Policies
General Contact Information:
Address: 1010 Ednam Center, #203, Charlottesville, VA 22903
Coordinator Phone: 434-207-2078
Coordinator Email: Psychiatry@YoungFamilyMentalHealth.com
Dr. Young Phone: 434-207-2034
Dr. Young Email: EYoung@YoungFamilyMentalHealth.com
Fax: 800-727-1193
Website: YoungFamilyMentalHealth.com
Hours: Tues - Fri, 9am-5:30pm (Off Mondays)
Current Patients:
Scheduling/Admin Needs: Call/text the Psychiatry Coordinator at 434-207-2078 or Psychiatry@YoungFamilyMentalHealth.com on weekdays only.
Non-Urgent Patient Needs: Please message Dr. Young directly through the Charm Portal (response in 0-3 days).
Urgent Patient Needs on Weekdays 9am-5:30pm: Please call/text the Psychiatry Coordinator, and if unavailable, then please call/text Dr. Young at 434-207-2034.
Urgent Patient Needs on Evenings, Weekends, & Holidays: Please call/text Dr. Young directly at 434-207-2034. Please only use this option if there is an urgent need that cannot wait until a weekday.
Crisis: If in a mental health crisis, please reach out to 988 or your local Community Service Board’s Crisis Line (Cville’s Region 10: 434-972-1800).
Emergency: If there is risk of imminent harm to self or others, please call 911 or go to your nearest ER.
*** Please avoid texting us on the weekend, if at all possible - thank you!***
Getting Your Medications:
Medication Refill Policy:
PLEASE NOTE: We do not accept refill requests from pharmacies due to patient safety issues.
Request refills directly through Dr. Young by Charm Portal Message.
Refill requests must be made at least 4-5 days before you run out.
Med refills can be expected within 3 business days.
You can first check your med bottle to see if you have refills left, and if you do, ask the pharmacy to fill it for you.
Prior Authorizations: If your pharmacy says a Prior Authorization (PA) is needed for your medication before filling the prescription, please call/text our Coordinator. If your insurance requests a PA on a medication that costs less than $30 per month, we ask that you tell your pharmacy to fill the prescription using a GoodRx coupon.
GoodRx.com Coupons: Sometimes the "GoodRx" coupon cost for a med is cheaper than your insurance copay. If the pharmacy tells you the copay amount is significantly higher than expected, please ask what the out-of-pocket GoodRx cost is instead. You can tell the pharmacy whether you want to pay your insurance copay (which goes to your deductible) or pay the GoodRx cost, which does not go through insurance.
Getting Your Medications: If you have not received an ordered med within 3 days, please call/text our Coordinator and we will figure it out quickly.
Med Costs: All meds we prescribe should be less than $50 for a 30-day supply, with a few exceptions. If you get to the pharmacy and are told the cost is higher than this, please call/text our Coordinator before paying so that we can help sort it out quickly.
New Medications or Medical Problems In Between Visits: While taking a psychiatric medication, please let us know within 24 hours if you ever have any fainting, chest pain, heart racing, uncomfortable heart beats (palpitations), trouble breathing, lightheadedness, difficulty eating, weight loss, eating disorder, seizure, falls, new medications, or new diagnoses related to any of the above.
Other Practice Policies:
Principles: Dr. Young practices patient-centered, evidence-based medicine. This means that she will always trust and respect your honest experience, offer you individualized treatment options, and fully support your informed decisions while highly prioritizing your confidentiality and safety.
Confidentiality: For your privacy protection, we leave it to your discretion to share all, part or none of your treatment plan with other providers. Limits of confidentiality are further discussed on the Practice Policies Consent Form signed before the intake visit.
Parents/Guardians: Please feel free to send a Portal message with updates on how your child is doing before the visit. If your child is <18, a guardian must be available for the last 15 minutes of a visit to discuss and gain consent for the plan, either in person or by phone.
Collaborative Care: The highest benefit from medication is often achieved when used in conjunction with therapy. Meds can help improve mood and function and “grease the wheels” for therapy to pave new neuronal pathways in the brain toward healthy thoughts, feelings and actions. If you would like to have an individual therapist in your corner, we can help match you with a therapist who fits your style, personality and needs.
Therapy Changes: Let us know if you change how often you do therapy or if you stop therapy, as it may change the frequency of our follow-up visits.
Texting: Please avoid texting us on the weekend, if possible. Please use Portal messages whenever possible to connect with Dr. Young instead of texting. Please note that we cannot guarantee text messages are read or sent a response.
