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Lakewood Reflections

Too many people suffer in silence as they try to cope with changes in their lives. Physical decline, dependence on others, safety, and multiple losses are just a few of the concerns that contribute to depression and other mental health issues for the elderly.

Lakewood Reflections, comprised of both an inpatient and outpatient program, provides customized care to help deal with these sensitive issues. Both programs are designed for persons who are experiencing an emotional decline and mental changes, like:

  • Suicidal or homicidal thinking
  • Hallucinations and delusions
  • Destructive/aggressive behavior
  • Need for adjustment of psychotropic medications requiring skilled observation
  • Medical conditions affected by psychiatric symptoms
  • Symptoms of depression or anxiety

Admissions: A request for care in the inpatient or outpatient settings can come directly from you, from a health professional, or a member of your family. Lakewood Reflections can provide a clinical evaluation as needed to determine treatment planning.


Reflections Intensive Inpatient Program

Lakewood Reflections Intensive Inpatient program is a behavioral health program for older adults who suffer from psychiatric, emotional or behavioral disorders. Lakewood Reflections offers intensive and comprehensive individualized mental healthcare in an inpatient setting for adults 55 years and older, including:

  • Physician management of care
  • Overall healthcare
  • Skilled nursing

Social work services:

  • Assessment and discharge planning
  • Group and individual therapy
  • Treatment planning
  • Recreational activities
  • Coping and living skills
  • Grief and loss resolution


  • Medication management
  • Health and wellness training
  • Daily living skills
  • Nutritional information
  • Environmental interventions
  • Stress management

The Lakewood Reflections Intensive Inpatient program allows for around-the-clock oversight and treatment of behavioral disturbances affecting an individual’s functioning.

With all care at Lakewood Health System, we believe teamwork is the best work. We work with the patient and his/her family or caregiver(s) under the guidance of a multi-disciplinary team. Nurses, social workers, professional counselors, psychiatric staff and your provider all help to provide you with individualized care that stresses dignity and the goal of helping you live your life to its fullest.

Contact us for more information about the Reflections Intensive Inpatient Program!

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Reflections Intensive Outpatient Program

The Lakewood Reflections Behavioral Health Unit (BHU) Adult Intensive Outpatient Program (IOP) for depression, anxiety and/or trauma is a group-based treatment for adults who are experiencing symptoms of major depression, generalized anxiety, panic attacks, obsessive-compulsive disorder, suicidal thoughts/self-harm, social anxiety and/or post-traumatic stress disorder.

IOPs are a group-based, more intensive form of treatment geared toward individuals who are experiencing moderate to severe symptoms with daily interference, or those not experiencing a reduction of symptoms with less intensive treatment and/or those who are transitioning from a higher level of care (i.e. inpatient/residential treatment).

While attending IOP, participants continue to work individually with a therapist and a medical provider, either at Lakewood Health System or outside of the facility; your choice. A psychiatric nurse practitioner (PNP) is available to all group members and new members will meet with the PNP prior to being admitted to the IOP group. Your care team consists of a psychiatric doctor, psychiatric nurse practitioner, registered nurse and a licensed therapist. Lakewood Health System recognizes that coordination of care is an important part of healing and will follow-up with your providers on a regular basis.

The group focus will be on psycho-education, life skills teaching, crisis management, spiritual emphasis, joy building and process group. Examples of skills taught include: mindfulness, interpersonal effectiveness, challenging negative beliefs, setting healthy boundaries, better communication, coping skills and safety planning.

Our current IOP groups include:

  • IOP group for adults (ages 18+) on Wednesdays from 3-6 p.m.
  • Women’s IOP (ages 50+) on Tues, Wed, and Thurs from 9 a.m. to 12 p.m.
  • Women’s mild-cognitive impairment (MCI) group on Tuesdays from 1-2 p.m.
  • Men’s (ages 50+) group on Wednesdays from 1-2 p.m.

Contact us for more information about the Reflections Intensive Outpatient Program!

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Signs and symptoms of behavioral health issues can vary depending on the disorder, circumstances and other factors. They can affect emotions, thoughts, and behaviors. Some common symptoms include:

  • Loss of interest or pleasure in doing typical activities
  • Feeling down, depressed, or hopeless for long periods of time
  • Excessive anxiety or worry
  • Panic attacks
  • Sleep difficulties
  • Prolonged periods of fatigue or low energy
  • Difficulties with appetite
  • Concentration difficulties
  • Recurring academic, relationship, or work difficulties
  • Thoughts or actions related to suicide or self-harm

The above information should only be used to help determine if you should seek additional clinical support. If you have any of these symptoms, please talk to your primary care provider for a referral to Behavioral Health.


Just as there are different types of physical health providers who specialize in various areas of medicine, there are also different types of behavioral and mental health providers. Below are brief descriptions of the varying types of clinic behavioral health providers at Lakewood.


Licensed Psychologist

A licensed psychologist is a doctoral level provider in psychology, which is the scientific study of the brain and behavior. Psychologists have completed five to seven years of graduate school after college, which includes a one-year internship or residency, and one to two years of postdoctoral supervised clinical experience. After all their schooling and clinical training, a psychologist will have earned a doctoral degree (Ph.D., PsyD, or EdD). Psychologists are trained to conduct evaluations, administer and interpret psychological tests and assessments, and conduct psychotherapy. The appropriate services and techniques are chosen by the psychologist to best address each individual’s needs. Psychologists do not prescribe medication. If medication might be beneficial, the psychologist works closely with the patient’s medical providers to determine the best course of action. Psychotherapy, or talk therapy, is used to help treat most mental health conditions. Patients may need assistance coping with stress, managing mood difficulties, or overcoming barriers that may prohibit them from reaching their personal health goals.


Psychiatric Mental Health Nurse Practitioner

A psychiatric mental health nurse practitioner (PMHNP) has specialty training in the biological and neurological factors of mental health disorders. They must earn a four-year degree in nursing and then complete either a Master’s of Science in Nursing or Doctor of Nursing Practice program. Their background in medicine means they can prescribe medications when it is in the best interest of the patient’s treatment. Additionally, psychiatric nurse practitioners may conduct various types of psychotherapy as part of their overall treatment plan.


Licensed Independent Clinical Social Worker

A licensed independent clinical social worker (LICSW) is a mental health professional who has a master’s degree in social work and who has completed two or more additional years of clinical training. They are licensed to practice independently using the principles of social work, combined with counseling and psychotherapy, to help patients achieve better, more satisfying and productive social adjustments to their daily life. Clinical social workers can also provide case management and work as an advocate for patients and their families. Like psychologists, clinical social workers do not prescribe medication, so they also work closely with medical providers regarding medication if deemed necessary.