Adult Outpatient Services


What is Adult Outpatient Services?
Adult Outpatient is a division of the Counseling Service of Addison County that provides both short and long term mental health and substance abuse services to adults. These services can take place in one of our offices or in the case of elderly services in a person's home or other community setting. Staff providing counseling, assessment, consultation, emergency, psychiatric, and/or mediation services are all committed to making Addison County a better place to live.

The Goal of Adult Outpatient:
In regards to mental health and substance abuse services in Addison County, the Adult Outpatient Services Division of the Counseling Service of Addison County truly believes that "We're here to help". We also pride ourselves on our responsiveness to the needs of individuals and our county community. We believe in the wellness of the entire community as well as the individuals which make it up.

Each individual has different needs. We tailor our services to meet these needs. Needs may range from short term individual or group counseling in an office setting.

Some consumers engage our services on their own in a planned way to meet a personal need or to accomplish a life goal. Some are referred to us by physicians, human service workers, courts, clergy, or family friends. Others may need to access us in an emergency situation.


Services Provided by Adult Outpatient:

 

Description of Services provided by Adult Outpatient:

Counseling:
Adult Out Patient (AOP) offers individual and group therapy to people dealing with depression, anxiety, stress, substance abuse, relationship problems and other issues. Clients are asked, when clinically appropriate, to agree to an individualized therapeutic contract that specifies not only the length of time but also issues to address.

Substance Abuse Services:
Our Mission is to provide quality, individualized, holistic outpatient treatment to individuals struggling with alcohol/drug abuse and dependence, and other addictive disorders, and their communities.

We understand that alcohol, drug and other addictive disorders develop over time and interrelate with people's physical, mental, spiritual and social states. Our treatment approach is appropriately holistic, incorporating the best of mental and behavioral health and substance abuse strategies.

We see the community as a potential resource for support in recovery, and encourage clients to design their own network using AA, NA, church groups, social clubs, family, friends and/or other service providers.

Substance Abuse Treatment Options for Adults:
We provide a broad range of treatment modalities. A variety of groups are ongoing, and our experience has taught us that, even for shy "I don't like groups" people this form of treatment gets the quickest and most long lasting results.

CRASH:
The state's local license reinstatement educational program for DWI offenders is housed in our main offices. The CRASH evaluator can be contacted at our number (802) 388-6751.

Eldercare Services:
The Eldercare Program promotes and supports independent living amongst adults aged 60 and over. Clinicians provide services to adults in their homes and communities who may be immobile or reluctant to come to the offices.

Consultation/ Assessment / Outreach:
In that we are the designated mental health agency in Addison County, we have experience across all venues of community mental health. Our staff work together in order to determine the most effective courses of treatments for individuals. In addition, we have established working relationships with area health providers and community resources and are accustomed to reaching out and collaborating with community partners to establish the most complete assessment possible.

Psychiatric Services and Pharmacologic Treatment:
Two Psychiatrists and two Advanced Practice nurses offer pharmacologic treatment and supports across the spectrum of community mental health services through consultation as well as individual treatment.

Employee Assistance Program:
EAP is a service to assist troubled employees quickly, professionally, and confidentially in overcoming persistent personal problems that impair job performance. Additionally, there exists free, immediate access to assessment and referral for substance abuse problems for those whose employer contracts with CSAC for these services.

Emergency and/or Crisis Services:
The Counseling Service provides 24 hour emergency services for residents of Addison County experiencing a mental health crisis.

Such crises may include: depression; acute anxiety; suicidal and homicidal thinking or behavior; family problems; mental illness; alcohol or drug emergencies.

We assist callers in resolving the immediate crisis and in making plans for follow up services if needed.

The services offered include: risk assessment; psychosocial assessment; supportive counseling; critical incident/post traumatic stress debriefing; short-term and follow up treatment; coordination of other services such as hospitalization (voluntary and involuntary); and/or psychiatric consultation.

These services are provided on the telephone, or face-to-face at our office, Porter Hospital Emergency Room, Middlebury College Health Services, Middlebury Police Station, Vermont State Police Station, or in the field depending on the situation.


If you feel a mental health problem is more than you can cope with, please call:

Emergency / Crisis Services (24 hours, 365 days per year)
Phone (802) 388-7641

After hours you will be asked to leave a call back number and one of our clinicians will call you back shortly.

How to get an appointment:

  1. Call the Counseling Service at 388-6751 to schedule an appointment with a member of our Staff. You will first speak with a receptionist who takes down some basic contact information. This is passed on to our Intake Coordinator that day, who....
  2.  Calls you back to find out more about what services you are looking for, and which office location and appointment times would work best for you, The Intake Coordinator then gives this information to the Intake Clinician who will be your first point of contact. The Intake Clinician will then…
  3.  Calls you back to arrange an appointment.

 

Contact Information

CSAC’s Adult Outpatient Services
89 Main Street
Middlebury, Vermont 05753
Phone (802) 388-6751