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Adult Services

On this page:
Getting Started  /  therapy  /  Counseling  /  Medication  /  Psychological Testing  /  Treatment for Co-Occurring  /  Adult Psychiatric Rehab  /  Adult Residential Program  /  Adult Recovery Outpatient Services   /  Supported Employment Program   /  Health Home Services   /  Assertive Community Treatment (ACT) /  Case Management Services

Getting Started

When you first come for treatment, you will go through an “Intake and Assessment.” This consists of a series of routine questions about your current concerns and functioning, as well as making a diagnostic impression and taking time with you to develop your treatment goals.

Your assessment will be completed by a licensed, experienced mental health professional. If you need a court-ordered evaluation, these are also available.

To schedule an appointment, click here for contact information.


Counseling: Individual, Family & Group

Counseling assists you with understanding your problems, setting specific goals that can help you to resolve your problems, and then working toward those goals.

Individual counseling

Each client works in confidence with a therapist in an exclusive, one-to-one relationship. The therapist tailors your treatment to meet your specific needs and goals.

Family counseling

In family counseling sessions, the therapist assists you and your family members to manage issues which are creating stress in your relationships. These sessions may occur in many ways: with a child and parent, with only siblings, with both parents, with a parent and step-parent, or with all family members including blended family members.

Group counseling

In group counseling sessions, clients work together to learn more about the triggers to their problems, to discover possible solutions and to support each other in making changes. A therapist leads the group, encourages participation, and offers suggestions for success.

Home-Based Services

Staff members provide individual and family services in homes of individuals served. This service is currently limited to clients with Maryland Medical Assistance benefits. Prior to the start of and home-based treatment, the staff member will address the importance of safety issues and professional boundaries. See our blog post for more information about this program. (For this service, please contact Intake and Assessment and make your request for home-based services.)

Anger Management and Parenting Classes

For Anger Management and “Parenting the Love & Logic Way” classes, see our Community Services page.

Assertive Community Treatment (ACT)

Assertive Community Treatment (ACT) offers person-centered and goal-oriented services to qualified persons within Cecil County.

Assertive Community Treatment (ACT) is an evidence-based practice model created to render treatment, clinical, rehabilitation, and support services to persons who are diagnosed with a severe mental illness. These persons need may have not responded successfully to more traditional mental health services. ACT teams are multi-disciplinary and encompass disciplines from areas of psychiatry, nursing, psychotherapy, substance abuse, and vocational rehabilitation. Based on their respective areas of expertise, the team members collaborate to render integrated services of the persons’ selection, joining him or her in making progress towards goals, and realizing when to adjust treatment throughout the services. This intentional holistic approach of support services will aid in satisfying persons’ evolving needs and expectations. The team members’ ratio is small (one team member for every ten persons), and services are rendered 24/7, seven days a week, for as long as they are needed.

ACT provides comprehensive and flexible treatment, as well as support and rehabilitation services to persons in their community instead of in the hospital or traditional clinic. What is unique about these services is that they render interventions and skills practices in areas where persons are most comfortable: residence, work, social hangouts, and more importantly, where support/treatment are most needed.  ACT team members inherit responsibility for the persons they serve and practice assertive interactions in order to ensure maximum engagement from persons in treatment.

Services Rendered to Persons in the Service Include:

  • Comprehensive assessments
  • Medication evaluation and monitoring
  • Counseling/psychotherapy services
  • Co-occurring services
  • Housing support services
  • Substance abuse treatment services
  • Vocational employment/rehabilitative services
  • Collaboration of community health service entities
  • Peer Support
  • 24/7 support

Program Eligibility Criteria:

The ACT team has a straightforward eligibility criteria. The individual must have a specific targeted mental health diagnosis as well as benefit from this non- traditional type of wrap around service. The ACT team realizes that those persons coming to the program may have had difficulty adjusting to prior traditional forms of treatment. Nevertheless, those person coming to the ACT team must be willing to work in concert with the program’s desired goals: symptom stabilization resulting in a decrease in emergency room visits and psychiatric hospitalizations.

Who to Contact for Services:   For those persons interested in knowing more about the service, you can contact ACT-Team Services, Sabrina Dowlut-Beard, ACT-Team Program Director or Debbie Parker, Division Director at UBCSS at 410-996-3500. To refer someone to the Assertive Community Treatment Team Program, use this referral form.

