OUR APPROACH

Trivium New England Integrative Mental Health provides comprehensive mental health and wellness services through our Outpatient Clinic in Lebanon, NH and via telehealth. Our providers use a strengths-based and person-centered approach, working collaboratively with each client to explore current mental health symptoms and lifestyle factors that are contributing to difficulties in overall functioning. Our providers combine evidence-based assessment, psychotherapy, and adjunctive wellness approaches to develop personalized treatment plans that consider the whole person.

Therapeutic Process

The therapeutic process assesses current functioning to address goals and specific concerns. Engaging in psychotherapy may include benefits like the resolution of presenting symptoms, as well as increased insight, the development of effective coping strategies, and improved interpersonal relationships. Psychotherapy can also improve self-efficacy, connection to goals and values, and overall quality of life. Therapeutic progress is assessed regularly, and your feedback is integral to this process. Please note that psychotherapy is a personal process, and there are no guarantees regarding eventual outcomes.

For you to reach your therapeutic goals, it is essential for you to complete assignments between sessions. Therapy takes time and effort, and it may move slower than you want or expect.

Along with the benefits of psychotherapy, there are some risks to consider. The process can be uncomfortable, as change often is. It can arouse unexpected emotional reactions and create changes that may not have been originally intended. However, we will work together to adjust treatment as needed.

Psychotherapy is never done in isolation, and the process looks different for children and minors. At Trivium Integrative Mental Health, we adhere to New Hampshire state law, which stipulates that minors 16 years of age or older may voluntarily consent to and receive mental health services without the consent of the minor's parent or legal guardian. Medications, however, cannot legally be prescribed to minors without parent/guardian consent. It is our policy that parents and/or legal guardians with children ages 10 and under should plan on actively participating in treatment. Children under the age of 12 must also be accompanied by an adult while in the office (i.e., parents should wait in the waiting room)

Parents and legal guardians have the right to request minors' treatment records and receive general updates. Please note that, particularly with adolescents, this can affect the therapeutic relationship if they believe parents and guardians will be informed of everything that transpires in the therapy room. We encourage you to speak with your clinician at the outset of treatment to establish clear expectations. Regardless, Trivium Integrative Mental Health is ethically and legally obligated to break confidentiality as outlined by NH law (see below for these exceptions)

SAFETY PLANNING

Trivium Integrative Mental Health operates Monday through Friday from 9am to 5pm. If you require services outside of these hours, we cannot guarantee availability - please speak with your provider about possible accommodation. Trivium Integrative Mental Health may offer therapy groups or other specialized programming outside of normal business hours - these opportunities will be communicated in advance.

As an outpatient practice, we do not provide crisis or after-hours support. We are committed to working with each of our clients to develop a proactive safety plan in conjunction with your individualized treatment plan, but our providers are not available to triage crises after hours or on the weekends.

OUR PROVIDERS      

Susan Odden, MS, LCMHC, MSN, RN 
Clinical Mental Health Counselor, Psychotherapist, Nutritionist, Registered Nurse 
Pronouns: she/her/hers 
Licensure Information:

• Licensed Clinical Mental Health Counselor, Vermont, #068.0136109
• Licensed Clinical Mental Health Counselor, New Hampshire, #4825
• Licensed Clinical Mental Health Counselor, Maine, #CC7847
• Registered Nurse, Vermont #026.0113090
• Registered Nurse, New Hampshire #071623-21
• Approved Ed RN AD Instructor, New Hampshire #01433
• Registered Nurse, Arizona #RN168898      

Sara Paton, MSW, LMSW, RSW, CYT 
Clinical Social Worker, Psychotherapist, Certified Yoga Teacher 
Pronouns: she/her/hers 
Licensure Information: 

• Licensed Master’s Social Worker, Vermont, #156.0134295   

Marylee Verdi, FNP-C, PMHNP-BC 
Psychiatric Nurse Practitioner 
Pronouns: she/her/hers 
Licensure Information:

