Wyoming Partnership Access Line
What is the Partnership Access Line?
The Wyoming Partnership Access Line (PAL) supports community clinicians (doctors, nurse practitioners, therapists, social workers) with questions about mental health care such as diagnostic clarification, medication adjustment or treatment planning.
PAL also has a master’s-level social worker available to assist with finding mental health resources for your patients.
The PAL program is funded by the Wyoming Department of Health and is available to providers caring for any patient in Wyoming, regardless of insurance type. The phone consultation is covered by HIPAA, section 45 CFR 164.506; no additional release of patient information is required to consult by phone.
Call 877-501-7257 Monday through Friday, 9 a.m. to 6 p.m., Mountain Time, to be directly connected to a PAL child and adolescent psychiatrist.
MDT Psychiatric Evaluations (“Washington Evaluations”)
Multidisciplinary team (MDT) psychiatric evaluations are available to children involved with Wyoming’s Department of Family Services (DFS) and community clinicians working with WYhealth. This evaluation can be used to inform the patient’s care team of a broad range of treatment planning issues, including level of care, diagnosis, medication strategies and appropriate psychosocial supports. It can also serve as the physician order for admission to a psychiatric residential treatment facility (PRTF).
To request an evaluation:
- Complete the MDT referral form (online submission).
- Complete and sign the applicable consent forms:
- Records are not required at the time of referral submission. Specific records will be discussed in a follow-up call with the program social worker.
Call 206-987-7932 Monday through Friday, 9 a.m. to 6 p.m. Mountain time with any questions.
Consultations for Developmentally Delayed (DD) Adult Patients
PAL consultations for patients on the DD waiver should be initiated directly by the ECC via fax. For non ECC related requests, providers of DD patients may call directly into the WY PAL line to speak with a Psychiatrist.
- What to expect (PDF)
Call 877-501-7257 Monday through Friday, 9 a.m. to 6 p.m., Mountain time.
Medication Review Program
Second-opinion medication reviews are requested from the state when psychiatric medication is prescribed outside of state guidelines. A review will be triggered for:
- Children receiving 2 or more atypical antipsychotics (AAPs)
- Children age 4 or younger receiving psychotropic medications
- Children receiving 5 or more psychotropic medications
- High doses (2 times FDA maximum)
It is important to note that Seattle Children’s Hospital psychiatrists are one step in the state-mandated medication review process. We do not set state guidelines or flag specific medications, but we do believe in the value of peer review and provider-to-provider collaboration.
- PAL publishes Primary Care Principles for Child Mental Health yearly. This guide is based on current evidence in the literature about mental health treatments in children. It is a digestion of current knowledge into focused practical points for the primary care physician.
- Providers can earn CME by attending our mental health conferences free of charge.
Frequently Asked Questions
No. The PAL line is designed to be a consult service for community clinicians only (doctors, nurse practitioners, therapists, social workers). Consulting with families directly is outside the scope of our service, and families will be redirected to their care team for assistance.
No, you do not need patient authorization or consent to call PAL. This is due to the following:
- No bill or payment is collected for a PAL call. Therefore, no financial consent is needed.
- Provider-to-provider consultation is covered within the boundaries of the Health Insurance Portability and Accountability Act (HIPAA).
If your patient is currently in crisis, call 911. If your patient is not in imminent danger, our PAL consultants are available to discuss best practices for treatment and support.
PAL cannot expedite or change the admitting process for Seattle Children’s Psychiatry and Behavioral Medicine Program, despite our affiliation with the hospital.
- Please see Seattle Children’s Psychiatry and Behavioral Medicine Unit for more information on inpatient care.
- Please see Seattle Children’s Psychiatry and Behavioral Medicine for more information on outpatient care.
MDT evaluations may be requested by Wyoming’s DFS case workers and community clinicians working with WY Health. To contact a behavioral health advocate at WY Health Optum, please call 855-690-0364.
Yes, the psychiatrist needs to interact with the patient to get a better sense of their needs.
Our psychiatrists are not licensed to practice in states other than Wyoming and Washington.
Generally, the report will be sent via secure email within 5 business days of the evaluation.
See a list of all Wyoming Public Health offices.
- Afton Department of Family Services
- Buffalo Department of Family Services
- Casper Department of Family Services
- Casper Juvenile Detention Center
- Catholic Charities of Wyoming
- Cheyenne Department of Family Services (East Pershing)
- Cody Department of Family Services
- Douglas Department of Family Services
- Evanston Department of Family Services
- Gillette Department of Family Services
- Jackson Department of Family Services
- Lander Department of Family Services
- Laramie County Detention Center
- Laramie Department of Family Services
- Normative Services
- Park County Detention Center
- Rawlins Department of Family Services
- Riverton Department of Family Services
- Rock Springs Department of Family Services
- Sweetwater County Detention Center
- Sheridan Department of Family Services
- Specialty Counseling and Consulting
- Thermopolis Department of Family Services
- Wheatland Department of Family Services
- Worland Department of Family Services
- Wyoming Behavioral Institute
- Wyoming Boys' School
- Wyoming Girls' School
PAL will be closed the following days in 2020:
- New Year's Day – Wednesday, January 1
- Martin Luther King Jr. Day – Monday, January 20
- Presidents Day – Monday, February 17
- Memorial Day – Monday, May 25
- Independence Day (observed) – Friday, July 3
- Labor Day – Monday, September 7
- Veterans Day – Wednesday, November 11
- Thanksgiving – Thursday, November 26
- Day after Thanksgiving – Friday, November 27
- Christmas Eve – Thursday, December 24
- Christmas Day – Friday, December 25