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Medication Management at Family Psychological Services: FAQs

The decision to take medication or to have your child take medication is a serious one. Family Psychological Services offers an integrated approach to medication management, increasing compliance and efficacy. Our Nurse Practitioner, Kelsey Daugherty, DNP practiced at the masters level for two and a half years at Family Psychological Services before completing her doctorate in May 2017. Dr. Kelsey prescribes under a protocol signed by Lawrence physician Ryan Neuhofel, DO MPH. She is usually available four days a week. She offers two one-hour Walk-in Medication Consults. The first is from 8:00am to 9:00am and the second from 5:00pm to 6:00pm. The days of the week may vary. Please follow Dr. Kelsey on twitter @KelseyDNP for live updates. You can do this either with the twitter app or you can simply come back to this page and look to the right column for updates. You can also Google @KelseyDNP from anywhere to receive the same feed.

To get the most out of your experience at our office, please read the following medication guidelines listed in the form of Frequently Asked Questions. Our goal is to balance Kelsey's accessibility to her clients with efficient time management. As our practice has grown, Kelsey now has hundreds of clients, and more wanting to get in all the time, making this efficiency vital. You can help your medication team (you, your child, your therapist, Kelsey, and the office staff) by following these protocols. Please bookmark this page so you can come back to it later when the need arises.

1) Do you provide medication management services to people who are not seen in psychotherapy at Family Psychological Services?
No. We only see clients for medication management who are ongoing psychotherapy clients at our office. We do not do medication management for other providers in the community. This policy does not mean that you will simply see a therapist once or twice before you get to see Kelsey. It means that we integrate medication with psychotherapy from the time you come in to see us until the time you complete treatment. If you reach a point where you've completed your psychotherapy plan and your therapist releases you, the treatment team will discuss whether to continue maintenance med management or refer you to your primary care physician (with his or her permission). If you discontinue psychotherapy against the advice of your therapist, Kelsey will assist you over a maximum of ninety (90) days to transfer services to another prescriber. She cannot continue you beyond 90 days under these circumstances.

2) What if I or my child experience a mental health or medical emergency?
Please contact your nearest emergency room or urgent care. Never use an email or voice mail as an alternative to seeking in-person medical attention. If you have an urgent (not emergent) concern, use Kelsey's dedicated medication line (785-371-1396) and leave a message explaining the concern in as much detail as possible. Never use this line for scheduling or to simply ask for a callback. You may wish to consult with your therapist if you're uncertain whether your situation constitutes a crisis.

3) What if we need to contact Kelsey about a non-emergent side effect or to discuss the effectiveness of the medication? 
Kelsey can't do this over the phone or in text. If she tried to, two or three hours of each day would be consumed and those would be hours clients couldn't schedule to see her. For such concerns, please schedule a face-to-face appointment or FaceTime or Zoom video chat appointment by calling the main office at 785-371-1414. Be aware however, that FaceTime or Zoom appointments are rarely covered by health insurance. Unless your therapist or Kelsey tells you otherwise, you probably should not use walk-in clinic for a concern of this kind, as Kelsey will need a full 30-minute appointment to assess the situation.

4) When can I use walk-in clinic?
Walk-in clinic is reserved for current clients who simply need refills or minor dose adjustments to existing medications that can be completed in ten minutes or less. It usually happens twice a day three days a week, once at 8:00am and again at 5:00pm. However, before planning to attend, please check Kelsey's Twitter feed for any changes or modifications to the schedule. You do not need a Twitter account to do this bookmark this page on your phone and click this link or Google ‘@KelseyDNP’ and select the first link in the search results. Every Friday Kelsey tweets updated walk-in information at least three weeks in advance. This is also the way she notifies her clients about cancellations due to inclement weather, unexpected leave, or illness. She also shares helpful information and tips regarding safe and efficient medication management.

5) How long can I go between medication appointments?
That depends. If your medication is stable (you and Kelsey agree it's doing what you want it to do and the side effects are tolerable) she is likely to send an order to your pharmacy for up to ninety (90) days of medication. However, if you are new to our office or you and Kelsey have not yet decided that your medicine is as it should be, the interval will likely between thirty (30) to ninety (90) days. We realize that these might be shorter spans than your primary care physician (PCP) allows. A key value of having your medication done at Family Psychological Service is that we follow your case closely, so you must be seen by Kelsey a minimum of four times a year. If you prefer a longer interval between medication checks, Kelsey can help you transfer your medication to your PCP. However, she may not be willing to transfer you back and forth if you need a re-evaluation in a short period of time (e.g., within the same year).

6) What should I do when I need a refill of medication?
You will have enough refills to take you to the next med check appointment with Kelsey. The best way to be sure you get refills is to make an appointment with Kelsey before leaving her office and to plug that into your calendar. You can also ask Carrie or your therapist to make an appointment with Kelsey if you're unable to do so before you leave the office. If you prefer to use the walk-in clinic or to make an appointment later, we suggest you put an alarm into your phone that reminds you about two weeks in advance to make the appointment. If at any time your pharmacy states that you are out of refills, first ask them to double check this. If they are certain you are out of refills, move on to FAQ #7 below. NOTE: Never contact Kelsey or the FPS front office to request a refill. No refill requests made via email or voice mail will be honored and the entire process will bog down if you try to go this route.

