The Youth and Family Institute is not considered an in-network provider for any insurance companies and does not bill insurance directly. However, many insurance companies accept insurance reimbursement requests. Our clinic can provide “insurance-friendly” Superbill statements at the end of each billing period that can be submitted to insurance companies for reimbursement. We recommend checking with your insurance in advance to see if they allow for reimbursement requests for out-of-network providers.

While the Superbills contain all relevant information in an insurance-friendly format, some insurance companies require the clinic’s tax ID and patient codes to be submitted in addition to the Superbill.

Below are a few of the common procedure codes and clinic codes applicable to services provided at the Youth and Family Institute:

Initial Consultation (first session): 90791
Individual Therapy: 90834
Individual Therapy Tele-Health: ​​90834 +95

Other relevant clinic information:
Tax ID: 874751899
NPI: 1558071068

We also offer a sliding scale fee structure which is granted based on financial need. For adults ages 18-35, we also require that their parents complete the sliding scale application form including tax returns.

Superbills are a record of appointments which can be submitted to insurance companies for reimbursement. They include service codes and other information that insurance companies require for “out-of-network” reimbursement requests.

Examples of information found on a Superbill include: patient diagnosis codes (specific to the individual client), client and clinician name, CPT codes, and clinic info (.e. clinic Tax ID/EIN and clinic NPI).

A Superbill only includes sessions attended by a client (canceled and missed appointments are not eligible to be added to a Superbill).

Yes, our practice offers services both In-Person and via Zoom. In person services are offered at practice locations in Claremont and West LA. We offer Telehealth to patients who reside in California. All Telehealth sessions are conducted over a HIPPA-compliant Zoom. Patients opting for in-person services will need to sign an In-Person Consent Form.

Being in crisis yourself, or seeing a loved one go through one is frightening and one of the most difficult things a person can experience. We truly wish that we could provide immediate services to everyone who contacts us, and believe that access to evidence-based mental health treatments is crucial. Even so, we cannot provide immediate crisis services to individuals who have not completed the YFI Intake Process. However, there are resources that can help while we complete the intake process. We recommend crisis hotlines  such as Lines For Life, Crisis Text Line (Text HOME to 74174), the National Suicide Lifeline, or one of the hotlines listed on APA’s website (including more specific helplines). In the case of a crisis where you or a loved one needs urgent emergency help and are in immediate danger of attempting suicide, you can visit your local ER, where trained staff will help keep you or your loved one safe while you receive help.

Most YFI Intakes take approximately three weeks to complete. However, because our Intake Process has multiple steps (patient initial outreach, scheduling a 15-minute informational call, receiving YFI Intake Paperwork, scheduling an Intake Session, sending a treatment plan, and scheduling an appointment with the assigned clinicians), the length of the intake process can vary.

• We can usually schedule a 15 minute informational call within a week
• Scheduling Intake Assessments usually takes 1-2 weeks
• After the initial intake, within a week we can send you a treatment plan/team and start meeting

• Co-Occuring and severe trauma, anxiety, OCD, depression
• Suicidal and non-suicidal self-injurious behaviors
• Interpersonal conflict, irritability, and aggression
• Attention Deficit Hyperactivity Disorder (ADHD)
• Excessive overcontrol and perfectionism
• Autism spectrum disorders and NVLD
• Borderline Personality Disorder (BPD)
• Bulmia and Binge Eating Disorder
• Addictions and substance abuse

Because each patient’s situation is unique, it can be difficult to predict how long successful treatment will take, and may vary by the individual. Cognitive Behavioral Therapy (CBT) typically takes between four to six months of weekly sessions, but may take longer. Dialectical Behavior Therapy (DBT) treatment often takes at least six months to a year, and may take longer depending on the patient’s needs.

Comprehensive DBT for adolescents includes three elements: individual therapy (including phone coaching), skills training, and parent coaching. If an adolescent is referred for comprehensive DBT, it means that they will receive therapy in each of these areas on a regular basis.

• Patients in DBT have lives that are unbearable as they are currently being lived.
• Patients in DBT are doing the best they can.
• Patients in DBT want to improve.
• Patients in DBT need to do better, work harder, and be more motivated to change.
• Patients in DBT must learn and practice new behaviors in all areas of their lives.
• Patients do not fail at DBT.

• The most caring thing a DBT therapist can do is to help patients change in ways that bring them closer to their own ultimate goals.
• Clarity, precision, and compassion are of the utmost importance for therapists when conducting DBT.
• The therapeutic relationship is a real relationship between equals: one who is expert on change and one who is expert on themselves.
• Principles of behavior are universal, affecting therapists no less than patients.
• DBT therapists need support and work collaboratively as part of the treatment team.
• DBT therapists can fail.
• DBT can fail even when therapists do not.

