The Q HEALTH Service Delivery Team Provides Expert, Specialized Treatment and Services

As a behavioral healthcare provider, Q HEALTH offers specialized, targeted treatments and services to three major categories of disorders: mental health disorders, substance abuse disorders, and co-occurring disorders that include both mental health and substance abuse diagnoses.

The capacity to treat co-occurring disorders is critical, as that many providers continue to only treat mental health disorders or substance abuse disorders, but not both.


All treatment at Q Health Services includes our Continuum of Care and the proprietary Q HEALTH Wellness Model.

The Q HEALTH service platform is conceptualized as encompassing three distinct, yet inter-related foundational components:

  • The Q HEALTH Service Delivery Team Provides Expert, Specialized Treatment and Services
  • Q HEALTH Provides Excellent Behavioral Healthcare Across the Continuum of Care
  • The Q HEALTH Wellness Model Provides a Robust Service Delivery Foundation.

Since 2003, Florida has emphasized and given precedence to providers able to treat both mental health and substance abuse problems.[i] Our model provides a competitive advantage and makes common sense, because co-occurring disorders are so common. For individuals with mood disorders, anxiety disorders, and PTSD, co-occurring substance abuse can approach 50%, depending on the characteristics of a specific population.[ii]

People with severe, primary substance dependency problems often have co-occurring mental health disorders because they are self-medicating and because psychoactive substances by their very definition impact mood, usually with long-term negative results.[iii] For example, alcohol, pain relievers, and opiates such as heroin are all central nervous system depressants, and as a depressants they depress mood and often trigger or exacerbate mood disorders.

Treatment of substance abuse also implies the capacity to effectively treat polysubstance abuse.  Florida’s Department of Children and Families reports that among the 55,000 people in Florida enrolled in substance use treatment in a single-day count in 2012:

  • 2% were in treatment for a drug problem only;
  • 4% were in treatment for an alcohol problem only;
  • 4% were in treatment for problems with both drugs and alcohol.

Our ability to effectively treat mental health, substance abuse, and co-occurring disorders is a significant distinction and immediately provides us a competitive advantage over many of our competitors, who still tend toward treating either substance abuse or mental health, but not both.

Effectively providing a range of specialized treatment requires in-depth clinical expertise and skills by a multidisciplinary clinical team, knowledge of emerging behavioral health trends, and robust organizational leadership, systems, and structures to effectuate excellent, sustainable, and profitable care delivery.  This is precisely our mission and passion and reflects our commitment to business intelligence and expert care.


Q HEALTH Provides Excellent Services across the Continuum of Care

Q HEALTH is equipped to provide a full spectrum of behavioral health care.  Our continuum of care encompasses:

Inpatient Medically Managed Detoxification treatment (IP Detox).  Per the American Society of Addiction Medicine (ASAM), clients in IP Detox are in an inpatient, medically managed setting for 5-10 days as they undergo detoxification that treats the physical and psychological withdrawal symptoms of substance dependence.  IP Detox services are physician led and supported by 24-hour, onsite nursing care.  The need for IP Detox is based on the nature and type of substances used and their duration, the client’s overall medical and psychological presentation, and the client’s previous history with detoxification and substance abuse treatment programs.[iv]

Outpatient Medically Managed Detoxification Treatment (OP Detox).  OP Detox is similar to IP Detox, but is less restrictive and offered to clients with less severe substance problems who present fewer risks for medical complications from detoxification.  OP Detox services are physician led and 24-hour nursing care is provided.  Similar to IP Detox, OP Detox can last for 3-10 days, depending on the client’s presentation and needs.[v]  Clients can reside in their own home or at a Q HEALTH residence.

Partial Hospital Programs (PHP).  Clients participate in treatment 4-6 hours per day, 3-5 days per week, for several weeks or months while living in their own home or in a Q HEALTH residence.  Treatment hours typically range from 15 – 30 hours per week.

PHP programs provide a variety of best-practice individual and group therapies based upon clients’ diagnoses, needs, levels of functioning, and individual treatment goals.[vi]  PHPs offer clients a similar level of treatment offered in a traditional inpatient psychiatric setting, while being less restrictive and allowing the client to live at home or in a residential setting, rather than a hospital setting.

PHPs can be targeted to a specific demographic, for example older adults, or specific diagnoses such as polysubstance abuse or eating disorders.

