Keystone Mental Health Services



Keystone Outpatient Mental Health Services is a mental health practice that provides professional services: mental health assessments/evaluations, treatment, and community consultation.


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The Keystone Mission:  We seek to improve the mental health & well-being of clients, many who traditionally have limited access to mental health care, by decreasing symptoms (psychological/behavioral/emotional), and increasing functioning (psychological/behavioral/emotional/developmental) through early intervention.

What can we help with?  We treat many types of difficulties faced by children, parents, and families:
concerns such as depression, trauma reaction, anxiety, school problems,
attention problems, disruptive behaviors, family problems, child development, grief, and parent coaching are among the many problems we address.
We also provide diagnostic clarification, answer to questions about level of functioning,
identification of problems and recommendations for services, and many others.


What services do we offer?  Our “product” is a full continuum of mental health care:

  • Individual, family, and group treatment (psychotherapy)
  • Psychological Evaluations
  • Mental Health Assessments, Mental Health Screenings
  • Parent coaching
  • Community and professional training and education
  • Psychiatric medication management (for Keystone psychotherapy clients only)

Continuity of care necessitates that assessment directs and is tied to treatment planning, and this connection between treatment and on-going assessment is maintained throughout the service encounter of a client.

Who provides the services?  Trained and licensed (or license eligible) mental health practitioners:

  • 4 licensed doctoral level psychologists
  • 3 licensed clinical social workers
  • 1 psychiatrist
  • 1 RN to support psychiatry services

All mental health practitioners have at least 5 years or more clinical experience. The Director of Clinical Programs/Keystone Program Manager has been licensed in MO for over 25 years.

Who do we provide services to?  Our “clients” are the recipients of our mental health care; those persons referred because of mental, emotional, developmental, and behavioral concerns.

We assess, screen, & evaluate the functioning of adults, teens, children, and toddlers as young as 18 months old. We treat (with psychotherapy and medication management) adults and families with children 12 years & under. We are active in community education for agencies and practitioners who have similar treatment clients and missions to ours; this service is available upon request.

How are services paid for?  There are many payment resources for Keystone:

  • Health insurance (including Medicaid and Medicaid Managed Care Plans). Clinicians maintain credentials for paneled membership and apply for acceptance to new insurance panels.
  • Sliding fee scale. This scale of adjusted payment is based on income and family size. It is provided upon client’s request and application.
  • St. Louis County Children's Services Fund supports the cost of providing all mental health services to county residents.
  • St. Louis City Mental Health Board Children's Services Fund supports the cost of providing all mental health services to city residents.
  • Adult court-ordered services are paid through MO Children’s Division at the request of the caseworker.

How do we approach quality of care for clients?

  • Through our philosophy, values, and approaches to client care.
  • Our professional activities are driven by client well-being
  • Clinical actions are based on the therapeutic benefit to a client’s mental health
  • Keystone practices adhere to researched findings of the disciplines of clinical psychology, clinical social work, and psychiatry
  • Recognition of the whole individual and/or family system in treatment
  • Utilization of a bio-psycho-social approach to assessment and treatment
  • Our identity is that of professional mental health care practitioners

Our view of our clients:

Care is favorably impacted when clients are treated with respect and dignity, despite age, cultural background, socio-economic status, or third-party payment source. Each client is entitled to services within a private setting, by a competent and licensed (or license eligible) professional. Also, each client is entitled to “active treatment”; that is, to be involved in their own treatment through informed consent, safe choices, and collaboration with our service providers.

No one will be denied access to Our Little Haven’s Keystone Mental Health Services due to inability to pay.  Keystone offers several resources to cover the costs of services, including community service funds, and acceptance of private insurance, Medicaid, and other public funding.  Also, a discounted sliding fee schedule based on income and family size is available.

We recognize, adhere to, and support the rights of clients, legal mandates regarding mental health service delivery and privacy, state and federal laws, and ethical and best practice guidelines of our professions. Clinical supervision and Case Consultation Team provide support of clinicians toward quality of care for the clients served.