• Registered Family and Mental Health Psychiatric Nurse Practitioner, New Hampshire #054700-23
• Advanced Practice Registered Nurse and Family Nurse Practitioner with a Prescriptive Authority, Vermont, #1010134589
• Registered Nurse, Vermont #026.0142712
• DEA #MV3838185 

Olivia Henry-Corell, MSW, LMSW 
Clinical Social Worker & Psychotherapist

• Licensed Master’s Social Worker, Vermont, #156.0133924      

Shanna Clark Meyer, MA, LCMHC, LMHC, MT-BC  
Senior Director of Clinical Services, Clinical Supervisor 

• Licensed Clinical Mental Health Counselor, New Hampshire #2615
• Licensed Clinical Mental Health Counselor, Vermont #06.0134262
• Licensed Mental Health Counselor, Massachusetts # 7511
• Board Certified Music Therapist, #08718       

FEE STRUCTURE and PAYMENT POLICIES

Trivium Integrative Mental Health is a private pay, out-of-network provider. We are able to issue superbills for insurance reimbursement upon request. We require an active credit card on file with us. We will charge your card at the time of service, and a receipt will be emailed to you. Alternate payment arrangements can be made, including an invoice following services rendered, which must be paid prior to your next scheduled service. Our rates are as follows:

Therapy Services (hourly rate)

• Susan Odden, MS, LCMHC, MSN, RN: $185.00
• Sara Paton, MSW, LMSW, RSW, CYT: $140.00
• Olivia Henry-Corell, MSW, LMSW: -- $140.00 Sliding scale starting at $70 is available and determined based on financial need.

Wellness Services

•  ($50.00 for 30 minutes)
• 1:1 Trauma-sensitive Yoga
• 1:1 Integrative Nutrition Counseling

Medication Management

• Initial intake: $400.00
• Follow-up: $200.00    

A past due balance exceeding 2 weeks may result in temporary suspension of services until payment has been rendered. We will consider individual factors including ethical and safety related concerns prior to suspending services. In the event of financial hardship, please contact Shannon Bergholm, Office Coordinator, to discuss payment options.

Please note that if the person assuming financial responsibility for services is someone other than the client or the client's parent/legal guardian, we will require a signed Release of Information form authorizing Trivium Integrative Mental Health to communicate with the responsible party regarding finances, which includes written acknowledgement of our Practice Policies and Informed Consent. Any other information about your care will not be released to the financially responsible party without your written consent.

APPOINTMENTS

Therapy sessions are typically scheduled for 55 minutes, once per week. Sessions may be shorter, longer, or more frequent depending on your individual needs and preferences. We strongly recommend working with your provider to establish a regular session time, as consistency is conducive to progress in treatment. You are responsible for coming to your session on time at the scheduled time. If you are late, your appointment will still need to end on time. Should you find it difficult to attend your appointments, we can work together to address the barriers.  

CANCELLATIONS & MISSED APPOINTMENTS

We understand that urgent things come up in life and will try to accommodate as best we can. However, we do have policies around late, missed, or late cancel appointments.

• If you are more than fifteen minutes late to your appointment, our providers will not be available to meet, and we will need to reschedule.
• If you need to cancel an appointment, please do so at least 24 hours in advance so we can plan accordingly. 

If you do not attend your appointment or cancel with less than a 24-hour notice, you will be charged the full rate for your session as follows: 

      *Self-pay clients will be charged the full session rate
      *Clients using insurance will be charged a $90 missed appointment fee – this will          be billed directly to you, and you will be responsible for payment  

TERMINATION

We are a voluntary, at-will practice, which means you may terminate services at any time. However, we recommend a 2-4 week notice of intent to terminate therapy to allow for a thoughtful conclusion to your treatment process. Trivium Integrative Mental Health may elect to terminate services due to non-payment or assessed need outside the scope of our practice. We will do our best to work with you to ensure a smooth transition and continuity of care. If you do not attend scheduled sessions and/or we do not hear from you for 30 days, we will complete a discharge summary and close your case. However, you are always welcome to reach out when you are ready to resume services. 