Forms, Letters, and Reviewing Records: Forms, letters, and reviewing records are best completed during visits. If needed outside of a visit, please allow 7-10 business days for completion, with prorated charge for time spent.
Stimulants and Controlled Substances:
Stimulant and Controlled Substances Refills:
The DEA does not allow stimulants to have automatic refills on them, so there will always be “0” refills listed on the pill bottle.
Request a refill when you have at least 4-5 days left of medication.
Request a controlled-substance refill by Charm Portal message only.
For your patient safety, we do not accept faxes from pharmacies requesting refills.
Staying Within DEA Laws: I trust my patients to only use their controlled meds as prescribed and follow the “9 S's" to avoid misuse: Please do not Sniff, Snort, Sell, Share, Stop, Split, Self-adjust dose or frequency, Seek from other providers without letting me know, or let it be Stolen. If you are not taking the controlled med as prescribed, please let us know and we will help, without judgment and with shared decision-making.
New Medical Problems: While taking a stimulant or controlled substance, please let us know within 24 hours of ANY fainting, chest pain, heart racing, uncomfortable heart beats (palpitations), trouble breathing, lightheadedness, difficulty eating, weight loss, eating disorder, seizure, falls, new medical problems, or new medications. Using a stimulant or controlled substance with any of these issues or with some medications can lead to negative health consequences and even death, and our aim is to help you be safe, healthy and thriving.
90-day Supplies: Stimulants can be prescribed for a 90-day supply, however some insurance companies will only pay for 30-day supplies at a time. If this happens to you, these are the following options:
I can send three consecutive, pre-dated 30-day prescriptions to your pharmacy
I can send a 90-day supply to a mail-order pharmacy as insurance companies will often pay for that method
You can pay out-of-pocket for a 90-day supply using GoodRx, which is often cheaper than using your insurance
National Stimulant Shortages: If your pharmacy is out of stock of your med, we ask that you provide us with an alternative pharmacy that you have called to ensure they have at least a 30-day supply of the dose you need.
Lost/Stolen Meds: Be careful with your meds! If they are lost, VA law requires you to submit a police report to get a replacement supply.
Self-Pay Rates:
Dr. Young is currently self-pay for the physician visit, and we can provide a “superbill” for you to submit for possible insurance reimbursement of visits only. Rates are listed on the Practice Policies Consent Form signed prior to initial visit and include:
$600 for initial visit
$300 for 60-minute follow-up visit
$175 for 30-minute follow-up visit
Prorated $300/hr for additional physician time spent outside of visits during work hours (Mon–Fri, 9am - 5:30pm) on billable tasks, including care coordination, forms, letters, record review, meetings, and phone calls.
Prorated $450/hr for calls and care managed after hours, on weekends, or holidays.
Rates, billable tasks, and court fees are listed on the Practice Policies Consent Form signed prior to initial visit.
Mental Health Tips:
Sleep. Sleep is key. Try to keep a bedtime routine to “power down” your body, go to bed and wake up around the same time every day, and have a cutoff time or duration for any online scrolling.
Exercise. Exercise can lift moods, give more energy, and make it easier to sleep at night. Even a brief daily walk outside has mood benefits.
Avoid alcohol and other substances. Alcohol and other substances can increase suicidal thoughts and make a person more likely to act on them. Ask for help if you find yourself using alcohol or substances as an escape.
Enjoyable activities. Engage in a hobby. Give yourself permission to say “no” to things that don’t bring you joy. Connect with people who make you feel good in healthy ways.
Engage with a mentor. Having one trusted, caring adult in your life, at any age you are, is one of the most protective factors against suicide. This could be an extended family member, teacher, community leader, neighbor or anyone else who believes in you, listens to you, and reminds you of how important you are.
Safety:
If you feel you are at risk of harming yourself or someone else:
Reach out and talk with someone you trust
Avoid using drugs or alcohol when having those feelings
Remove access to any items that you might use to hurt yourself
Do not be alone; call someone whom you trust to come be with you
Call the 988 suicide prevention hotline for support
Call 911, 988, or go to your local emergency department
Resources:
National Suicide Prevention Lifeline: call/text 988, suicidepreventionlifeline.org
Crisis Text Line: text HELLO to 741741, crisistextline.org
Community Service Board: 434-972-1800 (Region 10), dbhds.virginia.gov/community-services-boards-csbs
The Trevor Project: text 678-678, call 866-488-7386, thetrevorproject.org
LGBT National Help Center Hotline: 888-843-4564, www.glnh.org
RAINN National Sexual Assault Hotline: 800-656-4673, hotline.rainn.org/online
