Here Now to Help LLC Policies & Procedures

1. Therapeutic Intentions

The Intention of therapy is personal and relational change. The intention of this therapist is to work with the client to determine their concern nature of their concerns, the meaning of the problem, personal and relational strengths, resources available, and possible solutions to the problem. Therapy works best when the client and therapist hold compatible intentions and pursue collaborative goals. 

2. Risks of Participating in Therapy

You might get better. You might stay the same. You might feel worse. You might acquire new energy for living. You might irritate people around you. You might become more sensitive. You might get angry. Past wounds may be opened. Past wounds may be healed. Working through established ineffective patterns will take time and effort. Often, clients report an undulating wave, generally rising toward the goals of therapy. Part of therapy will include exploration of the role feelings, thoughts and action play in our living. You might learn how culture has played a role in how you define you. In good therapy, over time, people generally do get better. 

3. Confidentiality

Everything communicated by you to me in session is confidential, Protected Health Information. It will not be shared except as needed to insurers, the courts and people the therapist believes are in imminent danger. Confidential information will be released except fin emergencies, only with a signed Release of Information. A HIPPA policy is provided in first introductory session. 

4. Mandated Reporting

State law requires the therapist to report information to appropriate authorities when the therapist is aware of or becomes concerned of imminent harm to child or other party. This may include harm or death to others or self, neglect, physical and sexual abuse. 

5. Communications

Contact Here Now to Help, LLC at 715-231-4373. When calling always slowly leave your name, reason for calling, and best time to call back. In case of EMERGENCY call 911 or 211 for assistance. A texting / cell phone number is provided to clients for texting logistical information to the therapist. Email herenow2help@gmail.com may be used for initial inquiries and general information. 

6. Crisis Plan

Clients experience life through a vast continuum between overwhelming fear and ultimate safety. Crises are on this continuum, at different points for different people. The client and therapist wish and work toward decreased fear reaction, improved fear response and increased safety and security. As needed, a crisis action plan is collaboratively created that identifies what an emergency is, best responses, and resources to call for assistance. It is a backup for when clear thinking is absent. 

7. Referrals

Often, you will have been referred to me by another professional or a friend. I will share no information with them, and will not acknowledge the referral in any way. As in any business, referrals matter for your friends and for the therapist. All referrals are welcome, encouraged, and appreciated. Thank you in advance for your referral. 

8. Access and Parking

Parking is available on the south end of the 1700 Tainter St, Tainter Plaza parking lot. The office is wheelchair accessible from the front manually operated door. The counseling office is at the third door down the hall. We are open by appointment between 9:00am and 8:00pm. 

9. Scheduling

Scheduling fluctuates with client demand. Generally, services are available from 9:00am to 8:00pm by appointment, Monday through Friday. On rare occasions, a Saturday morning may be available. Therapist and client schedule the next session during the current session. Client may schedule out for several months provided there are no cold misses. For enhanced therapeutic progress, sessions may be scheduled 4-8 weeks out. These reservations for the therapists time may be changed only with approval by you and the therapist one week in advance. Sessions may be  scheduled for:

20 minute introductory meetings

26 minute sessions 

53 minute sessions 

80 minute sessions

Depending on insurance coverage, client needs, stage of therapy, and therapist availability. Please arrive 3 minutes early for your session.

10. Late Arrival

A scheduled appointment is a contracted reservation of the therapist and your time for therapeutic services. It is a hold on time. Arriving for sessions late cuts into that therapeutic agreement. Whether you arrive late or on time, the session will end at the expected time. The therapist knows from experience that sometimes, things can conspire in away that even leaving home 15 minutes early does not matter. Such factors are considered upon your arrival. 

11. Missed Appointments

A scheduled appointment is a contracted agreement for services. It is a hold on the therapist’s time. Kept appointments are the best kind. Failed notified misses are the worst.

Reschedules with at least 72 to 24 hours notice are respectable practice and carry no penalty consequence. 

First Late Miss or Reschedule, less than 24 hours notice – 25% payable by client. 

Second Late Cancel or Miss – 50% payable by client.

Third Late Cancel or Miss – 100% payable by client and a conversation about the goals of therapy and value of treatment. 

 

12. Payment

Rates for service are posted on the Payment Page. Rates are based on current area practice, therapeutic considerations, and unique situations. Payment by cash, check, and credit card are acceptable and due at beginning of each session. Payment information is collected during introductory session, billed as per Insurance parameters. Sliding scale is available based on client situation and treatment plan and therapist availability.

13. Collections

Payment for session is due at beginning of session. In the event of inability to pay in the session, payment will be due at beginning of consequent session. Personal accounts left unpaid after two months and three documented attempts to collect, shall be turned over to an effective collections agency for collection.

14. Returned Checks

The customary $50 charge will be applied to account and due at beginning of next session.

15. Quality of Service

We strive to provide effective personal clinical services. Expectations about therapy are discussed in first session. If the client is not satisfied with the service at any time, first talk with the therapist. That will usually result in the most positive outcomes. If there is no resolution, you may discuss the situation with WAMFT, AAMFT, and /or the Wisconsin Department of Safety and Protection, Licensing division. Contact information is provided on herenowtohelp.com.

16. Pets and other Scents of Therapy

Out of respect to other clients and staff, pets will not be allowed in the therapy office. Due to individual sensitivities of many, the office strives to remain free of added perfumes, fragrance, residual tobacco, alcohol, and other drugs. Coffee and tea are welcome.

17. Dual Relationships

Dual relationships occur when the therapist and client engage in another relationship outside of therapy. These often happen in small towns. Professionally these are not advised and are best avoided and sometimes acceptable. This might include when the client and therapist share membership in a local organization. When both parties see each others information on social media, when the therapists carpenter asks for therapy services. Because the therapeutic relationship is unique among all other relationships, blending them with other relationships may diminish both. If an when a dual relationship appears, the therapist and client will explore the need, the advantages and disadvantages and choose an appropriate, documented course of action. Critical to success of such a relationship is relational clarity and compartmentalization. Essential is that each party treats each other fairly and makes only reasonable agreements while maintaining privacy and confidentiality.

Home Visits and Family Therapy

A common form of therapy is to meet in the home with the client and their family on a regular basis. Explanations of situations pale by comparison to actually experiencing the situation. Work on ‘individual’ concerns is often more effective when the entire family is involved. Sometimes a family comes for service as the client, and we may need to work individually with family members. In family therapy, each member is held in high regard by the therapist. The availability of this service is dependent on insurance coverage, therapeutic benefit, and other variables.

Secrets Policy

The therapist’s professional bias is against the practice of keeping secrets because secrets are often about coercively effecting a change in the personal power differential between family members. Like lies, it is hard to remember details of a secret. Secrets about current or imminent harm to children and life threatening events I cannot keep and will be reported.

20. Duty to Report

By law, the therapist has a duty to report on issues of imminent harm, abuse or neglect to children less than 18 years old and vulnerable adults. The therapist is obligated also to act on any convincing expressed intents to harm any individual or self.