthy and difficult process to get this done.

Overall:

Like with any other official documentation you receive, you should respond as soon as possible to any notices or letters instructing you to contact or meet with your DRS counselor. Oftentimes, failure to do so by the deadline can result in changes being made to your benefits and/or ability to get benefits.

Also, it’s probably worth giving your DRS counselor a try to see if she or he can help you. If you’re having a difficult time with your assigned DRS counselor, you might want to request to see a different person or even to go to a different office.

Finding and Starting Support Groups

One of the easiest ways to find a support group is through Meetup.com.

Groups exist nationwide, and you can even start your own group if you don’t have one in your area. Most Meetups are free or a few dollars to attend. The purpose of Meetup.com is to help people with similar interests meet up in person to share their interests, whether it be cooking, hiking, dogs, or something else. To find a support group, you will need to conduct a search using the website. Joining Meetup.com and creating a profile is free.

It may also be helpful to contact your local NAMI and DBSA to ask if they know of any groups. DBSA also has a Meetup mental illness support group.

Howard Brown LGBTQ-Focused Community Groups

When surfing the web I found this site:

http://www.howardbrown.org/hb_services.asp?id=45

I’m not familiar with these groups nor do I know how long it’s been since they were updated.

To save you some time from scrolling, there’s the mental health-related entry:

Depression and Bipolar Support Alliance
Weekly support group for LGBT individuals diagnosed with depression or bipolar disorder. Meetings, which are moderated by chapter leaders, are dedicated to improving the lives of individuals living with mood disorders. Meets Saturdays 11:00 am -12:30 pm at Howard Brown Health Center.
contact: Rob at 773-274-1461 or blanchetaughtme@yahoo.com

The Ark: Services for Uninsured and Low-Income Jews

All Services Are Free

The Ark

Homepage

6450 N. California Ave.
Chicago, IL 60645
773.973.1000
Fax: 773.973.4362
ark@arkchicago.org

The Ark has regular business hours, is open later on Wednesdays for dinner and medical services, and closes at 2pm on Fridays. It is closed Saturday, Sunday, and during Jewish holidays.

Getting There

Bus: 155 Devon bus to California or 93 California bus to Devon
El stop: None nearby
Parking: Has its own free parking lot and some street parking. Please read signs carefully.

Social Services

Medical Doctors
– Primary care, psychiatrist, dental, and some other specialists
– On-site pharmacy that dispenses free prescription medications and some over-the-counter medications
– People with health insurance are ineligible for these services

Psychological Services
– Individual and couples therapy with licensed social workers
– Outpatient day program with therapy groups including art therapy
– People with health insurance may be ineligible for these services

Kosher Pantry
– Clients can use the pantry once a month at specific times

Kosher Meals
– Tuesday, Thursday, and Friday lunches
– Wednesday dinner at 5pm
– Can request vegetarian meals
– On certain holidays, meals are delivered to clients’ homes

Thrift Store
– Located in Wicker Park, accessible by the blue line, buses, with limited parking by other stores
– Depending on your eligibility, it is possible to get vouchers for the thrift store in order to get household items for free

Homeless Shelter
– The Ark also runs a homeless shelter

Becoming a Client

To become eligible for the above services, you go through an intake where they verify that you are Jewish, financially needy, and assess what services you need. They serve all types of Jews (Reform, Conservative, Orthodox, etc) though they are associated with an Orthodox synagogue. The workers appear to follow a conservative dress code, though this is not true of the people who utilize their services.

Religious Services

The Ark also offers talks on Jewish issues, services, and some holiday celebrations. The Rabbi gives talks as part of the Tuesday and Thursday lunches and is often present during the day.

If you go to The Ark for services, please feel free to leave a comment about your experiences.

Thresholds – Dincin Center for Recoveries

Dincin Center for Recoveries
2700 North Lakeview Avenue, Chicago, IL 60614
(773) 537-3215 ‎
http://www.thresholds.org

Thresholds has many free programs for people with mental illness. One of them is a community center called the Dincin Center.

Dincin Center doesn’t have its own website but if you call or go in you can find out about what programs are going on that day, which generally include mental health groups, free cooked meals, and an activity. The building is really old and the offices a bit dreary, but the people inside are generally friendly. There is a lot of area to hang out or sit quietly by yourself. The building also contains a computer room with printers, an activity room with a large TV, a craft room, a piano, a pool table, a washer and dryer, and a free clothing room that could use some organizing. Available on-site are other services including case management and employment support.

The Dincin Center serves only people with mental illness. To get a case manager you have to attend groups and come in several times a week. After this, you can become a member and gain access to other services.

Tips on Researching Medications

Note: My friend JC is acting as a guest poster. The writing and opinions below are his.

With the boom in the number of types of psychiatric medications today, it’s easy for the average person to get lost in trying to figure out what their actual medication does and how it works. This information has long been available to medical professionals, but by the nature of their work these resources speak in technical terms, which many patients are unfamiliar with.

While I personally use the Nursing Drug Handbook published by Lippincott, which may be useful if you have an average amount of medical terminology knowledge, even this resource can be over the heads of many people. With that in mind, here are some resources that I myself have used in the past, and which may be useful to other people.

CrazyMeds.us

Somewhat poorly named site aside, CrazyMeds.us is a comprehensive site in plain English written by a man who has extensive experience with psychiatric medications. He compiles information from prescribing information sheets (the papers included in every package of pills received by pharmacists, which describes to doctors and pharmacists information on the medication), research articles, and other sources, then presents it in an easy-to-understand format. Medications are broken down into class, so that you can also see what type of medication you are taking.

Unfortunately, the site also suffers from a problem with ease of navigation. The text may be a little hard to read, and finding your specific medication may be difficult at first. However, once you find what you’re looking for, I’m sure you’ll find that this site is an invaluable resource.

Wikipedia

These days, I’m sure everyone is familiar with Wikipedia. As a result of this popularity, many medication articles on the site are pretty well written. Being an encyclopedia, it also describes the technical side of the medication, which may be confusing, but after that section it goes into the patient-oriented side of the medication. These sections often prove very useful, since it goes not only into the scientific side of things, but often the history of the medication and any issues that may have arisen over time.

Unfortunately, depending on the popularity of the medication and random factors, some articles may not be written yet, or may be just a shell. Wikipedia is an entirely voluntary system, and if no one has written anything yet, it won’t be there. Another thing to keep in mind is that, by virtue of being completely open to edits, sometimes incorrect information may sneak into an article. Keep a critical mind, and Wikipedia can be useful.

Conclusion

The immense amount of information on the Internet has opened up new sources for people to find more information on their psychiatric medications in plain English. By using the above resources, you can be more informed about what you’re taking, and maybe learn some interesting tidbits along the way.

Important note: Remember, nothing you read online can replace the trained knowledge of your doctor. The above resources are meant to complement, not replace, the relationship with your doctor. If you are concerned about any information you find on the above resources, see your doctor immediately. Do not make changes to your medication without your doctor’s knowledge and approval. Neither of us are licensed medical professionals.