Neurobehavior HOME Program

About Us

The Neurobehavior HOME Program has two major components: mental health services for children and adults (the Neurobehavior Clinic) and coordinated medical and mental health care (the HOME Program) for children and adults. The range of services provided include the following:

  • Primary medical care
  • Preventive care
  • Annual physical exams and well-child checks
  • Specialty care referral
  • Psychiatric evaluations
  • Medication management
  • Individual and group counseling
  • Crisis management
  • Behavior management services
  • Case management
  • Dietician/nutritional counseling
  • In-house billing and insurance support
  • Psychology services (testing)

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History

The neurobehavioral clinic began with an idea in 1988 for a clinic that could provide mental health care to complex children with developmental disabilities in conjunction with psychiatric and medical problems. Dr. David Nilsson was looking for opportunities to set up collaborations with physicians at Primary Children’s Medical Center (PCMC), and Dr. Rich Ferre was always looking for ways to provide better systems of care to children with mental illness within PCMC. The clinic was started in 1990 by Dr. Nilsson, Dr. Douglas Gray, Dr. Rich Ferre, and Dr. Jack Madsen at PCMC. The addition of Dr. Madsen, an epileptologist, meant they could take on very difficult seizure patients with developmental disabilities and other medical co-morbidities. Dr. Madsen, despite severe illness and advice from colleagues to take a break, served patients in the program until his death. Dr. Scott Stiefel joined the program in 1992 after completing his residency and eventually took on the leadership of the program.

Later, DSPD funded a mental health program for adults with developmental disabilities with care provided by Dr. Chris Lang and Dr. Rick Zaharia. This program was known as the Neuropsychiatric Clinic for People with Disabilities and was situated at University of Utah Hospital. Dr. Stiefel also worked in this clinic from 1992, and eventually both clinics became located in Research Park with Dr. Stiefel as director. In the mid 1990s, increased support from DSPD enabled an expansion of services in terms of the number of patients served, the provision of outreach clinics, and resident training.

In 2000 the Department of Pediatrics under Dr. Ed Clarke and the PCMC Foundation under Dr. Doug Nelson enhanced the existing clinic and insured its survival for several years. During the same period, Dr. Stiefel was approached by the Robert Wood Johnson Foundation, Utah Department of Health, to create a coordinated care program (as part of the Medicaid Redesign Project). The idea was to blend medical and mental health funding streams for people with developmental disabilities to provide continuous clinical services to meet their complex medical and mental health needs. Without the blending of funds, the clinic was under-resourced and underfunded, which made the program unsustainable. Josette Dorius spearheaded to effort to blend funding streams. This program was named the UNI HOME Project. The clinic in Research Park now had three programs: The Neurobehavior Clinic, the Neuropsychiatric Clinic for People with Disabilities, and the UNI HOME Project. The UNI HOME Project grew to 120 DSPD clients from the central region over the next two years. HOME referred to "Healthy Outcomes Medical Excellence" as well as a "medical home" model of care.

Due to the effectiveness of the UNI HOME Project in meeting the needs of its patients while managing costs, Medicaid agreed to allow the program to grow beyond the original limit of 120 people. It would be considered by the Centers for Medicare and Medicaid Services (CMS) as a separate Health Maintenance Organization (HMO), effective January 2006, in addition to being a clinical program. The clinic as a whole was renamed the UNI Neurobehavior HOME Program to remove artificial distinctions based upon funding sources rather than approaches to care.

In July 2005 the clinic moved to 650 Komas Drive in Research Park where we were able to design our own space. The Neurobehavior HOME program proudly serves over 1000 people of all ages with developmental disabilities.

Mission

Our mission is to optimize the quality of life of the people we serve by providing excellent, compassionate, and integrated health services throughout the lifespan.

Values

The Neurobehavior H.O.M.E. Program is committed to the following values:

Excellence - We adhere to the 'good to great’ philosophy by aiming for the highest possible clinical standards in treating and supporting our clients and the community.

Compassion - We believe in having a service attitude and in providing life-long and person-centered services to our clients. We believe in supporting and appreciating each person, and we desire to help them identify and reach their potential.

Integrity - We believe in conducting ourselves in a professional and ethical manner and treating everyone with dignity and respect. We believe in being responsible with the limited resources available to us.

Teamwork - We believe that we can help our clients most effectively by working and collaborating as partners with them, their caregivers, our staff, and other agencies

Communication - We value open, constructive communication and believe in listening to our clients, their caregivers, and our employees.

Advocacy - We believe in promoting the civil rights of our clients and supporting their access to the best possible care and community services.

Education - We believe in constant professional growth for our employees and sharing our expertise with caregivers, future professionals, and the community. We also believe in contributing to treatment knowledge through our own research.