Intensive Outpatient Treatment (IOP).  Clients engaged in IOPs attend treatment 2-3 hours per day, 3-5 days per week, often with minimum length of treatment at 90 days.  However, treatment duration can extend considerably longer, depending on the client’s progress in treatment, needs, level of functioning, and individual treatment plan goals.  Licensing standards may require a minimum of 9 hours of treatment per week.[vii]

IOP is less restrictive than a PHP, which means clients can engage in additional activities, such as education, job training, full- and part-time employment, nutrition and fitness programs, and other activities promoting health, wellness, growth, and personal productivity.

Outpatient Treatment (OP).  Outpatient treatment represents the lowest level of care and is least restrictive.  Clients can participate in OP treatment as often as 2-3 times per week or as little as bi-weekly or even once a month.  Often OP treatment is used in a maintenance capacity for clients who have completed detoxification, PHP, and IOP programs.

Medicare regulations note that clients in OP behavioral treatment may be seen by psychiatrists, clinical psychologists, clinical social workers, nurse practitioners, and physician assistants.[viii]  OP treatment can be provided for mental health disorders, substance abuse disorders, and co-occurring disorders.

Residential Treatment.  Another important aspect of the Q HEALTH continuum of care is our residential services program.  This allows clients to have a stable, supportive, positive, clean, healthy living environment, an important quality of life dimension that many people with persistent behavioral health problems do not have.  Clients have the opportunity to stay in our residences throughout the length of their treatment program.  We take pride in our Q HEALTH residences and are pleased to offer attractive, well-maintained residences that are conducive to personal and professional growth and wellness.


Q HEALTH’s full continuum of care offers several advantages, both in clinical and business terms.

Clients entering Q HEALTH needing higher levels of care can graduate to lower levels of care as treatment progresses. This provides clients a sense of hope and accomplishment, yet allows them to remain with the supportive Q HEALTH team and maintain positive relationships with peers.  For many clients with disruptive behavioral health disorders, stability is prized.  We offer clients stability through our continuum of care.

Should a client have a personal set-back resulting in worsening of symptoms or decrease in functioning, or for any clinical reason require a higher level of care, the Q HEALTH medical and clinical staff are able to seamlessly and quickly effectuate a level-of-care status change.

Clients being referred from external sources, for example, upon discharge from an inpatient psychiatric hospital setting, have many options to guide the client to a level of care that fits the client’s needs. Levels of care that fit client needs are more likely to produce positive outcomes.[ix]

Once a client is in the Q HEALTH system, a full continuum of care greatly reduces the likelihood for the need to refer the client to another provider, which can be disruptive to the client and delay treatment progress, and represents a potential revenue loss for Q HEALTH.

Insurance companies are increasingly seeking providers who offer a continuum of care so clients can participate in the right level of care.

The right level of care is considered the lowest, least restrictive level of care that provides the client the treatment needed for recovery.  As an in-network provider, Q HEALTH has preferred status with insurance companies to more effectively manage and guide level-of-care treatment decisions.

Our full continuum of care greatly enhances Q HEALTH’s ability to keep clients in-house and capture revenue.


The Q HEALTH Wellness Model Provides a Robust Foundation for Service Delivery

The Q HEALTH Wellness Model informs our mission and vision, provides our orienting philosophy to treatment, guides our treatment protocols, and tells our clients who we are, what we do, and why we do it.  It is a primary mechanism that differentiates us from our competition and at the same time yields powerful opportunities to engage and retain clients, especially clients who have negative stereotypes of what behavioral health is.

The research-based Q HEALTH Wellness Model incorporates a multidisciplinary approach drawing upon cutting-edge research and best-practices across disciplines, including psychiatry, psychology, primary care practice, social work, and counseling.  Strongly behaviorally rooted in making positive, behavioral and measurable changes, the five pillars of the Q HEALTH Wellness Model create an effective orienting philosophy in which to provide specialized, expert care.


Defense Centers of Excellence Wellness Model: Total Force Fitness Model

While wellness models are not new to behavioral health, they tend to remain more the exception than the rule.  Research-driven wellness models have sprung from scholars, providers, and governmental bodies.

For example, through a collaborative partnership with the Department of Defense and the Veterans Administration, the Defense Centers of Excellence (DCoE) has crafted a compelling wellness model specifically targeted towards veterans with traumatic   brain injury and related disorders.