For more information, see Assertive Community Treatment FAQ’s.

Medication Evaluation & Management

At any time during treatment, you may be referred to one of our prescribers, either a psychiatrist or nurse practitioner, to determine if medication would be beneficial. A medication evaluation would then be provided. If medication is recommended for you, the psychiatrist or nurse practitioner will oversee your ongoing medication management.

Note: All clients who receive medication through Upper Bay Counseling will be assigned to a therapist/case manager to follow up on their treatment.

Psychological Testing

For Psychological Testing, one of Upper Bay’s Psychologists uses standardized instruments to assess the cognitive, emotional, and/or personality functioning of individuals. Psychological testing can confirm the presence of mental health symptoms, determine the presence of a mental health diagnosis, and offer treatment recommendations. Specific areas addressed include problems with attention, suitability for medical procedures such as bariatric surgery, spinal cord nerve stimulators, and hepatitis C treatment, as well as substantiating a need for accommodations for college students.

Treatment for Co-Occurring Disorders

“Co-Occurring Disorders” is a term used to identify the presence of both a mental health and a substance use disorder. Replacing the prior term “dual diagnosis,” co-occurring disorders was a term developed to better indicate that mental health and substance use disorders co-exist simultaneously and are interactive.

There are a significant number of people who are faced with the challenges of living with co-occurring disorders. Among people who have a mental health disorder, fifty percent also have a substance use disorder, and of those with a substance use disorder, over sixty five percent also experience a mental health disorder.

Treatment for Co-Occurring Disorders

Previously, individuals with co-occurring disorders have had to seek treatment for each disorder at different agencies. One agency to assist with mental health issues, and a different agency for help with substance use issues. With this approach, each disorder was treated separately, by different providers.

In recent years evidence-based practice has demonstrated that those with co-occurring disorders experience an increase in success when mental health and substance use treatment is integrated, with both issues treated at the same time by the same provider. The integrated treatment model offers an individual with co-occurring disorders an opportunity to address both issues at once and eliminates the need to have two separate agencies or counselors.

Upper Bay Counseling & Support Services, Inc. has recognized the treatment challenges that individuals with co-occurring mental health and substance use disorders have faced when seeking help and has responded by developing and providing integrated treatment options for those with co-occurring disorders.

The integrated treatment services at Upper Bay Counseling:

  • Delivers treatment for both mental health and substance use disorders simultaneously, at one location.
  • Focuses on the specialized, individualized needs of the co-occurring individual from assessment to treatment completion.
  • Offers individual, couples, family, group therapy and psychiatric rehabilitation program (PRP) services focused on serving those with co-occurring disorders.
  • Offers medication evaluation and medication management based on the needs of the co-occurring individual.
  • Provides staff trained and credentialed to treat both disorders, eliminating the need to attend separate treatment programs or have two different counselors.
  • Promotes a treatment relationship that demonstrates respect, dignity, compassion, and sensitivity for each treatment participant.
  • Is client centered, strengths based, and voluntary.

Upper Bay Counseling & Support Services, Inc. has recognized the treatment challenges that individuals with co-occurring mental health and substance use disorders have faced when seeking help and has responded by developing and providing integrated treatment options for those with co-occurring disorders.

Adult Recovery Services:
Adult Psychiatric Rehabilitation Program (PRP)

This program provides a variety of supportive rehabilitation services for adults with persistent mental health issues. Adult PRP offers on-site day programming as well as offsite support and assistance in the community.

Participants may be involved in the day program, off-site community services, or both. If you are in this program, you are given opportunities to be involved in groups and activities that promote mental health wellness and recovery. Our staff is also available to support you and assist you in the community in various ways.

In Cecil County, the Adult PRP is called SHARE (Self Help Awareness Reaching Everyone). The SHARE day program operates on-site five days a week, Monday through Friday, from 9:00 am to 12:30 pm each day. SHARE’s off-site services are provided Monday through Friday in both the morning and afternoon. SHARE also has a seven-day a week, 24-hour on-call phone service for participants experiencing psychiatric crisis.

