I had several conflicts outside that it affected how I was going to be able to deal with my treatment. Luckily, I was granted some options so that I can continue with them, so nice! Ther staff is knowledgeable, friendly, helpful and caring.
About Mann – Grandstaff VA Medical Center
Mann-Grandstaff VA Medical Center operates 46 hospital beds and 38 rehabilitation-oriented nursing home beds. A mobile clinic, outfitted with two exam rooms, provides selected primary care services to veterans living in remote areas outside the metropolitan Spokane area.
To fulfill President Lincoln’s promise, “To care for him who shall have borne the battle, and for his widow, and his orphan.”
The VA Medical Center of Mann-Grandstaff encompasses five Core Values on which base his activities: Integrity, Commitment, Advocacy, Respect, and Excellence.
They also provide Veterans with Telehealth, for access to health care that is timely, more convenient and easier to access through the use of new healthcare technology including video conferencing and health monitoring devices that can connect patients to their health care team.
Latest Reviews
Since getting out of the military in 2014, I have been a patient of Phoenix, Boise and now Spokane VHA. Spokane has been by far the least helpful. It has been nearly four months since I first called to get transferred to this location and I am still not even in their system. I've had to call Boise VA twice now to get my medications sent to me. I've spoken to at least 20 different people in multiple departments, from Patient Advocacy, Pharmacy, Administration and Community Care. Each team says they will either a) get on it or b) transfer me to the right person where I just get sent to voicemail. This endless loop of nothing being accomplished is getting old.I would have given this review 1 star if it weren't for the people on the other side of the phone being pleasant to talk to. It's not their fault anyway. It starts with the leadership team there. They are obviously fine with providing subpar service to veterans, if they weren't, things would be different. Those people in leadership roles should either step aside or figure out a different way to do things. Veterans deserve better.
My grandfather spent his last few months in the CLC and VA hospice. They not only took care of my grandfather, but us, too. The care of every staff member made our last few months together the best it could be. We were able to spend time with him as family and not as caregivers.
The pharmacy hours are 8am to 5pm Monday thru Friday. Weekends and after-hours, 5pm-730pm use the black phone.
Rehab Score
Our Methodology
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8.3 / 10
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Other Forms of Payment
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.
Military members, veterans, and eligible dependents have access to specific insurance programs that help them get the care they need. TRICARE and VA insurance can help you access low cost or no cost addiction and mental health treatment. Programs that accept military insurance often have targeted treatment focused on the unique challenges military members, veterans, and their families face.
Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Addiction Treatments
Levels of Care
Outpatient Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
Intensive Outpatient Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
Aftercare Support Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
Treatments
Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.
Mental health rehabs focus on helping individuals recover from mental illnesses like bipolar disorder, clinical depression, anxiety disorders, schizophrenia, and more. Mental health professionals at these facilities are trained to understand and treat mental health issues, both in individual and group settings.
Programs
Adult Program
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
Military Program
Serving in the military is both mentally and physically challenging, and can result in trauma that persists even after combat ends. Military programs are tailored to the specific and often complex needs of active duty personnel, veterans, and military families. Clients often access these programs through the U.S. Department of Veterans Affairs (VA).
Young Adult Program
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.
Clinical Services
Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.
Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.
Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.
Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.
Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.
Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Staff & Accreditations
Staff
Dr. Robert J. Fischer, MD, FACOG, CPE
Medical Center Director
Sarah Boardman
Associate Director
Dr. David Sams, MD
Chief of Staff
Monica Blykowski-May, MD
Deputy Chief of Staff
Sam McComas
Associate Director, Patient Care Services-Nurse Executive
James (Shep) Speight, BSN
Deputy Associate Director for Patient Care Services
Accreditations
The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. Established in 1992 by congress, SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.
SAMHSA Listed: Yes
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
CARF Accreditation: Yes
Accreditation Number: 243643
State Licenses are permits issued by government agencies that allow rehab organizations to conduct business legally within a certain geographical area. Typically, the kind of program a rehab facility offers, along with its physical location, determines which licenses are required to operate legally.
State License: Washington
License Number: 012400
The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.
Joint Commission Accreditation: Yes
Accreditation Number: 4602
Contact Information
(509) 434-7000 
4815 North Assembly Drive
Spokane, WA 99205
Get Help Now - 509-289-4284
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