Ms. Kay D Riehm, LCSW, is a Clinical Social Worker Specialist
She attended and graduated with honors from University Of Nevada School Of Medicine in 2000, having over 16 years of diverse experiences, especially in Clinical Social Worker.
Ms. Kay D Riehm also cooperates with other doctors and physicians in medical groups including State Of Nevada. She accepts Medicare-approved amount as payment in full.
Contact (775) 423-5381 to request the information (Medicare information, advice, payment, …) or simply to book an appointment.
As a member of the National Suicide Prevention Lifeline network, Crisis Call Center offers free and confidential support, intervention, and information for individuals throughout Nevada seeking help for themselves or their loved ones who are experiencing suicidal thoughts or crisis-related issues.
– Are you a suicide attempt survivor?
– Have you lost a loved one to suicide?
– Do you support suicide prevention?
– Share your story on the Lifeline Gallery and help others connect to help and hope.
The National Suicide Prevention Lifeline is a 24-hour, toll-free suicide prevention service available to anyone in suicidal crisis. If you need immediate assistance, please dial: 1-800-273-8255 (TALK)
All calls to the National Suicide Prevention Lifeline are answered by local crisis centers belonging to the national network. Crisis Call Center is proud to be a member of the National Suicide Prevention Lifeline network.
Although suicide prevention is the primary mission of the National Suicide Prevention Lifeline, people can call the Lifeline for many reasons:
|Suicidal thoughts||Abuse/violence||To help a friend or loved one|
|Information on suicide||Economic problems||Relationship problems|
|Information on mental health/ illness||Sexual orientation issues||Loneliness|
|Post-disaster needs||Homelessness issues||Family problems|
|Substance abuse/addiction||Physical illness||Relationship problems|
The life of each and every individual has meaning and value. Individually, our lives have a huge influence on a great many people. The loss of a life by suicide impacts an entire community. By knowing the signs and helping someone who is suicidal, you have done more for that person and your community than you will ever know.
Suicide Warning Signs
Click here to view the verbal, behavioral, and environmental warning signs of someone who may be contemplating suicide.
Suicide Lethality Scale
Click here to view the Suicide Lethality Scale.
Understanding And Helping The Suicidal Individual
Be Aware Of The Warning Signs
If you or someone you know exhibits any of the following signs, seek help as soon as possible by contacting a mental health professional, calling Crisis Call Center at (775) 784-8090 or 1 (800) 273-8255, or by calling the National Suicide Prevention Lifeline at 1 (800) 273-8255.
– Threatening to hurt or kill oneself or talking about wanting to hurt or kill oneself.
– Looking for ways to kill oneself by seeking access to firearms, pills, or other means.
– Talking or writing about death, dying, or suicide when these actions are out of the ordinary for the person.
– Feeling hopeless.
– Feeling rage or uncontrolled anger or seeking revenge.
– Acting reckless or engaging in risky activities, seemingly without thinking.
– Feeling trapped, like there’s no way out.
– Increasing alcohol or drug use.
– Withdrawing from friends, family, and society.
– Feeling anxious, agitated, or unable to sleep or sleeping all the time.
– Experiencing dramatic mood changes.
– Seeing no reason for living or having no sense of purpose in life.
How do you remember the warning signs of suicide? Here’s a mnemonic device that can help you remember the basic signs:
IS PATH WARM?
Are You Or Is Someone You Love At Risk Of Suicide?
Suicide Is 100% Preventable If You Know The Signs And Take Action.
– Be aware. Learn the warning signs.
– Get involved. Become available. Show interest and support.
– Ask if he/she is thinking about suicide.
– Be direct. Talk openly and freely about suicide.
– Be willing to listen. Allow for expression of feelings. Accept the feelings.
– Be non-judgmental. Don’t debate whether suicide is right or wrong, or feelings are good or bad. Don’t lecture on the value of life.
– Don’t dare him/her to do it.
