Patient Referral Program

Service Line Facts & FAQ For Referrals

Who We Are

A team of psychiatric providers & clinicians at one outpatient site in the Spokane Valley working
collaboratively to help people with behavioral health issues get better.

What We Do

Serve the mid-level care gap between traditional outpatient psychiatric care & inpatient facilities.

Use evidence-based therapeutic & medical interventions:

Supplement lower level outpatient care (such as medication management) or transition out of
inpatient care (such as inpatient psychiatric care, residential facilities, or the ER).

Who We Serve

Adults & adolescents whose behavioral healthcare needs are more acute than what may be provided by a traditional outpatient psychiatric provider or outpatient therapist.

Adults & adolescents who would benefit from step down services after an inpatient psychiatric

People suffering from treatment-resistant depression with multiple failed medications.


Does Psychiatric Solutions offer one-on-one therapy sessions?

Patients enrolled in one of our 10-week group therapy programs are supported by individual therapy sessions with one of our clinicians, however, we do not offer ongoing individual therapy.

Is my patient required to terminate care with me while participating in IOP or TMS therapy?

Our practice model is designed to offer comprehensive behavioral healthcare in one location. Our clinicians, TMS Coordinators, & medical staff work closely together to provide excellent, individualized patient care. Some patients come to us with pre-existing provider relationships. We understand that it is sometimes best for a patient to continue receiving care from their known provider while in our services.

What insurances does Psychiatric Solutions accept?

We accept most commercial insurance plans. Patients should always verify in-network coverage prior to scheduling an appointment. Payment plans are available for self-pay. We are currently unable to accept MediCal insurance plans.

TMS Basics

TMS = Transcranial Magnetic Stimulation

TMS is FDA Approved for Treatment of Major Depressive Disorder.

Completely non-invasive treatment for depression with minimal side effects & no recovery time.

Timed pulses of an MRI-strength magnet targeted to specific, mapped, sites on a patient’s head related to mood regulation.

Magnetic pulses stimulate neuroconnections on the left side of the brain that become less active in the brain of a depressed person.

Treatments stimulate the neuroconnectors, leading to increased activity & symptom reduction. (Please see included PET scan illustrating brain activity before & after TMS). Average treatment schedule & duration: 5 days/week; 45 minutes/day; 12 weeks.

TMS has an average response rate of greater 70% & remission rate greater than 50% when augmenting a current medication regimen with TMS.

PET Scan in Depressed Patient

The glowing parts of the image display brain activity.

Depressed brains show decreased activity in the left brain. TMS treats depression by stimulating the neuroconnectors using magnetic pulses targeted to a specific site on the head.


Does insurance cover TMS treatments?

Yes. Most commercial insurance plans and some Medicare Advantage plans cover TMS, although there is variance in the amount of coverage.

What are the side effects of TMS?

Side effects from TMS treatments are minimal & rare. Occasionally, a patient may experience tenderness at the treatment site. Rarely, a patient may experience a slight headache after treatment.

Whos is a good candidate for TMS Treatment?

Anyone suffering from Treatment-Resistant Depression. Those most likely to be pre-authorized for TMS treatments by insurance companies are people who have tried more than 3 pharmaceutical interventions in more than 1 class.

How are patients monitored during TMS treatments?

All potential TMS patients are first evaluated by one of our psychiatric providers. Once approved for treatment, patients’ progress is consistently monitored by an evidence-based depression scale administered by a Psychiatric Solutions provider.

IOP Basics

Structured, group therapy led by a team of highly skilled clinicians.

Programs for adults, as well as adolescents aged 13-18.

Schedule: 3 hours/day; 3-4 days/week; for 10 weeks (duration may vary depending on patient’s insurance)

Comfortable outpatient setting, not attached to a hospital.

Group therapy is supported with weekly individual therapy with a member of our clinical staff for the duration of the program.

Custom curriculum, incorporating Dialectical Behavioral Therapy (DBT) skills & interventions. DBT is the gold standard for treating personality disorders and suicidality.


When is a good time to refer a patient to Therapeutic Solutions' IOP group therapy programs?

When a patient’s behavioral healthcare needs have extended beyond the medication management or individual outpatient therapy you are providing.

As a measure to preventative inpatient hospitalization.

When a patient is being discharged from an inpatient setting would benefit from step down services.

Is a patient with suicidal thoughts a good candidate for IOP?

All patients referred into our group programs are assessed by a member of our clinical staff. We are not equipped to care for actively suicidal patients.

Why group therapy?

Group therapy accelerates the individual process by offering an environment with unique opportunities for patients to learn & practice skills with the support of other group members.

At intake, patients & clinicians work collaboratively to create a comprehensive treatment plan including a discharge plan. Graduation from services can include coordination with outpatient therapists & psychiatric providers.

Learn more about our staff with the links below:

We pride ourselves on providing comprehensive and compassionate care in a safe and inviting informant. Patient satisfaction drives everything we do.