Milestones
Clinical Programs

Milestones is a certified outpatient mental health clinic offering a wide range of supports.
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With 20 years of experience, we offer a unique blend of behavioral and therapeutic approaches to address mental health needs and provide personalized care for each client.

Milestones has master’s-level clinicians and a variety of support services staff available to meet the needs of children, adolescents, adults, families, and individuals with developmental disabilities.

ADHD

Autism Spectrum Disorder

Generalized Anxiety Disorder (GAD) 

Intellectual or Developmental Disability 

Major Depressive Disorder

Mood Disorders

Neurodiversity 

Obsessive Compulsive Disorder (OCD)

Panic disorders

Personality Disorders

Phobias 

PTSD

Selective Mutism 

Separation Anxiety 

Social Anxiety 

Trichotilliomania

At this time, Milestones does not offer treatment for disordered eating or substance abuse.

For information on Therapy Services, email Logan Pfeifer at lpfeifer@stonebelt.org.
Milestones Clinic offers psychiatric services and medication management as needed by clients.
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Medication management is an ongoing process that can include supporting clients in determining medication needs, maintaining clients’ prescriptions, ensuring individuals derive the maximum benefit from prescribed medications, and addressing medication issues.

How do I access Milestones’ medication management services? 
You can access medication management services from Milestones Clinic either by seeing a Milestones clinician for mental health services or through a referral from your existing provider. 

Do I need to have a dual diagnosis (mental health and IDD) to access medication management from Milestones? 
No, medication management services are also available to individuals without an intellectual or developmental disability. To access medication management, you must have a mental health diagnosis, either from Milestones Clinic or another mental health care provider. 

What sort of diagnoses may access medication management? 
Milestones Clinic provides medication management for individuals experiencing ADHD, depression, OCD, autism, and other diagnoses. For more details, please contact Infiniti Bland at ibland@stonebelt.org. 

Does Milestones Clinic offer pharmacy services? 
No. Milestones Clinic provides medication management services, but prescriptions must be filled through a pharmacy. 

For information on Medication Management, email Infiniti Bland at ibland@stonebelt.org.
Skills Development is provided as one component of Medicaid Rehabilitation Option services, in partnership with Centerstone.
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Our partnership with Centerstone enables Milestones to offer Skills Development services to individuals experiencing mental health impairments.

Through coaching, skills education, and training, we support clients in modifying or relieving symptoms that may disrupt relationships, social participation, or everyday life. We work with clients, their family, and their staff, both in the home and in the community, to strengthen skills wherever a client needs them.

Individualized treatment plan.

Home-based interventions.

Coordination between home and other providers.

Parental engagement.

Parent and staff training.

Social and community-based interventions.

Increased community participation and inclusion.

Management of stress/social anxiety.

Coordination between home and social/leisure providers.

Have a dual diagnosis (intellectual or developmental disability and mental health diagnosis.)

Are school-aged, adolescent, adult, or senior.

Frequent behavioral outbursts.

Sudden change in social interactions.

Change in sleep or dietary patterns.

Social withdrawal.

Emotions that do not match situations.

Inappropriate aggression or sadness.

Feelings/thoughts of hurting oneself.

Anxiety.

Excessive emotional reactions.

Oppositional-Defiant behavior.

Poor skills of daily living (i.e., hygiene, organization, communication, problem solving.)

For information on Skills Development, email Yasuo Miakashi at ymiakashi@stonebelt.org.
Behavior support helps individuals with intellectual or developmental disabilities build skills that support emotional regulation and help increase independence.
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We work with adults and school-aged children who have intellectual or developmental disabilities – and the people who support them – to better understand behaviors and build practical, positive strategies for everyday life.

Have either a Family Supports Waiver (FSW) or a Community Integration and Habilitation Waiver (CIH).

Have challenging behaviors that pose a danger to themselves or others.

Are school-aged, adolescent, adult, or senior.

Assessment and Observation:
During assessment and observation, our team works to understand what behaviors are getting in the way of an individual achieving their best quality of life, and the “why” behind these behaviors. We recognize that challenging behaviors are just one way of communicating needs, and we work to support individuals in feeling safe, confident, and understood so they can build other ways of communicating.

Behavior Support Plan Development:
In developing a Behavior Support Plan, we go step-by-step through identifying triggers for challenging behaviors and building replacement skills that they can use instead. We also assess options to change the client’s environment to reduce triggers and create strategies for caregivers and staff to support the client.

Family, Staff, and Caregiver Training:
In addition to directly supporting the client, we prepare family members, staff, and caregivers to utilize the Behavior Support Plan. Our goal is to create a strong support system and keep everyone safe as clients build new skills.

Consultation:
Not all challenging behaviors require a full Behavior Support Plan – consultation services offer less intensive support for up to 3 hours per month. Consultation can also be used as needs change over time, for example, while navigating Dementia or Alzheimer’s Disease.

For information on Behavior Management Services, email Melanie Litke at mlitke@stonebelt.org.
Recreation Therapy utilizes activity-focused interventions to support clients in meeting self-identified goals and improving overall quality of life.
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At Milestones Clinic, Recreation Therapy is individualized to each client’s interests, abilities, and needs. Certified Therapeutic Recreation Specialists work with clients to build confidence and self-esteem, strengthen emotional regulation, and cultivate skills, hobbies, and activities that help make every day meaningful.

Individualized sessions can include a wide variety of activities, including art, play, music, sports, community activities, games, creative dramatics, and more.

Have either a Family Supports Waiver (FSW) or a Community Integration and Habilitation Waiver (CIH).

Are interested in utilizing play and recreation to gain or build upon their skills.

Are school-aged, adolescent, adult, or senior.

Increase confidence, social skills, and community engagement.

Strengthen decision-making and communication skills.

Develop self-expression strategies.

Identify individual strengths and interests.

Explore adaptive techniques for leisure activities.

Reduce symptoms related to mental health diagnoses.

Develop natural supports in the community.

Engage in emotional processing or coping through activities.

Develop healthy emotional and physical outlets.

Build water safety and basic swimming skills.

Improve physical abilities (i.e., fine motor skills, gross motor skills, coordination, strength.)

For information on Recreation Therapy, email Melanie Litke at mlitke@stonebelt.org.