– Don’t give advice by making decisions for someone else, or by telling them to behave differently.
– Don’t ask “why”? This encourages defensiveness.
– Offer empathy, not sympathy.
– Don’t act shocked. This creates distance.
– Don’t be sworn to secrecy. Seek support.
– Offer hope that alternatives are available, do not offer glib reassurance; it only proves you don’t understand.
– Take action! Remove means! Get help from individuals or agencies specializing in crisis intervention and suicide prevention.
Be Aware of Feelings, Thoughts, and Behaviors
Nearly everyone, at some time in his or her life, thinks about suicide. Almost everyone decides to live because they come to realize that the crisis is temporary, but death is not. On the other hand, people in the midst of a crisis often perceive their dilemma as inescapable and feel an utter loss of control. Frequently, they:
– Can’t stop the pain.
– Can’t think clearly.
– Can’t make decisions.
– Can’t see any way out.
– Can’t sleep, eat or work.
– Can’t get out of the depression.
– Can’t make the sadness go away.
– Can’t see the possibility of change.
– Can’t see themselves as worthwhile.
– Can’t get someone’s attention.
– Can’t seem to get control.
If you are concerned about a family member or friend, show you care and ask the question: Do you feel suicidal? Trust your gut instincts, and if you’re concerned, help get the person to support services that can help. If the person can’t open up to you, find someone else who can talk with that person. If you are unsure but still concerned, call the Crisis Call Center to speak with one of our trained volunteers today.
Don’t delay. Your concern could save a life. Call 1 (800) 273-8255.
Pacific Behavioral Health is a Medicaid-only provider
Clinical Services for all ages –
- Assessments, Individual Therapy
- Family therapy, Group Therapy
- Substance Abuse Therapy
- Crisis Stabilization
- Psychosocial Rehabilitation Skills (PSR and BST) for all ages
- Day Treatment for Adults
- Intensive Outpatient Program for Adults
- Services for Community Reintegration for Transitional Aged Youth
Services are provided in Reno, Sparks, Carson City, and Rural Nevada (Fallon, Fernley, Hawthorne, Silver Springs, Dayton, Minden and Gardnerville).
PBH’s therapeutic services are individualized and adjusted to the level of functioning of the client. Services will:
Emphasize quality of care and optimal client-centered outcomes,
Utilize evidence-based practices,
Be culturally and linguistically competent,
Provide trauma-informed care with trained staff.
A primary focus for PBH is to provide clinical and behavioral health services in Rural Nevada areas. Services are provided in the environment determined most effective for the client. Service evaluation is done every 30 days, with a full outcome evaluation done every 90 days. All services are provided under direct Clinical Supervision.
In some situations, Sage Health Services can provide therapy service via telehealth. This occurs when an individual receives therapy from their home via a videoconference format. Telehealth can be utilized when a client has an Internet-enabled device (smartphone, tablet, computer).
Autism Support –
Sage Health Services provides intensive, one-to-one , in-home support to families and individuals who have been diagnosed with Autism Spectrum Disorder (ASD). Some of the areas that can be addressed through Applied Behavior Analysis (ABA) include:
- General Behavior Management
- Social Skills
- Adaptive/Self-Help Skills
- Academic Skills (Number, Letters, Shapes, Colors, etc.)
Sage offers a variety of in-home and office therapy services. Our commitment is to help our clients reach their highest potential through a variety of clinical supports. Individual, family, relationship, and group therapy services are available to meet our clients’ needs.
Medication Management –
Sage Health Services recognizes the potential benefit of psychotropic medication support in conjunction with therapy and other outpatient services. If desired, these supports are available through a network of well-qualified clinicians.
