• WELCOME TO COSBY COUNSELING & CONSULTING, PLLC

    ·      

  • At Cosby Counseling &Consulting, PLLC we care about the sustainable emotional well-being of our youth, families, and staff members; provide a treatment oriented residential therapeutic program; utilize a cognitive behavioral, strength-based approach in our work with youth and families; no form of corporal punishment is used. 

    Our program offers boys, ages7-14 years old with a primary mental health diagnosis a residential program with on-site individual & group counseling; trained paraprofessional staff; constant interaction with a Qualified Mental Health Professional; on-site EBPI certified facilitator; and dually licensed mental health & substance use counselors. We adhere to all client’s rights as outlined in the North Carolina Administrative Code; Grievances can be made via mail at deanna@deannacosby.com;we respect our patients privacy, an no information will be exchanged without a valid release of information

  • Our programs offer treatment opportunities for youth with varied behavioral/emotional difficulties; a rangeo f diagnostic issues (but not including youth that have engaged in property destruction, elopement, or physical aggression in the last 30 days or youth in need of detoxification, significant medical needs, or that need medical intervention to prevent harm to self or others,); no minimum IQ required but all residents must be ambulatory . Supplemental services are provided as needed through partnering with community resources, such as ABA therapy, Substance Abuse counseling services and medication management.  Accidental or intentional omission of behavioral health information may result in discharge upon discovery.

    Cosby Counseling & Consulting, PLLC is accredited by the Joint Commission of Health Care Organizations; licensed by the NC Division of Health Service Regulation; contracts with MCO’s to provide Level III services).  Consistent parental/ legal guardian involvement throughout treatment at least bi-weekly is required for the youth to remain in treatment with Cosby Counseling & Consulting; homeor community visits is recommended at least monthly along; in addition to bi-monthly visitation/phone contact between child and family.  Our licensed Clinician provides treatment for youth with a history of problem sexual behavior; treatment components include CBT, TFCBT, EMDR, TOP (Trauma Outcome Process), risk assessments, safety plans, individual, and family.         Program activities include nature walks, group activities, occasional outings include educational/therapeutic group day tripsand “nights out”. NO SWIMMING.

  • Discharge planning begins at admission and ALL team members are responsible for participating in these activities, but Cosby Counseling & Consulting lead discharge activities. .

    Please note there is no requirement to allow the resident to remain for an additional 30 days once written notice of discharge is given. Refer to NCAC 10a 27g .1708 for additional information and clarification of discharge requirements for residential level 3 providers. Once a discharge date is given it is the legal guardians responsibility to retrieve the child on the date given. If the legal guardian does not retrieve the child, Cosby Counseling staff will transport the child to the legal guardian.  Our daily rates are inclusive for all standard authorized Level III therapeutic services.  Room/Board costs are NOT included in the per diem rate & the daily room and board cost is $43.  Insurance, private and other (e.g., DSS, State funds, etc.) pay are accepted, as available.

  • HOW to Make a Referral for Residential Services

    To make a referral for level 3 residential services send the complete CCA, Psychological, or Psychiatric Eval. A member of the team will respond within 24 hours with a decision and recommendations if the individual is not accepted for admission.

  • If in DSS Custody a copy of the social workers badge is needed; ifin the parent’s custody, a copy of the parent’s state issued identification is needed; the resident can have no more than 10 socks, underwear, shirts, pants, and/or shorts, 1 set of pajamas, & 3 pairs of shoes; immunization records, consent to provide OTC medication, and a 30 day supply of medication & medication orders.  Resident must have a physical that was completed within the last 30 days prior to admission. A copy of the physical must be forwarded prior to admission. Cosby Counseling staff requires all medical and doctor appointments to be managed by the legal guardian.

    AN ELECTRONIC OR WRITTEN COPY OF THE ORDERS MUST BE ON FILE PRIOR TO ADMISSION ACCORDING TO THE NC STATUTES THAT GOVERN RESIDENTIAL TREATMENT SERVICES. WITHOUT AN ORDER THE PATIENT WILL NOT BE ADMITTED.

