Intake Packet

Forms to complete include:
  • Client Information
  • Intake Questionaire
  • Practice Policies
  • Notice of Privacy Practices
  • Informed Consent for Psychotherapy
  • Credit Card Authorization

Mental Health Information - Hotlines and Websites

For emergency situations, please call 911

Los Angeles County Department of Mental Health

https://dmh.lacounty.gov/

(800) 854-7771

 

211 LA County

https://www.211la.org/

211 LA County (or 211 LA) is the hub for all types of health, human, and social services in Los Angeles County.

 

SUICIDE SUPPORT

 

National Suicide Prevention Lifeline

(800) 273-TALK (8255)

https://suicidepreventionlifeline.org/

Online chat available

 

Crisis Text Line

Text LA to 741741

https://www.crisistextline.org/

Connect with a trained crisis counselor to receive free crisis support via text message.

 

Didi Hirsch Mental Health Services

https://didihirsch.org/

 

Trevor Project – National 24HR suicide hotline for LGBTQ youth

1-866-488-7386

Texting available

www.thetrevorproject.org

online chat available

 

INPATIENT AND OUTPATIENT PROGRAMS

 

West Valley Mental Health Center, Chatsworth –

Intensive Outpatient program available

(818) 407-3200

 

Adventist Health, Glendale –

Inpatient and Intensive Outpatient programs available

24HR Emergency Hotline: (818) 409-8234

Information/Intake Coordinator: (818) 409-8347

 

Senior Behavioral Health Services, Sherman Oaks Hospital and Encino Hospital Medical Center -

Inpatient program available

(866) 964-9221

 

UCLA Resnick Neuropsychiatric Hospital –

Serving adults, children/adolescents, seniors

(310) 825-9111

 

National Institute of Mental Health

https://www.nimh.nih.gov/health/index.shtml

and

National Alliance on Mental Illness

https://www.nami.org/#

(800) 950-6264 or text “NAMI” to 741741

Information on mental health issues including Post-Traumatic Stress Disorder (PTSD), Personality Disorders, Bipolar Disorder, and Obsessive-Compulsive Disorder (OCD)

 

SUBSTANCE ABUSE

 

Substance Abuse Service Helpline

(844) 804-7500

http://publichealth.lacounty.gov/sapc/

Operated by the LA County’s Department of Public Health.

 

Alcoholics Anonymous

www.aa.org – Information and Local AA meeting location finder

http://aa-intergroup.org – online meetings/groups

www.sfvaa.org, (818) 988-3001 – San Fernando Valley AA

www.LACOAA.org, (323) 963-4343, (800) 923-8722 – Los Angeles Central Office AA

(323) 750-2039 – Oficina Central Hispana

 

SEXUAL ASSAULT

 

RAINN – Rape, Abuse, Incest National Network – National Sexual Assault Hotline

1-800-656-HOPE (4673)

www.rainn.org

online chat available

 

EATING DISORDERS

 

National Eating Disorders Association –

https://www.nationaleatingdisorders.org/

(800) 931-2237

Text “NEDA” to 741741

Online chat available

 

ANXIETY

 

Anxiety sites:

https://www.anxiety.org/

https://www.helpguide.org/articles/anxiety/anxiety-disorders-and-anxiety-attacks.htm

https://www.calm.com/ (App)

 

WOMEN’S HEALTH

 

U.S. Department of Health and Human Services, Office on Women’s Health, Mental Health

https://www.womenshealth.gov/mental-health

 

CANCER SUPPORT

 

Simms/Mann – UCLA Center for Integrative Oncology

https://www.simmsmanncenter.ucla.edu/

(310) 794-6644

SimmsMannCenter@mednet.ucla.edu

 

INFERTILITY SUPPORT

 

RESOLVE: The National Infertility Association

https://resolve.org/

 

GRIEF SUPPORT

 

Our House Grief Support information

www.ourhouse-grief.org

 

COUPLE SUPPORT

 

Emotionally-Focused Therapy for Couples information

https://iceeft.com/what-is-eft/

 

FAMILY SUPPORT

 

Structural Family Therapy information

http://www.minuchincenter.org/structural_family_therapy

 

Stepfamily Foundation information

www.stepfamily.org

 

ADOLESCENT SUPPORT

 

TeenLine National Hotline

https://teenlineonline.org/

(310) 855-4673

Text “TEEN” to 839863

TEEN TALK App available

 

SELF HARM

 

Self Abuse Finally Ends (SAFE) Alternatives

https://selfinjury.com/

National Hopeline Network

(800) 784-2433

 

ABUSE

 

ChildHelp National Child Abuse Hotline

(800) 4-A-Child (422-4453)

http://www.childhelp.org/hotline/

Reporting:

Los Angeles County Department of Children and Family Services

(800) 540-4000

 

National Domestic Violence Hotline

www.thehotline.org

(800) 799-7233

Online chat available

Local:

Los Angeles County Domestic Violence Safety Plan Hotline

(800) 978-3600

 

Adult Protective Services and Elder Abuse Hotline

(800) 222-8000

https://www.caregiver.org/adult-protective-services-and-elder-abuse-hotline-1

 

Baby Safe Surrender

http://babysafela.org/

(877) 222-9723

 

DISABILITY SUPPORT

 

Americans with Disabilities Act (ADA)

http://dpss.lacounty.gov/wps/portal/dpss/main/programs-and-services/civilrights/ada/

(844) 586-5550

 

North Los Angeles County Regional Center, Chatsworth

State of California Department of Developmental Services

(818) 778-1900

https://www.nlacrc.org/

 

DISASTER RELIEF

 

Disaster Distress Helpline

(800) 985-5990

https://www.samhsa.gov/find-help/disaster-distress-helpline

SAMHSA’s Disaster Distress Helpline provides crisis counseling and support to people experiencing emotional distress related to natural or human-caused disasters.

 

GENERAL INFORMATION

 

Psychology Today – types of therapy

https://www.psychologytoday.com/us/types-of-therapy

© 2019 by Audra Potz, LMFT.

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