7) What if the pharmacy says we don't have any more refills?
First check your calendar and see if you are over your med check deadline. This is nearly always the case if the pharmacy says you are out of refills. You can also simply ask the pharmacist. Every time Kelsey rejects a refill request, she enters a note that explains why. That note is electronically transmitted to the pharmacy. If the pharmacist claims they don't know why the refill was denied, ask them to check that note. Immediately make an appointment by calling 785-371-1414 or come to the next walk in clinic. Much time is wasted by clients and our staff hunting down prescriptions that Kelsey has already sent but which, for reasons we cannot discern, do not appear at the pharmacy. Kelsey gets a receipt of each prescription sent if you need any proof to help your pharmacy avoid situations like this in the future. Once you've made an appointment, Carrie will contact Kelsey and let her know to provide a "short" prescription, meaning just enough medication to get to the next appointment. If you do not attend the next appointment for any reason other than a health concern, Kelsey will not extend the script again and will refer you to your primary care doctor. NOTE: Never contact Kelsey or the FPS front office to request a refill. No refill requests made via email or voice mail will be honored and the entire process will bog down if you try to go this route. 

8) Do refills work differently if I'm prescribed a controlled substance like stimulant medication for ADHD?
Yes it is, but it's more a matter of electronic management than an actual difference in how prescriptions work. Stimulants are regulated under different federal guidelines than other medications, so when you ask about refills at the pharmacy or examine this on their portal, you and the pharmacist will always see “0 refills” or “Dr. Authorization Required” listed on every stimulant prescription bottle. It will make more sense if you to think of each stimulant “refill” as a new prescription. In the days before electronic prescribing you actually had to carry three different pieces of paper, and at one point you weren't even allowed to do that. Thinking of your prescriptions this way explains why you never seem to have refills of stimulants, when you actually do. As with all other medications, Kelsey will not provide more than three scripts at one time for stimulants (i.e.., a 90-day supply). If you are not yet stable on medication, the interval will be shorter. Because you cannot rely on the refill data to gauge your remaining medication, it's doubly important for you to make your follow-up appointment before leaving our office and then mark it on your calendar or set an alarm in order to keep track of when you are authorized to fill your stimulant medication. When it comes to these medications, there aren't any other good workarounds.

9) Does a parent need to accompany their minor (under 18 year old) child to medication appointments?
Yes. A custodial parent must attend the first medication evaluation with the child. This cannot be step-parent unless that person presents a document indicating the court has allowed him or her make medical decisions. Kelsey may allow older teens deemed to be competent minors to attend their medication checks by themselves after they are stable on medication, but this is at her discretion. For anyone twelve (12) and up, assume that a parent needs to attend until Kelsey says otherwise.

10) Can I use any pharmacy I want??
Yes and no. As of June 1, 2019, we have elected Sigler Pharmacy at 4525 W 6th Street Lawrence, Kansas as our community partner. In the last five years we've found Sigler to be the most prompt and reliable pharmacy in Douglas County. Our goal in this partnership is to ensure you have a reputable, consistent, knowledgeable pharmacy team to help guide you through medication issues, from insurance delays to refill authorizations. These issues are not only frustrating and time-consuming they can lead to a lapse in medication use. In the event that an insurance-mandated prior authorization is required for a certain medication, some delays are unavoidable. However, it would be great if pharmacy staff fully explained insurance authorization processes, so clients felt less clueless about insurance coverage. It would also be great if the pharmacy promptly alerted you when a refill request was denied by me on account of you needing to be seen for an appointment. We expect that kind of service in a pharmecy, but it doesn't always go so smoothly.

At Sigler, efficiency, stellar communication, professionalism, and flexibility are offered at each and every turn of the medication journey. High-quality care is their standard of practice. We encourage you to examine Sigler's website to learn more about the services they offer, including electronic refill requests through the Rx2Go app, free home delivery, prescription mailing, and bubble packing for those taking multiple medications and/or supplements. Sigler will also honor manufacturers and GoodRx coupons. 

You are free to select a different pharmacy. However, if you do so, we will only provide paper prescriptions, thus taking us out of the middle of an electronic prescription process that we cannot guarantee will work on any given transaction. Sigler allows us to feel confident in the electronic prescription process. If you elect a different pharmacy, and thus to use a paper script, you will need to be even more diligent in making and keeping your regular med-check appointments because we will not fill electronic prescription refills anywhere else. You will not be able to refill a prescription until you meet with Kelsey face-to-face and and take the paper script(s) with you.


Kelsey's Medication Line
Existing clients can use this phone number to leave a voicemail for Kelsey. Please do not just ask for a call back. Leave a detailed message including client's name, date of birth, and exactly what you're needing. Before you call, re-read the guidelines to the left. The line is not for refills or scheduling or to consult on a serious side-effect. To do that call 785-371-1414 and make an appointment.

Open Clinic
Dr. Kelsey usually holds two walk-in medication consultations a day, three days a week from 8 to 9am and from 5 to 6pm. These have proven very popular so, come at the beginning of the hour to get your place in the queue. All walk-in clients must have an open chart at FPS, be stable on medication or need only minor changes in dosage which can be completed in a 10 to 15 minute appointment. Clients are seen on a first-come first-serve basis. Walk-in is not available for non- or new clients or those whose medications are not yet stabilized. Because the days walk-in clinic is held can vary slightly from one week to the next, please follow her @KelseyDNP or just click this link for live updates on her clinic, openings in her schedule, and medication management tips.

Medication Integration
In order to improve the overall quality of service and outcomes, we only see clients for medication management who are also being seen for psychotherapy. We encourage new clients to transfer their med management to our office to improve the communication between prescriber and therapist. Occasionally, with complex cases, we require this as a condition of service. We think you'll like this team approach to treatment.