  • Screening & Intake Application

  • Date of Birth
     - -
  • Format: (000) 000-0000.
  • Does the client have any of the following medical issues? (If any of these issues are present further screening for admission is required). Please note Cosby Counseling & Consulting, PLLC reports all reported & suspected allegations of abuse, neglect, & exploitation.
  • Does the client have a medical diagnosis?
  • Client Interests
  • Type a question
  • History of Infectious disease?
  • Does the client have an IEP, 504, or School Behavioral Plan? If so send a copy to cccpllc1@gmail.com. No client will be admitted until they are completely enrolled in school or other educational program. If the youth requires Day Treatment Services the legal guardian will be required to complete an intake appointment and the youth must have a start date prior to admission.
  • Acknowledgement Statements. By signing below you acknowledge the following:

  • Notice of Privacy- THIS NOTICE DESCRIBES HOW MEDICAL AND DRUG AND ALCOHOL RELATED INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. General Information: Cosby Counseling & Consulting, PLLC Office Hours: By Appointment Only (980)522-8061 Office/ Emergency/ 24/7/365 After-Hours.

    Information about your treatment and care, including payment for care, is protected by two federal laws: The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”)* and the Confidentiality Law**. Under these laws the program may not say to a person outside of the program that you attend the program, nor may the program disclose any information identifying you as an alcohol or drug abuser, or disclose any other protected information except as permitted by the federal laws referenced in 42 CFR Part 2D, GS 122C 53-56 and stated below. Confidential information may not be released without written consent except in emergency or as provided for in 45 CFR 164 of HIPAA or in NC GS 122C 152-156. The provision of services is contingent upon such consent and of the need for such release. The client or legally responsible person shall give consent voluntarily. The program must obtain your written consent before it can disclose information about you for payment purposes. For example, the program must obtain your written consent before it can disclose information to your health insurer in order to be paid for services. Generally, you must also sign a written consent before the program can share information for treatment purposes or for health care operations. However, federal law permits the program to disclose information in the following circumstances without your written permission: 1.To program staff for the purposes of providing treatment and maintaining the clinical record;2.Pursuant to an agreement with a business associate (e.g. Clinical laboratories, pharmacy, record storage services, billing services);3.For research, audit or evaluations (e.g. State licensing review, accreditation, program data reporting as required by the State and/or Federal government);4.To report a crime committed on the program’s premises or against program personnel;5.To medical personnel in a medical/psychiatric emergency; 6.To appropriate authorities to report suspected child abuse or neglect;7.To report certain infectious illnesses as required by state law;8.As allowed by a court order.Before the program can use or disclose any information about your health in a manner which is not described above, it must first obtain your specific written consent allowing it to make the disclosure. Any such written consent may be revoked by you in writing. (NOTE: Revoking a consent to disclose information to a court, probation department, parole office, etc. may violate an agreement that you have with that organization. Such a violation may result in legal consequences for you.).Record Keeping:All clinical records are stored securely to ensure confidentiality. In the event that records are transported they are stored in a double locked area until such time they are returned to the office. Access to Records:Access to treatment records are limited to those individuals/ entities with a valid release of information on file signed by the patient or their legal guardian when applicable. Patients have access to their records and can review them with the clinician at their request.Off Site Therapeutic Services If/When services are provided in a location other than the practice office the same practice and confidentiality standards apply. North Carolina LawSome North Carolina laws give you additional protection and rights over federal laws and we will follow them whenever they apply. A few examples of North Carolina law are:North Carolina protects your discussions with a mental health provider about your mental health treatment. Any request by you for treatment and rehabilitation for drug dependence will be treated as confidential, even if we refer you to someone else. In general, you must consent before we disclose information about your mental health, developmental disabilities, or substance abuse services. However, we can disclose this information without your consent to help us care for you, for our health care operations, for your emergency care, and to others when necessary to coordinate your care. We are also allowed, and sometimes required, to disclose you information in the same situations which do not require your authorization. If we believe it is in your best interest, we may disclose your information to start a guardianship or involuntary commitment proceeding. We can disclose to your next of kin when you are admitted or discharged form a mental health, developmental disabilities, or substance abuse facility, if we believe it is in your best interest, but only if you do not object.If you are a minor, you have the right to consent to certain treatments without consent of your parent or guardian: (1) for pregnancy, (2) for abuse of controlled substances or alcohol; and (3) emotional disturbance. North Carolina has certain requirements for parental or guardian consent for abortions.Your Rights• Under HIPAA you have the right to request restrictions on certain uses and disclosures of your health and treatment information. The program is not required to agree to any restrictions that you request, but if it does agree with them, it is bound by that agreement and may not use or disclose any information which you have restricted except as necessary in a medical emergency.