Source:  Defense Centers of Excellence (2014).  Strategies to Maintain Positive Health. Retrieved from the internet on 12.19.14 at  https://www.dcoe.mil/blog/13-02-15/Strategies_to_Maintain_Positive_Health.aspx


The Q HEALTH Wellness Model integrates five primary aspects of the human condition as an orienting lens towards treatment, services, and building productive, fulfilled lives.

Pillar 1 – The Action Pillar: Positive change occurs through action and measurable behavior changes.

Pillar 2 – The Fitness Pillar: Healthy bodies support healthy minds (and vice versa).  Q HEALTH places an emphasis on nutrition, exercise, and fitness.

Pillar 3 – The Mind Pillar: Healthy minds need intellectual stimulation and resources to increase knowledge, insight, and problem-solving skills.

Pillar 4 – The Emotional Pillar: Healthy and balanced psyches require emotional intelligence and healing.  These processes can be supported through practices such as yoga, meditation, and spiritual reflection.

Pillar 5 – The Social Pillar: We are social beings and need positive, healthy, supportive relationships.


Putting It All Together

Taken together, our capacity to provide specialized treatment and services across a full continuum of behavioral healthcare levels of care that is informed and driven by the Q HEALTH Wellness Model provides a compelling treatment portfolio with gravitas to clients and families, community partners, insurance companies and payers, and licensing and accrediting bodies.  In addition, our continuum of care and service delivery model is a powerful tool to attract and retain outstanding, accomplished professionals.
[i] Appendix G.  Florida Department of Children and Families.  Substance Abuse and Mental Health Services Plan 2014-2016.
[ii] Source:  Oltmanns, T. F. & Emery, R. E. (2015).  Abnormal Psychology (8th ed.) and Appendix N.  U.S. Department of Health and Human Services. Mental Health:  Research Findings Report 2009.
[iii] Source:  Hendrickson, E. L. (2006).  Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders:  Blueprints for Action.  New York, NY:  Routledge.
[iv] Source:  Center for Substance Abuse Treatment. Detoxification and Substance Abuse Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2006. (Treatment Improvement Protocol (TIP) Series, No. 45.) 2 Settings, Levels of Care, and Patient Placement. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64109/
[v] Ibid.
[vi] Source:  Center for Substance Abuse Treatment. Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2006. (Treatment Improvement Protocol (TIP) Series, No. 47.) Chapter 3. Intensive Outpatient Treatment and the Continuum of Care. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64088/
[vii] Ibid.
[viii] Source:  Medicare.gov (2014).  Mental Health Care (Outpatient).  Retrieved 12.19.15 at https://www.medicare.gov/coverage/outpatient-mental-health-care.html
[ix] Appendix D.  U.S. Department of Health and Human Services, SAMSHA, 2013.  Report to Congress on the Nation’s Mental Health and Substance Abuse Workforce Issues.

[1] Appendix G.  Florida Department of Children and Families.  Substance Abuse and Mental Health Services Plan 2014-2016.

[1] Source:  Oltmanns, T. F. & Emery, R. E. (2015).  Abnormal Psychology (8th ed.) and Appendix N.  U.S. Department of Health and Human Services. Mental Health:  Research Findings Report 2009.

[1] Source:  Hendrickson, E. L. (2006).  Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders:  Blueprints for Action.  New York, NY:  Routledge.

[1] Source:  Center for Substance Abuse Treatment. Detoxification and Substance Abuse Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2006. (Treatment Improvement Protocol (TIP) Series, No. 45.) 2 Settings, Levels of Care, and Patient Placement. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64109/

[1] Ibid.

[1] Source:  Center for Substance Abuse Treatment. Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2006. (Treatment Improvement Protocol (TIP) Series, No. 47.) Chapter 3. Intensive Outpatient Treatment and the Continuum of Care. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64088/

[1] Ibid.

[1] Source:  Medicare.gov (2014).  Mental Health Care (Outpatient).  Retrieved 12.19.15 at https://www.medicare.gov/coverage/outpatient-mental-health-care.html

[1] Appendix D.  U.S. Department of Health and Human Services, SAMSHA, 2013.  Report to Congress on the Nation’s Mental Health and Substance Abuse Workforce Issues.

Whether you are trying to get a loved one into treatments or just need to talk, call us at 561-469-0781. We are available 24/7 to discuss your individual and unique needs.