PROFESSIONAL RECORDS

We are required to keep appropriate records of all therapeutic services. While therapy often includes discussions of sensitive and private information, very brief records are kept noting session attendance and content. You have the right to request that a copy of your record be made available to you or any other health care provider with a written request, and we will complete this request within 30 days. Your records are maintained in a secure electronic location as required by law.

CONFIDENTIALITY

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that provides privacy protections and patient rights regarding the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. HIPAA requires that we provide you with a Notice of Privacy Practices, which explains HIPAA and its application to your personal health information in greater detail. This law also requires that we obtain your signature acknowledging that we have provided you with this information prior to beginning treatment. 

Your privacy is of the highest importance to us and our work together. The confidentiality of all communications between a client and therapist is generally protected by law and as your mental health providers, we will not disclose to anyone what you have discussed or even that you are in therapy without your written permission. In most situations, we can only release information to others about your treatment if you sign a written authorization form that meets certain legal requirements imposed by HIPAA.

 

Except for certain specific situations described below, you have the right to confidentiality of your therapy. You, on the other hand, may request that information is shared with whomever you choose, and you may revoke that permission in writing at any time. There are, however, several exceptions in which we are legally bound to act and break confidentiality. If possible, we will make every attempt to inform you when these will have to be put into effect. The legal exceptions to confidentiality include, but are not limited, to the following:

1. If we believe a client is threatening serious bodily harm to him/herself or another, we may be required to take protective actions that may include notifying the potential victim, notifying the police, or seeking appropriate hospitalization. If a client threatens harm to him/herself or another, we may be required to seek hospitalization for the client, or to contact others who can provide protection.
2. If there is good reason to suspect, or evidence of, abuse and/or neglect toward children, the elderly or vulnerable/disabled persons. In such a situation, we are required by law to file a report with the appropriate state agency.
3.  In response to a court order or where otherwise required by law.  

Finally, there are times when providers find it beneficial to seek professional consultation with colleagues (including but not limited to professionals within our own practice and organization) in order to gain insight and provide the best services possible. Your name and unique identifying characteristics will not be disclosed in this situation. The consultant is also legally bound to keep the information confidential.

TELEHEALTH & ELECTRONIC COMMUNICATION POLICY

Telehealth is the use of two-way secure audio-visual electronic communications or other means to enable a healthcare provider and a patient at different locations to communicate. Services provided via telehealth at Trivium Integrative Mental Health include appointments for psychotherapy and medication management. 
 
There are potential risks to using telehealth technology, including but not limited to interruptions, unauthorized access, and technical difficulties. Trivium Integrative Mental Health uses Zoom (HIPAA compliant) to conduct telehealth videoconferencing appointments. Prior to each session, you will receive an email link to enter the “waiting room” until the session begins.  There are no passwords or logins required. It is your responsibility to ensure that your telehealth appointment link or information is kept secure and not shared with anyone not authorized to attend the session.  

It is your responsibility to notify your provider of your location at the beginning of each telehealth treatment session. If for some reason you change locations during your session, it is your responsibility to notify your provider of this change. It is also your responsibility to notify your provider of any other persons in the location, either on or off camera, and who can hear or see the session. You are responsible for ensuring privacy at your location with the understanding that confidential information may be discussed. 
 
Trivium Integrative Mental Health cannot guarantee privacy in regard to email or other forms of internet messaging.  You assume responsibility for information security on your device, including but not limited to, computer, tablet, or phone. Recording of any kind (audio or video) is not permitted while services are being rendered.  
The same fee rates apply for telehealth as for in-person treatment. Insurance or other managed care providers may not cover telehealth sessions. If your insurance, HMO, third-party payor, or other managed care provider does not cover telehealth services, you will be solely responsible for the entire fee of the session.  
 
Electronic communication is not to be used for any emergency or crisis communications. In the event of an emergency, please call 911 or other appropriate emergency contacts. If your provider determines that there is a safety concern, including but not limited to, risk to self or others, or an immediate need for medical attention, they may need to notify emergency personnel. 
 