PSR / BST
PSR – Psychosocial Rehabilitation: This in-home and community-based service provides resources for those wanting assistance with a variety of mental health issues. This service provides additional coping skills for people currently in therapy and/or taking psychotropic medication. Sage provides the following areas of support:
- Behavior Management
- Conflict Resolution
- Social Relationships
- Effective Communication
- Appropriate Social Boundaries
BST – Basic Skills Training: This program provides in-home and community-based support with many activities of daily living. Our trained professionals teach the skills necessary for various levels of independent living. Some of the common support areas include:
- Money Management
- Personal Care
- Time Management
- Home Management
- Transitional Living
This web site is not intended for use as an emergency service.If you or someone you know is in a life-threatening situation, PLEASE CALL 911 IMMEDIATELY.
Sexual Assault Support Services
Call: (775) 221-7600. We are here for you 24/7/365.
What is Sexual Assault?
Sexual Assault is any unwanted, forced, or coerced sexual act. It includes inappropriate sexual contact or fondling, acquaintance rape, date rape, stranger rape, child sexual abuse, and incest. Sexual assault is not about sex, it is a crime of violence where sex is used as a weapon, motivated by the desire to have power and control over the victim.
Sexual assault violates not only a person’s body, but also their sense of safety and control over their life. NO ONE DESERVES TO BE SEXUALLY ASSAULTED!
What if you are assaulted?
If you are a victim of sexual assault, consider doing the following:
Go to a safe place.
Seek medical care immediately. You may not be aware of injuries you have received, and you should be tested for sexually transmitted diseases. Medical care is available at any hospital emergency room. If you are considering reporting the assault to law enforcement, call the 24-hour SASS line at (775) 221-7600 or 1 (800) 992-5757 for the support that you need.
Get tested for sexually transmitted diseases. The Washoe County Health Department or Planned Parenthood perform testing and you do not have to file a police report to receive medical treatment. Nevada law requires the county in which the crime occurred to pay for initial medical costs for victims of sexual assault.
Speak with a SASS team advocate. Discuss your options and receive referrals for additional services, ask the hospital to talk to an advocate or call (775) 221-7600.
Call a supportive person, a friend or relative, or call Crisis Call Center. Crisis Call Center is available 24/7/365 at (775) 784-8090 or 1 (800) 992-5757.
To report or not to report…
Reporting the sexual assault to law enforcement is the survivor’s choice. We encourage survivors to report the crime; however, a victim’s decision should always be respected and supported, whether or not they choose to file a police report.
If you are assaulted and you are considering filing a police report, please try to follow these guidelines to preserve evidence:
*DO NOT BATHE OR DOUCHE.
*DO NOT CHANGE YOUR CLOTHES.
*DO NOT BRUSH YOUR TEETH OR USE MOUTHWASH.
*DO NOT USE THE BATHROOM.
*DO NOT EAT OR DRINK ANYTHING.
*DO NOT APPLY ANY MEDICATION.
*DO NOT DISTURB OR CLEAN UP THE CRIME SCENE.
Even if you DO THESE THINGS you can ABSOLUTELY still get an exam! Please always contact us if you have any questions or doubts.
Forensic examinations for collecting physical evidence can be conducted up to seven (7) days after an assault has occurred. You can report the crime and have a forensic examination during this time period even if you have cleaned up and/or choose not to report the incident. Please call the 24-hour crisis line at 775-784-8090 or 1-800-992-5757 for more information.
Who are the victims of sexual assault?
Anyone can be a victim of sexual assault, regardless of age, race, socioeconomic status, cultural background, religion, marital status, physical or mental ability, gender, or sexual orientation. A person can be assaulted by their spouse.
1 of 4 girls and 1 of 6 boys will be assaulted before their 18th birthday.
1 of 6 women and 1 of 33 men will be assaulted in their lifetimes.
A Note To Survivors
You have been through a traumatic experience. It is important for you to know that no matter what the circumstances of the assault were, it was not your fault. Victims of sexual assault, child sexual abuse, and incest are not to blame. Only the perpetrator is at fault.
