APRN Grand Rounds

Legal Issues that may Impact APRN Practice

AB 890

Provider Burnout

Mental Health Resources for LLU Employees with Risk Management

Local Resources (No referral required to make an appointment)

• Behavioral Medicine Center
  • Location: 1710 Barton Road, Redlands, CA 92373
  • Acute mental healthcare including inpatient substance use treatment and outpatient day treatment programs covered by Risk Management. Call to schedule a same-day assessment
    • Inpatient treatment (909) 558-9274
    • Outpatient treatment (909) 558-9112
• Behavioral Health Institute
  • Location: 1686 Barton Road, 1st Floor, Redlands, CA 92373
  • Psychotherapy and Medication Management Available
  • Physicians: David Puder, Claudia Carmona, Monica Tone
    •  (909) 558-9551
• Local Psychiatrists Covered by Risk Management
  • Regina Liwnicz, Redlands CA
    •  (909) 793-9622
  • Inland Psychiatric Medical Group (Redlands, Moreno Valley, Rancho Cucamonga)
    • (909) 335-2386
  • Risk Management covers 25% of allowable charges for out-of-network providers
• Local Therapists Covered by Risk Management
  • Updated List of Risk Management Preferred Providers
    • Go to LLUH One Portal → Entities → LLUSS → Risk Management → Areas of Service → Health Plans → Open ‘Preferred Provider Directory
• Employee & Student Counseling Services (ESCS)
  • Employee & Student Counseling Services (ESCS) provides employees, students, and their families with initial psychological assessment and therapy. All staff are licensed or Master’s level
    • Location: 11360 Mountain View Ave, Hartford Building Suite A, Loma Linda, CA 92354
    • Contact: (909) 558-6050; office is open Monday through Friday with evening appointments available. Same day appointments also available for crisis situations
    •  Cost: free
• LLU Unstuck Program
  • This program is designed to provide educational and cognitive support to individuals with self-defined goals in a group atmosphere. The program will run 1.5 hours for 12 weeks in a closed group format (16 members maximum). At the end of the program participants will have completed a self-change plan.
    • Contact: Call Living Whole Wellness Program at x14007 to register and receive additional information.
    • Cost: free

Crisis Hotlines

• National Suicide Prevention Lifeline
  • Confidential suicide prevention hotline available to anyone in suicidal crisis or emotional distress. Calls are directed to local crisis centers which provide crisis counseling and mental health referrals day and night. Available 24/7 and free of charge
    • Call: (800) 273-TALK [8255]
    • Online chat: https://suicidepreventionlifeline.org/chat/
• Crisis Text Line
  • Live, trained crisis counselors will help you sort through your feelings by asking questions, empathizing, and actively listening. Their goal is to get you to a calm, safe place. Available 24/7 and free of charge
    • Text HOME to 741741
• IMAlive
  • Nonprofit organization providing online chat with focus on suicide intervention, prevention, awareness and education. All chats are answered by trained volunteers
    • Online chat: https://www.imalive.org/online/
• SAMHSA’s National Helpline
  • This service provides substance use disorder referrals to local treatment facilities, support groups, and community-based organizations. Available 24/7 and free of charge; available in Spanish and English
    • Call: (800) 662-HELP [4357]
• The Trevor Project (LGBTQ)
  • The leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning youth. Lifeline is available 24/7. Text and online chat are available 7 days a week, noon-7pm PT. Free of charge
    • Lifeline: (866) 488-7386
    • Text: Text TREVOR to (202) 304-1200
    • Online chat: https://www.thetrevorproject.org/get-help-now

