Down East Community Hospital
11 Hospital Drive, Machias, ME 04654
Phone: 207.255.3356

Behaviorial Health

Down East Community Integrated Behavioral Health
11 Hospital Drive, Machias

The Integrated Behavioral Health service at Down East Community is provided through a partnership with Acadia Hospital’s Integrated Behavioral Health program.  This program is consultative and designed to maximize patient and provider access to behavioral health expertise within outpatient medical practices.  We adapt an evidence-based model of collaborative care to most effectively serve the population of each individual practice, provider and patient.  As integrated providers, we are guided by principles of team based care that include shared goals, clear roles, mutual trust, and effective communication.
Who does Integrated Behavioral Health help?
  • Patients get convenience, minimized stigma, and improved continuity of care.
  • Medical providers gain on-site, accessible experts to support their work.
  • Behavioral health providers collaborate with medical providers to provide whole-patient care.
On-site experts
  • Licensed Clinical Social Workers (LCSW’s)
  • Psychiatric Mental Health Nurse Practitioners (PMHNP’s)

Contact Information

Phone:  255-2570
Fax:      255-2571

Our Integrated Behavioral Health team provides program implementation, guidance and operational support and works with each medical practice’s information systems, legal and compliance departments to develop effective work flow and documentation.
We collaborate with medical practices to innovate practical real-world solutions to bridge the care gap between behavioral health and medical care.
We are trained in brief, evidence based interventions.  We can also provide administrative and clinical supervision and training.
This Integrated Behavioral Health model results in care that is consistently patient-centered, evidence-based, measureable, population-based, and accountable. 
Some benefits of successful integration include:
  • Support for managing the complex and persistent needs of patients with behavioral health, substance misuse, and co-occurring medical diagnoses.
  • Increase access to whole patient care by addressing stigma, discrimination, and fragmented services.
  • Improve productivity of providers and overall patient health.
  • Open channels of communication between treatment team and patient by integrating documentation into the primary care or medical specialty medical record.
  • Support populations at high risk for substance use or behavioral health problems that can serve as barriers to improving patient health.
Integrated Behavioral Health role in policy and administration
  • Provide education to providers, administrators and the public about impact of co-occurring and underlying behavioral health and substance misuse issues.
  • Advocate for policies that educate and support patients and improve workflow for practices to provide whole patient care.
  • Engage in community, state, and national conversations about public health and the role of Integrated Behavioral Health.
Meet the Team

Helen Deuschle is a Licensed Clinical Social Worker.  Helen received her BA from Boston University and her MSW from Simmons College School of Social Work.
Helen has joined the staff at Down East Community Hospital as part of the new Integrated Behavioral Health Team.  She has more than 30 years of experience, with eight years working a Massachusetts General Hospital.  She has worked in a variety of settings including schools, early intervention programs, and community mental health centers.  She most recently worked as Behavioral Health specialist at Island Family Medicine in Stonington, part of Blue Hill Memorial Hospital.  She has a strong interest in working with patients who have medical problems complicated by significant levels of anxiety, depression, and post-trauma.  She provides a range of therapies from insight oriented treatment, cognitive behavioral therapy, bereavement, and family therapy.  She believes in helping clients build skills that they can apply directly to their lives.
Lisa Makara is a Family Psychiatric Nurse Practitioner practicing in Integrated Behavioral Health.
Ms. Makara was born in Chicago, IL and currently resides in South Bend, Indiana. She has been a long time resident of Maine, where she called mid-coast, Maine her home.  She earned her BSN degree from Robert Morris University in Moon Township, PA and her Master of Science degree from Northeastern University, Boston, MA.  She is board certified with the AANC as a Family Psychiatric Nurse Practitioner. Her areas of interests include mood disorders, substance use disorders, intellectual disabilities, and schizophrenia.
In her spare time, you will find her kayaking on Penobscot Bay or spending time with her dogs.