In Harford County, the Adult PRP is called Hope for Tomorrow. The Hope for Tomorrow day program operates on-site, four days a week, Monday through Thursday from 10:00 am to 1:00 pm each day. Hope for Tomorrow’s off-site services are provided Monday through Friday in both the morning and afternoon. Hope for Tomorrow has a seven-day a week, 24-hour on-call phone service for participants experiencing psychiatric crisis.

Both programs serve a nutritious lunch to each person who attends the on-site group for the day.

The staff members at both SHARE and Hope for Tomorrow offer you the following services and/or provide transportation for:

  • Opportunities to develop & increase your independent living skills
  • Mental health symptom management & support
  • Co-occurring disorders support (for individuals experiencing both substance abuse & mental health issues)
  • Educational & supportive groups
  • Assistance developing & maintaining a support network
  • Entitlement assistance & budgeting
  • Recreation & socialization activities
  • Counseling
  • Problem solving
  • Medication monitoring & assistance
  • Assistance with locating housing
  • Hospitalization prevention planning
  • Nutrition & health
  • Job readiness
  • Community based services & appointments

For more information, see PRP FAQ’s.

To refer someone to the Adult Psychiatric Rehab Program, use this referral form.

Adult Recovery Services:
Sunrise Residential Rehabilitation Program

The Sunrise Residential Rehabilitation Program is a community based housing program located in Cecil County. Residents in Sunrise live in a group home setting, or an apartment setting with twenty-four hour staff availability

Each resident is encouraged to develop the life skills needed to successfully transition out of the program and be able to live independently in the community. Residents also participate in Adult Recovery treatment and the SHARE Psychiatric Rehabilitation Program for additional support & treatment.

Staff members at the Sunrise Program offer you:

  • Counseling & ongoing staff support
  • Supervised Housing as needed
  • Assistance with entitlements
  • Assistance with budgeting
  • Information on health, wellness & nutrition
  • Meal planning & preparation
  • Grocery shopping
  • Community integration and socialization
  • Recreational outings & activities
  • Symptom education & techniques for symptom management
  • Medication assistance & monitoring
  • Mental health treatment & support
  • Hospitalization prevention planning
  • Crisis intervention

For more information, see Sunrise FAQ’s.

Adult Recovery Services:
Adult Recovery Outpatient Services:

Adult Recovery Outpatient Services work in conjunction with the above programs. Participants in Sunrise and/or SHARE or Hope for Tomorrow programs also have a therapist who works closely with them and also with rehabilitation program staff.

If you’re an “adult recovery” client, you will meet with your therapist regularly to gain a better understanding about your mental health symptoms and diagnosis, and to develop new coping strategies to promote mental health wellness and long-term recovery.

The providers for Adult Recovery Outpatient Services are Master’s level therapists or an RN-C. All staff is experienced with treating co-occurring disorders.

Adult Recovery Outpatient providers offer:

  • Individual Therapy
  • Group Therapy
  • Couples Therapy
  • Family Therapy
  • Co-occurring disorders treatment
  • Medication education and assistance
  • Family education groups

Supported Employment Program (SEP)

The SEP assists individuals with mental illness, who are between the ages of 16 to 64, to find or maintain employment, or to achieve a specific educational goal. This service is available only in Cecil County.

Adult Recovery Outpatient Services -SEP
This program assists individuals who are:

  • un- or under-employed
  • seeking a career change
  • pursuing additional education
  • experiencing difficulties in career placement

Training is offered, as needed, in a variety of job search techniques such as:

  • interviewing skills
  • personalized job coaching
  • employment goal setting
  • career assessment, including access to the Division of Rehabilitation Services (DORS)
  • communication between employer and employee
  • job matching to ensure job satisfaction
  • application and resume writing

Benefits Counseling Assistance is also offered to anyone who needs help reviewing Social Security and Social Services benefits and planning for any changes.

For more information, see Supported Employment FAQ’s.

To refer someone to the Supported Employment Program, use this referral form.

Health Home Services

Upper Bay Counseling’s Health Home staff assists clients with comprehensive management of all their medical needs. This includes coordinating your medical and mental health care, offering guidance to improve your overall health, making appropriate referrals in your community, and offering individual and family support.

This program helps you manage your care. The ultimate goal is to offer you the assistance you need to improve your personal wellness. Health Home services also supports families in obtaining services for children they have in the program.

These services are available in both Cecil and Harford Counties.

For more information, see Health Home FAQ’s.