Online Modules and Apps

• Cognitive Behavioral Therapy (CBT)
  • Moodgym
    • Link: https://moodgym.com.au
    • Online workbook based on the principles of cognitive behavioral therapy and interpersonal therapy. Developed for medical interns, Mood Gym provides tools to cope with depression and anxiety and is an excellent resource that can be used at home. Users are asked to work through a program of 5 modules as well as numerous self-assessment tools designed to help them better understand their automatic thoughts in response to stress and the types of coping strategies they can use.
    • Cost: 1 year access - $39 AUD (~$30 USD)
  • Moodkit App
    • Available on iOS devices
    • Developed by clinical psychologists, Moodkit draws upon the principles and techniques of cognitive behavior therapy to help improve the user’s mood. The app provides 200+ mood improvement activities, thought checkers, and mood trackers.
    • Cost: $4.99 to purchase app
  • Pacifica App
    • Available on iOS and Android devices and the web
    • Link: https://www.thinkpacifica.com/
    • Provides daily tools for stress, anxiety, and depression based on Cognitive Behavioral Therapy, mindfulness, and wellness. Comprised of relaxation techniques, mood/health tracking, peer support community, daily challenges, guided self-help paths, and more.
    • Cost: 1 month access - $8.99; 1 year access - $53.99
  • What’s Up App
    • Available on iOS and Android devices
    • This app is based on the principles of cognitive behavioral therapy and provides helpful tools for managing depression, stress, and anxiety, such as: education about common thinking errors and various healthier alternatives, breathing techniques for relaxation, a guided grounding exercise, a log for tracking “good” and “bad” habits, and a personal diary for recording thoughts and rating feelings
    • Cost: free
  • Woebot App
    • Available on iOS and Android devices
    • This app is an AI-powered chatbot that guides users through stress management using principles of CBT. It tracks users’ emotions through friendly conversation, guides them through coping skills, helps with mood management, and teachs mindfulness. The app will personalize users’ conversations the more they chat.
    • Cost: free
• Dialectical Behavioral Therapy (DBT)
  • DBT Diary Card and Skills Coach App
    • Available on iOS devices
    • Created by an experienced clinical therapist, this app provides resources of self-help skills, reminders of the therapy principles, and coaching tools for coping. The app is not intended to replace a professional but helps people reinforce their treatment and can be used as a complement.
    • Cost: $4.99 to purchase app
  • Dbt911 App
    • Available on Android devices
    • Designed in collaboration with DBT treatment participants, this app gives you quick, random distress tolerance skills to do. It contains over 150 different suggestions on skill exercises and the ability to create your own crisis list of skills. The app is not intended to replace a professional but helps people reinforce their treatment and can be used as a complement.
    • Cost: free
  • DBT Trivia and Quiz App
    • Available on iOS devices
    • A fun, interactive way to learn, practice, and refresh DBT skills. It can be used by beginners as well as experienced DBT users. May be used as a complement to treatment by a professional.
    • Cost: Free for limited version; $3.99 for the full version
• Mindfulness
  • UCLA Mindfulness Awareness Practice (MAP) Online Classes
    • Link: http://marc.ucla.edu/online-classes
    • UCLA Mindfulness Awareness Research Center offers six self-paced weekly sessions that consist of pre-recorded audio classes, discussion forums, and optional live chats with experienced instructors and fellow participants. MAPs lay the foundation for a daily meditation practice and provides insights into the art, science, and practice of mindfulness.
    • Cost: $165 - $200 depending on selected course
  • Palouse Mindfulness
    • Link: https://palousemindfulness.com/
    • The website provides eight self-paced online sessions following the standard mindfulness-based stress reduction (MBSR) course. In addition to the standard materials, provides readings and brief videos from a variety of well-known mindfulness teachers. Courses are taught by an experienced psychotherapist and certified MBSR teacher.
    • Cost: free
• Meditation
  • Headspace App
    • Available on iOS and Android devices
    • Headspace app makes meditation simple by teaching the skills of mindfulness and meditation for just a few minutes per day. It is perfect for those who struggle to get into a habit of daily meditation. It provides access to hundreds of meditations on everything from stress and anxiety to sleep and focus. The app also has a handy “get some headspace” reminder to encourage you to keep practicing each day.
    • Cost: Basic subscription is free; 1 month access - $12.99; 1 year access - $95.88; lifetime access - $399.99
  • Calm App
    • Available on iOS and Android devices
    • Calm provides people experiencing stress and anxiety with guided meditations, sleep stories, breathing programs, and relaxing music. It is the perfect meditation app for beginners but also includes hundreds of programs for intermediate and advanced meditators.
    • Cost: Basic subscription is free; 1 month access - $12.99; 1 year access - $59.99; lifetime access - $299.99
  • 10% Happier App & Podcasts
    • Available on iOS and Android devices
    • Link: http://www.10percenthappier.com/
    • Developed by NY Times bestselling author and ABC News anchor Dan Harris, this app provides guided meditations and daily videos to the “fidgety skeptics”, teaching meditation in simplest way possible. It also has quick meditations that fit into busy life—during commute, lunch break, etc. Users can track their progress via Apple Health App integration. The developer also hosts podcasts on the topic of meditation and mindfulness; available on iTunes free of charge and updated every Wednesday morning.
    • Cost: Free 7 day trials; 1 month access - $14.99; 1 year access - $79.99
  • Oak App
    • Available on iOS devices
    • This app is designed to fit into busy life, providing guided meditations starting at just 5-minutes in length. It also includes breathing exercises and relaxing background sounds for those who have trouble sleeping.
    • Cost: free