• Dialectical Agreement: The DBT team agrees to accept, at least pragmatically, a dialectical philosophy. There is no absolute truth; therefore, when polarities arise, the task is to search for the synthesis rather than for the truth. Because our patients’ inextricably-linked identities transact with their various environments, we consider identity, marginalization, and the struggles caused by systems of oppression through an intersectional lens. The dialectical agreement does not proscribe strong opinions, nor does it suggest that polarities are undesirable. Rather, it simply points to the direction team members agree to take when passionately held polar positions threaten to divide the team.
• Consultation-to-the-client Agreement: The DBT team agrees that team members do not serve as intermediaries for clients with other professionals, including other members of the team. The team agrees that clients will have more opportunity to learn when a DBT provider consults with clients on how to interact with other team members. When providers intervene on behalf of clients, clients lose that opportunity to learn to resolve problems themselves. Thus, when a clinician says things that are unhelpful or ineffective to the client, the task of the other team members is to help their clients cope with this provider’s behavior, not necessarily to reform the provider. This does not mean that the team members do not conduct therapy for the therapist, plan treatment for their clients together, exchange information about the clients (including their problems with other members of the team), and discuss problems in treatment. DBT providers strive to provide such learning opportunities, and only intervene on behalf of clients when it is effective to do so.
• Consistency Agreement: Failures in carrying out treatment plans can be problematic; at the same time, they present opportunities for clients to learn to deal with the real world. The job of the DBT team is not to provide a stress-free, perfect environment for clients. Thus, the DBT team, including all members of the team, agrees that consistency of team members with one another is not necessarily expected; each member does not have to teach the same thing, nor do all have to agree on what are “proper rules” for therapy. Team members can each make their own decisions about how to proceed in therapy, within the DBT frame. Similarly, although it can make for smooth sailing when all members of an institution, agency, or clinic communicate the rules accurately and clearly, mix-ups are viewed as inevitable and isomorphic with the world we all live in. Any time a team member, team, or agency delivers treatment inconsistently (both in relation to other providers and to themselves), it is seen as a chance for clients (as well as team members) to practice the skills taught in DBT. 
• Observing-Limits Agreement: The team agrees that all members are to observe their own personal and professional limits. Furthermore, team members agree not to judge limits different from their own as too narrow or too broad, and instead determine if the limits are effective in a given situation. The team may suggest that a member broaden or narrow limits to become more effective, and at the same time will accept each other’s differing limits without judgment. Team members will do their best to communicate their limits effectively to clients and teammates, and at the same time, clients are expected to ask about, learn, and accept providers’ limits. 
• Phenomenological Empathy Agreement: DBT team members agree, all other things being equal, to search for nonpejorative or phenomenologically empathic interpretations of clients’ behavior. The agreement is based on the fundamental assumption that clients are trying their best and want to improve, rather than to sabotage the therapy or “play games” with their provider. When a teammate is unable to come up with such an interpretation, other team members agree to assist in doing so, meanwhile also validating any frustration or other emotions that may arise for the provider. Thus, DBT team members agree to hold one another nonjudgmentally in the DBT frame. They agree to also search for a nonpejorative interpretation of the behavior of teammates, clients’ family members, and any other relevant individuals, as well.
• Fallibility Agreement: There is an explicit agreement in DBT team that all team members are fallible. Thus, there is little need to be defensive, since it is agreed ahead of time that team members have probably done whatever problematic things they are accused of. The task of the team is to apply DBT principles to one another, in order to help each member stay within DBT. As with clients, however, problem solving with team members must be balanced with validation of the inherent wisdom of their stances. Because, in principle, all team members are fallible, it is agreed that they will inevitably violate all of the agreements discussed here. When this is done, they will rely on one another to point out the polarity and will move on to search for the synthesis. This is especially true for naming (internalized) ableism, ageism, sexism, transphobia, racism, homophobia, and the like as a therapy-interfering behaviors.
• Antiracist Agreement: Therapists must assess their competencies in antiracism prior to beginning treatment with racially marginalized patients, or as soon as possible once they enter the therapeutic relationship. This agreement is incumbent on White DBT therapists without exception, and is encouraged for all DBT therapists. Therapists will share their self-evaluation of competencies in antiracism with consultation team members, in order to facilitate effective team support for therapist’s growth in this competency area. Therapists will make every reasonable effort to increase their competencies in antiracism, including but not limited to: engaging in consultative discussion, openly receiving feedback from others about racist behavior, completing self-reflective exercises about race-related values, attitudes, and beliefs, increasing race-specific knowledge through educational activities, completing homework assigned by consultation team members in order to foster growth in specific antiracist competencies, and making repairs to team members and/or patients when therapist racist behavior is identified.
  

Missed appointments or cancellations made less than 48 hours in advance are still billed at your set session rate. Exceptions can be made for declared weather emergencies or documented medical illness. A weather emergency qualifies if the school district you are zoned for is closed due to weather conditions on the day of your appointment.