Mental Health Therapy

People with Down syndrome and other developmental disabilities deserve investment in their mental health. Our specialized mental health services, provided by licensed and certified therapists, improve quality of life and daily functioning by teaching skills related to the following topics: emotional resiliency, conflict and stress, grief and loss, acceptance of diagnosis, and transitions across the lifespan. Services are provided directly to the individuals with ID/DD, with additional supports included to increase caregiver resiliency and support the entire family’s emotional well-being. Therapists will use a strengths-based approach focusing on solutions for daily life.

Intake Form for Mental Health Services

This interest form will be received and reviewed in confidence by only the practitioners involved in the delivery of these services.  Information provided will help practitioners determine eligibility for grant-funded programs available at Down Syndrome Innovations.

All families are eligible to participate in mental health services including individual sessions and group sessions.  More information regarding cost of services will be provided in a follow-up email.

Johnson County families will be asked to provide insurance information to determine eligibility for individual mental health therapy sessions through a partnership with Johnson County Mental Health.

Person Filling Out Form

First Name 

Last Name 

Relationship to person with developmental disability

Please select... Mother Father Guardian Sibling Caregiver

Phone

Email

Person with a Developmental Disability

First Name

Last Name

Date of Birth (mm/dd/yy)

Gender (required by funder) 

Please select... Female Male Gender nonconforming Other Prefer not to say

Race (required by funder)

Please select... White American Indian Asian Black or African American Hispanic or Latino Native Hawaiian Other Prefer not to say

Street Address

City

County

State

Identified diagnosis/diagnoses (select all that apply)

Down syndromeAutism spectrum disorderIntellectual disability, learning disorder, or language disorderAttention-Deficit/Hyperactivity Disorder (ADHD)Other

For person with developmental disability 18 years old or older, please select the statement(s) that best describe decision-making:

Own guardian and decision-maker.  Makes final decisions about life, including mental health services.Has a legal guardian who will assist or make decisions, including decisions regarding mental health services.Utilizes Supported Decision Making - caregivers will support with information, but ultimately makes decisions about life including mental health services.

Funding for the pilot mental health programs are applicable to those with a formal diagnosis of an intellectual and developmental disability, and also specific to counties of residence. Further documentation may be requested to confirm eligibility.  Those who do not meet immediate eligibility will not be turned away but may be placed on a waiting list until further funding is available.

For Johnson County Residents Only

Primary Insurance Provider

Secondary Insurance Provider

I prefer to receive and fill out intake documentation

Digitally, via emailOn paper, via mail

 I am interested in (check all that apply)

Individual mental health therapy sessions for my loved one with a developmental disability.Therapeutic small group sessions for my loved one with a developmental disability and a caregiver.Family mental health therapy sessions to address challenges related to our loved one with a developmental disability.Learning more about mental health services.

Who referred you to this service or how did you hear about us?

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