If at any time telehealth services do not appear to benefit you therapeutically (or for other reasons which will be explained to you), you and/or your provider may discontinue telehealth services.  
 
Our staff will not follow or interact with our clients on social media. 

WORKING WITH TRAINEES & INTERNS

Trivium Integrative Mental Health is committed to providing supervision and training opportunities for interns and trainees who have demonstrated core competency and readiness to provide mental health services. Clients who consent to treatment with a trainee clinician receive the benefit of a licensed and experienced supervision team that assists in all phases of treatment.

All services provided by a trainee or intern will be rendered under the supervision of a fully licensed and qualified clinician. Trainees and interns receive intensive ongoing supervision, evaluation, and education to provide current, evidence-based interventions.

Sessions conducted by trainees and interns may, at times, include recordings. Recordings are used only for supervisory purposes only; recordings are stored on a password-protected device and destroyed at the termination of treatment.

Trainees and interns are bound by the ethical guidelines of their profession and to the policies specified by Trivium Integrative Mental Health and Trivium Life Services.

You have the right to terminate treatment with a trainee or intern at any time. You may request a transfer to another clinician, which will be contingent upon provider availability.

CONCERNS & COMPLAINTS

If you are not satisfied with what is happening in treatment, we encourage you to speak directly with your provider so that we can respond to your concerns. Your feedback will be taken seriously and be addressed with care and respect. You may also request that we refer you to another service provider and are free to end therapy at any time. 
 
If issues arise during your time in treatment, and you are not able to resolve your concerns directly with your service provider, you may request to speak with a member of our leadership team. If you remain concerned that Professional Ethics have been violated, a formal complaint may be registered in writing with the Board. Our providers abide by the American Counseling Association Code of Ethics at http://www.counseling.org/Resources/aca-code-of-ethics.pdf. Our practice is also governed by the following:  

• In New Hampshire: The NH Board of Mental Health Practice – the guidelines can be found at: http://www.gencourt.state.nh.us/rsa/html/NHTOC/NHTOC-XXX-330-A.htm.
• In Vermont: The Board of Allied Mental Health Practitioners – the guidelines can be found at: https://legislature.vermont.gov/statutes/fullchapter/26/065.
• In Massachusetts: The Board of Allied Mental Health and Human Services – the guidelines can be found at: https://www.mass.gov/lists/statutes-and-regulations-allied-mental-health
• In Maine: The Board of Counseling Professionals Licensure – Laws and Rules – the guidelines can be found at: https://www.maine.gov/pfr/professionallicensing/professions/board-of-counseling-professionals-licensure/home/laws-rules

OTHER RIGHTS 
You have the right to considerate, safe, and respectful care, without discrimination based on race, ethnicity, color, gender, sexual orientation, age, religion, or national origin. You have the right to ask questions about any aspect of our services and about our specific training and experience. You have the right to expect that we will maintain professional boundaries in relationships with clients or with former clients. 

TREATMENT OF STAFF

Our staff have the right to work in a safe and secure environment, and we as employers have the responsibility to provide that environment. This practice will not tolerate:

• Verbal abuse to staff which prevents them from doing their job, makes them feel intimidated or unsafe
• Threats of violence or actual violence to any member of the practice    

 Our staff aim to be polite, helpful, and sensitive to your needs and circumstances. They will treat you with respect and ask that you do the same. The following behavior is considered unacceptable:

• Using inappropriate language or swearing at practice staff
• Any physical violence toward any member of the staff or other clients
• Verbal abuse, insults, or threats toward staff or other clients. This includes demeaning comments about race, religion, sexual orientation, or gender identity.
• Sexual harassment
• Persistent or unrealistic demands that cause undue stress to staff. We will do our best to give you an explanation if we are unable to meet a request.  

Aggressive behavior, whether violent or abusive, may result in the immediate termination of your case.

Acknowledgment of this form will be considered a signature. This electronic confirmation indicates that you have read this agreement and agree to its terms. It also serves as an acknowledgment that you have received the HIPAA Notice Form referenced above.