Mental Health - Adults

The Helen Ross McNabb Center's adult programs provide comprehensive outpatient treatment and support services for indivduals who are experiencing severe and persistent mental illness, stress-related problems and organic brain disorders.

Adult programs are based at the Helen Ross McNabb Adult Services Center. The programs provide comprehensive services for adults who are referred to the Center by a variety of sources including psychiatric hospitals and physicians, social service agencies, family or friends, the Knox County Health Department and the courts. Adult programs include:

Adult Indigent Care Program (AICP)

The Adult Indigent Care Program has been designed to provide outpatient mental health services to the indigent populations of Knox and Blount Counties, with the goal of reducing barriers to needed treatment within the communities. The program seeks to provide medication management and individual therapy services to individuals exhibiting mental health symptoms, while assisting the individual in locating long-term care options. The program also provides assistance obtaining medications through utilization of the Center's sample closets and the completion of applications for pharmaceutical assistance programs. 

Adult Integrated Service Team (IST)

The Integrated Service Team (IST) uses a multi-disciplinary team approach to provide inclusive care to a wide variety of individuals diagnosed with a mental illness. Medication management, case management and therapy are the cornerstones of the Center's clinical care. Clients are provided comprehensive psychiatric evaluations, illness education and management, crisis intervention, psychosocial assessments, individual and family therapy and case management services. Clinicians may also link clients to community resources and natural support systems which provide additional assistance that aids in recovery, rehabilitation and stability. 

Safety Net

Safety Net is a program created by the State of Tennessee and the Department of Mental Health/ Developmental Disabilities (TDMHDD) to provide mental health treatment for individuals who were disenrolled from TennCare. The Safety Net program was designed primarily to provide medication evaluations and pharmacy assistance to these individuals. Additional services include individual therapy and case management. 

Adult Continuous Treatment Team (CTT) Program

Adult CTT is an intensive outpatient treatment program that is comprehensive in nature. This program offers case management, medication management crisis intervention, advocacy and goal oriented therapy services. CTT clients will also have on call crisis services 24 hours a day, seven days a week. This program served 52 individuals last year.

Co-Occurring Case Management

The Adult Co-Occurring Case Management program is a community-based service that provides intensive case management through in-home visits to clients who have been diagnosed with co-occurring mental health and substance abuse disorders. It integrates behavioral health treatment with the treatment of substance abuse disorders, which has proven to be more effective than treating each issue separately. To participate in the program an individual must be a resident of Knox County, must be diagnosed with a mental illness and substance abuse/dependence disorder, must have used alcohol or an illegal substance within the past year and have no other behavioral health insurance coverage.

Program goals include increased client education regarding co-occurring disorders, increased functioning in daily living activities, increased involvement in self-help support groups, decreased involvement with the legal system, increased access to mental health treatment and increased access to community resources.   

Program for Assertive Community Treatment

The Program for Assertive Community Treatment (PACT) is designed to help adults with severe mental illnesses reduce or eliminate their symptoms, function in the community, live independently, and reduce hospitalization. The program provides intensive, direct care and services 365 days a year. Services are delivered primarily in the home and in the community which enhances accessibility and the comfort level of clients. There is no time limit on program participation.

Developmental Disabilities Services

Developmental Disabilities Services furnish support for individuals with mental retardation and/or other developmental disabilities. These services are delivered through the Psychopharmacology Clinic . The goal of this program is to enhance clients' quality of life by helping them establish and maintain stability and by taking advantage of the myriad of available community resources. The Psychopharmacology Clinic provides consultative evaluations for adults with developmental disabilities coupled with mental illness. 

Psychiatric Rehabilitation

Psychiatric Rehabilitation services are designed to enhance and support the process of recovery for individuals in their living, learning, working and social environments. The program offers many classes, which are offered in a classroom setting. Subjects include computer skills, reading, daily living skills, art therapy, physical exercise, anger management, educational service and referral, job interviewing and resume writing skills, and job search and assessment. The goal is to provide services that will assist the individual with support and skills needed to function independently and successfully in the environment of his or her choice.

The Project for Assistance in Transition from Homelessness (PATH) 

The PATH program provides services to homeless individuals who have severe and persistent mental illnesses. To qualify for the program, an individual must have a history of mental illness, be homeless or at risk for homelessness and must reside within Knox County limits. Outreach workers help these individuals achieve stable lives by engaging them in mental health treatment and assisting them in securing affordable housing, supportive income and other basic necessities. By providing access to community services and ensuring continuity of care, the program empowers mentally ill clients to break the cycle of homelessness.

Martha A. Withers Friendship House Peer Support Center

Social and recreational rehabilitation services are located at the consumer-run Friendship House Peer Support Center. To be eligible for membership an individual must be at least 18 years old and a current or former mental health services consumer. The program encourages Friendship House members to act independently and be an active part of their communities through client-driven social, recreational, cultural, educational and support activities. Members may receive basic job skills training by serving as a volunteer greeter, kitchen assistant, fitness center receptionist or barter room clerk at Friendship House. They also volunteer in the community at homeless shelters, help with beautification projects or help prepare gifts and food baskets during holidays.

Jail-based Mental Health Services

The Jail-based Mental Health Service provides staff for in jail-based mental health services to three Knox County Detention Facilities and in Blount County. Services include full and brief mental health assessments, crisis intervention, medication assessments and recommendations, psychiatric medication prescriptions, brief supportive counseling, brief alcohol and drug assessments and training and support of jail staff on mental health issues.

Forensic Services

The Center also provides court-ordered evaluations of competency and for insanity defense for defendants in Knox County Criminal, Juvenile and General Sessions Courts. A team of state-certified forensic examiners conducts evaluations to determine the defendant's competency to stand trial and/or the mental condition of the accused at the time of the alleged offense. These evaluations are completed on an outpatient basis at the Helen Ross McNabb Center or at the jails. Additional consultation services include assessment of the need for psychiatric, alcohol or drug treatment or other supportive services.

Knox County Criminal Justice/Mental Health Liaison

The Criminal Justice/Mental Health Liaison is a statewide community-level project that focuses on issues affecting adults who have serious mental illness and are involved in the criminal justice system. The goals of the project are to reduce the number of adults with mental illness in the jails and to facilitate communication and the coordination of activities between the community, the criminal justice and mental health systems. Services are provided at all levels of the criminal justice process and include early identification of persons with mental illness, diversion, continuity of care while incarcerated, consultation with the court regarding course of action, planning for release, outcome monitoring, training and education.