You may experience many different feelings and emotions after the assault. The trauma of an assault does not end when the act of violence is over. Each of us responds to crisis in our own way, and no reaction is “wrong” or “crazy”. Common feelings include fear, guilt, shame and anger. Some people will experience depression, flashbacks, anxiety, troubled sleeping and/or eating patterns, and problems re-establishing sexual relationships. Many survivors re-experience some of these feelings or problems months or years after the assault.
Your reactions are unique to you.
Others may tell you how you should feel, and when you should feel “better” or what you should do to help yourself, but you are an individual, and you are entitled to your own feelings and reactions.
It is important to allow your feelings to surface following the assault. Sexual Assault Support Services volunteers can help you access information on victims’ compensation programs; long term counseling and other services that may help you rebuild your life.
Substance Abuse Help Line
(775) 825-HELP (4357), or toll-free: 1 (800) 450-9530
The Substance Abuse Help Line is a free, confidential, 24-hour-a-day phone line staffed by Crisis Call Center and available to residents throughout Nevada. Callers are provided with support and referrals to substance abuse treatment resources throughout the state.
If you or someone you know has questions or concerns about substance abuse, please call the Help Line at
(775) 825-HELP (4357) or toll-free at 1 (800) 450-9530. This service is made possible through our partnership
with Join Together Northern Nevada, A Community Partnership Against Substance Abuse.
For local and national data related to substance abuse, please visit:
JTNN – Local and National Data
Fallon, Nv. 89406
June Sharkey, Licensed Clinical Social Worker
Valley Oasis Counseling began in August of 2010.The theoretical foundation is Cognitive-Behavioral therapy with children, adolescents, adults, and couples.
Specialization in the treatment of trauma, depression, anxiety, and behavioral issues related to children and adolescents.
Therapy can help in gaining insight about individual experiences while learning ways to cope with those experiences.
For more information, contact (775) 423-5381
Reno, Nevada 89512
West Hills Hospital Overview
- Located in Reno, NV
- For profit facility
- Psychiatric hospital ages 4 and up
- 96 bed facility
- Open 24/7
- Accept referrals from all
- Accept all insurances
- Free assessments provided
Child and Adolescent Inpatient Mental Health Services
- Acute Inpatient Care for Children
Provides patients with the most intense level of care available, including 24-hour skilled nursing observation; daily oversight by a psychiatrist; and coordinated treatment by a physician-led team of mental health professionals.
- Learn more
Adult Inpatient Psychiatric Mental Health Services
- Acute Inpatient Psychiatric Care for Adults
Inpatient hospitalization is always short-term and designed to quickly stabilize the most serious symptoms to allow a quick transition to less intensive levels of care.
- Learn more
Adult Inpatient Substance Abuse Treatment Services
- Substance Abuse Treatment Program: Your Road To Recovery
Our substance abuse treatment program consists of physician supervised medical detox, medication management, a comprehensive skills building and educational curriculum, process groups, and recreational therapy all of which allow our patients to benefit from the most effective and integrative approaches to substance abuse treatment.
- Learn more
Adult Outpatient Mental Health Services
- Intensive Outpatient Program
Our outpatient services are designed to provide a smooth transition from inpatient to home, or to help prevent the need for an inpatient admission.
- Learn more
Video Mental Health Assessment Program
- West Hills Hospital uses interactive, secure video web conferencing technology to assess patients who, due to distance, are not able to access quality behavioral health services. This technology allows the patient, provider and intake specialist to work together to achieve the best outcome for the patient.
Zephyr Wellness offers services to those who cannot afford it and some in-home services are available.
Zephyr Wellness proudly integrates Yield Theory™ throughout its clinical interventions. For more on this powerful nonjudgmental approach to counseling, visit our friend Dr. Christian Conte at his website.
We are also pleased to host graduate-level practicum students completing their program hours in Marriage and Family Therapy. This allows us to serve clients with limited resources, including those without insurance.