• You have the right to request that we communicate with you by alternative means or at an alternative location (e.g. another address). The program will accommodate such requests that are reasonable and will not request an explanation from you. • Under HIPAA you also have the right to inspect and copy your own health and treatment information maintained by the program, except to the extent that the information contains psychotherapy notes or information compiled for use in a civil, criminal or administrative proceeding or in other limited circumstances.• Under HIPAA you also have the right, with some exceptions, to amend health care information maintained in the program’s records, and to request and receive an accounting of disclosures of your health related information made by the program during the six (6) years prior to your request.• If your request to any of the above is denied, you have the right to request a review of the denial by the program Administrator.• To make any of the above requests, you must fill out the appropriate form that will be provided by the program.• You also have the right to receive a paper copy of this notice.Additional Rights•The right to dignity, privacy, humane care, and freedom from mental and physical abuse, neglect, and exploitation. •To treatment, including access to medical care and habilitation, regardless of age or degree of mental illness, developmental disabilities, or substance abuse. •To live as normally as possible while receiving care and treatment.•To be informed of the risks/benefits of any treatment recommendations.To participate in any treatment decisions as it relates to your care. •To refuse treatment.•Each client has the right to an individualized written treatment or habilitation plan setting forth a program to maximize the development or restoration of his capabilities.•To have your privacy protected unless otherwise permitted by you or state and/or federal law.•To request any information in your client record unless it is determined that such information would be detrimental to your care. •To know about any fees and cost’s of care prior to initiation of any services offered by the provider.•To know the qualifications and educational background of the person treating you.•To be informed by the provider in advance of any decision to terminate the therapeutic relationship with you.•To know that your treatment will be terminated if you commit a crime on the premises, when your welfare or the welfare of others are threatened by your continued participation in the program. •To appropriate referral, if necessary, when you are discharged form the program. •To be free from unwarranted invasion of privacy.•To be protected from harm, abuse, and exploitation.•To receive accommodations in accordance with the American Disabilities Act (ADA) and/or as required by law.•To expect the provider to make a reasonable response to your requests. •To file a complaint against the provider without retaliation from the provider.•To contact the Disability Rights of North Carolina, the statewide agency designated under the federal and state law to protect and advocate for the rights of persons with disabilities. Their contact number is (877) 235-4210. ****See Resident Handbook for an exhaustive list of your resident and legal guardian rightsThe Use of Your Information at the programIn order to provide you with the best care, the program will use your health and treatment information in the following ways:• Communication among program staff (including students interns or volunteers) for the purposes of treatment needs, treatment planning, progress reporting and review, staff supervision, incident reporting, medication administration, billing operations, medical record maintenance, discharge planning, and other treatment related processes.• Communication with Business Associates such as clinical laboratories (blood work, urinalysis), food service (special dietary needs), agencies that provide on-site services (lectures, group therapy) long term record storage.• Reporting data to the NC DHHS.The Program’s Duties:The program is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. The program is required by law to abide by the terms of this notice. The program reserves the right to change the terms of this notice and to make new notice provisions effective for all protected health information it maintains. The program will provide current patients with an updated notice and will provide affected former patients with new notices when substantive changes are made in the notice. Please note that clinical records will not be released to third parties until the payment has been secured/ received for services rendered.Complaints and Grievances:Patients have the right to make a complaint about the Privacy of their Health Information to the following:•Deanna Cosby, 980-522-8061.•Disability Rights of North Carolina, 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608. Voice (919) 856-2195 Toll Free Voice (877) 235-4210, TTY 888-268-5535. Fax: (877) 235-4210. Email: info@disabilityrightsnc.org.•Office for Civil Rights. U.S. Department of Health & Human Services. Atlanta Federal Center, Suite 3B70, 61 Forsyth Street, S.W., Atlanta, GA 30303-8909. Voice Phone (404) 562-7886. TDD (404) 331-2867. FAX (404) 562-7881.You will not be retaliated against for filing such a complaint.Violation of the Confidentiality law by a program is a crime. Suspected violations of the Confidentiality Law may be reported to the United States Attorney in the district where the violation occurs.

  • Professional Disclosure & Fee Policy Please read the information that follows carefully because it will help you to use our services most effectively.

    Professional CredentialsDeanna Cosby is a licensed by the North Carolina Board of Licensed Clinical Mental Health Counselors as a supervisor and the North Carolina Board of Substance Abuse Practice & Prevention as a supervisor. Licensed Professional Counselors are governed by the NCLPCB (919-661-0820), Licensed Clinical Addiction Specialists are governed by the NCSAPB (919-832-0975), in South Carolina as a Licensed Professional Counselor, and the National Forensic Association as a Clinically Certified Sexual Offender Treatment Specialist. Deanna Cosby adheres to strict ethical guidelines established by their professional licensing board.Services Offered and Theoretical ApproachCosby Counseling & Consulting, PLLC offers an array of services including residential level 3 treatment to child and adolescent males, individual psychotherapy for individuals ages 7-14, peer consultation, and clinical supervision for interns and provisionally licensed LCMHCA in North Carolina. The organization facilitates collaborative treatment services in an effort to assist individuals to maximize their potential to the fullest by challenging existing thoughts, feelings, and behaviors that are interfering with a fulfilling life. We will not attempt to impose our values or beliefs on you but may use variety evidenced based treatment interventions to assist consumers in achieving their goals.Visits and FeesCosby Counseling & Consulting, PLLC is committed to providing the best treatment. Unless specified by the contract that we may have with your insurance company (i.e. Medicaid): the fee for service is the rate determined by the MCO; treatment sessions including the initial assessment are (individual, family, and group) $150 per occurrence.Normal office hours: Monday –Friday 8am -5pm only. Reimbursement for residential treatment services will be provided by Medicaid; the cost of room and board is the responsibility of the legal guardian and will not exceed $43 per day. Private pay and private insurance reimbursement for residential services are not acceptable forms of payment. Please note that in the event that a resident is hospitalized the legal guardian agrees to pay the existing medicaid room and board rate for a period of up to 7 days. The residents bed at the facility will not be held beyond 7 days when a resident is hospitalized.Cancellations (Outpatient Only)Please provide 24hrs notice if you will be unable to make your scheduled appointment.Contact You may contact Cosby Counseling & Consulting, PLLC by phone, email (deanna@deannacosby.com), or through the website, www.deannacosby.com and I will make every effort to respond within 24 hours for all clinical non-emergencies. If you feel that you cannot safely wait for us to return your call, you should follow the emergency plan as described below. Emergency PlanIf a mental health emergency should arise, you are instructed to call, 980-522-8061 24/7/365 and follow your crisis plan.AGREEMENT FOR BILLING: I understand that Cosby Counseling & Consulting, PLLC is direct-enrolled providers of Medicaid services. As such, Cosby Counseling & Consulting, PLLC will directly bill Medicaid for treatment services for those clients who have active Medicaid third party coverage while they are receiving treatment at the facility.. In such cases, Cosby Counseling & Consulting, PLLC agrees to accept Medicaid payment as payment in full for treatment services, and will not bill the client for such services unless the resident is hospitalized at which time the legal guardian is responsible to ensure room and bed fees are paid as medicaid will not cover the cost of hospitalization and the fee at the group home to maintain the bed.AGREEMENT TO PAY: If the client or client’s legal guardian does not have third party coverage that agrees to pay the established fee for treatment by Cosby Counseling & Consulting, PLLC it becomes the client’s legal guardian’s responsibility to pay the treatment fee. If this is the case, I understand that: I may be denied an appointment and/or sent to a collection agency if I refuse to pay when I have I have the ability to pay, and it is my responsibility to inform Cosby Counseling & Consulting, PLLC of any changes which affect the billing of my account, and I may be charged for a scheduled appointment if not canceled twenty-four (24) hours in advance.ASSIGNMENT OF BENEFITS: I authorize payment by the insurance company/third party payor and the legal guardian directly to Cosby Counseling & Consulting, PLLC for services rendered, and /or payment of benefits to be applied to the public subsidy balance because of a reduced ability to pay. I understand that I am financially responsible to Cosby Counseling & Consulting, PLLC for charges applied to the insurance deductible and for all charges limited by the insurance carrier. If unpaid balance is sent to a collection agency, I will be responsible for any legal fee and/or interest associated with collection of the debt.
  • Permission to administer OTC Medications
  • Should be Empty: