Helping You and Your Family Live Your Most Valued Life
Welcome from Dr. Blevins!
Welcome to you living the life that gives you the most meaning, peace, curiosity, love, joy… whatever you value, however you define it. We’ll work together to help you and your family find clarity and to map out how you start living your most valued life each day.
Dr. Blevins tells you about her training, process for therapy with children and adults, and her specializations. Her specializations include: child and adolescent assessment, child therapy, adult behavioral health, and physician wellbeing.
Enilda Clinic is founded and ran by Dr. Leslie Blevins, a Washington licensed psychologist and Board Certified Behavior Analyst at the Doctoral level. Her passion is helping children, adults, physicians, and families identify your unique values and to facilitate matching effective coping behaviors to guide you in pursuit of your values. By focusing on what makes you and your child want to live vibrantly, we work together as a team to reduce unhealthful habits and coping patterns. Many times this process reduces distress and impairment associated with a variety of disorders and stressors.
The interventions Dr. Blevins designs are always contextual. This means that your daily life, work, living situation, and important others are considered.
There are no off-the-rack interventions at Enilda Clinic!
Enilda Clinic is at McCauley Hall in the Marycliff Center
Enilda Clinic is set on the beautiful grounds of the breathtaking Marycliff Center.
Adult Therapy Room
The adult therapy room is is setup with relaxing furniture and decor. A loveseat and extra seating are available to facilitate individual, family, and couple’s sessions.
Child Therapy Room
The offices at Enilda Clinic are set up to prioritize safety, comfort, and enhancing the therapeutic experience.
Child Therapy Room
The child therapy room includes locks on cabinets and drawers to help manage materials and safety during sessions. An observation room is linked to the child therapy room with a one-way mirror to enhance the effectiveness of parent training and data collection activities. A time-out room, that meets the Parent-Child Interaction Therapy standards, is available in a separate area when helping families learn how to safely implement time-out procedures. The room is designed to be flexible to the needs of the child by allowing for easy removal and adjustment of furniture and items.
Assessment is offered to children 2 years old through college-age adults. Adult assessment for autism and learning disabilities is also offered at any age.
Dr. Blevins is trained as a school psychologist, which means that she has intensive training with diagnosing a range of mental health, neuropsychological, learning disabilities, autism spectrum disorder, neurodevelopmental disorders, and other childhood disorders. She also completes trauma evaluations with young children, using child-friendly approaches to determine the presence of PTSD, Reactive Attachment Disorder, etc.
The assessment process is a collaborative process between the patient, their caregiver or significant others, and Dr. Blevins. Additionally information is collected from other medical providers, assessment data, and record reviews. This assessment approach is called “triangulation“ and allows for patterns in a person’s strengths and weaknesses to be seen. Dr. Blevins’ goal is to identify strengths and weaknesses across the different contexts in which a person lives. For example, a child who goes to preschool, home, and play dates with friends likely exhibits some similar and some different behaviors in each of those environments. It’s important to understand how his strengths and weaknesses change in each of those contexts. This contextual information will inform the evidence-based recommendations given for any interventions based on the assessment data and diagnoses rendered.
After completing the intake interview with you, and your child, and reviewing collateral information from records or interviews with important others, assessment data is collected through in-person testing. This data allows Dr. Blevins to compare your child’s performance in a variety of areas to other children of the same age. This gives an estimation of how well your child might be doing and also how impairing a particular behavior or symptom might be for your child.
Assessment sessions are typically between one and four hours in duration depending on the age of the child. Assessment can last up to six hours for an evaluation. Many times Dr. Blevins will break down assessment sessions across multiple sessions in order to get the best performance of the person. It’s important for the person being assessed to come in well rested, well fed, and feeling their best. When a person, especially a child, comes in for testing not feeling their best, the testing result may reflect this tiredness or irritability rather than the construct we are attempting to measure. Assessment results are utilized to render diagnoses, which can be long-standing across a person’s life. Additionally the diagnoses rendered can lead to interventions that are given to the child for the next several months or even years. Many children are placed in special services for the duration of their childhood based off the testing results of these assessments. It is important that the assessment process be given utmost care so that validity of the testing is maintained.
After all data is collected, Dr. Blevins analyzes the data to find patterns of impairment. She uses the DSM-5, the standard diagnostic manual in the United States, to determine if a person meets criteria for a diagnosis. Her recommendations are based off of research for any diagnoses given, suggested categories of disability to be considered by IEP teams (per IDEIA), and the contextual strengths and limitations of the person being assessed. For instance, if your family lives in a rural setting, giving recommendations for a specialist who is unavailable to you may not be helpful. Dr. Blevins might instead recommend that the parent and school consider training in a program with good evidence for improving the problem area of the child.
A feedback session is given to the parent and to the child if they are developmentally mature enough to benefit from it. The testing results and recommendations are discussed. This is another point of collaboration in the assessment process. Dr. Blevins will ask for the family’s opinion about how they see the diagnosis and recommendations fitting into their life and needs they might immediately predict having. These are then addressed in the feedback and in the final report.
A final report of the assessment, diagnoses, and recommendations is provided to the patient or designated caregiver within a month of the feedback.
Sometimes, families find that the diagnosis identified for their family member is life altering. The recommendations may take time to fully integrate into your daily life. A second follow up appointment about eight weeks later is offered if requested. This is a good chance to go over the questions the family has generated, get clarification on data and what a diagnosis means, and request guidance or updated recommendations that were unanticipated but needed to help the patient have her needs met.
Psychological services are personal, tailored, and evidenced-based. Dr. Blevins primary value for Enilda Clinic is providing the highest competency behavioral healthcare in this region. In order to do so she ongoingly evaluates how to best increase access to care while giving each patient the full time and attention needed to help them progress efficiently and maximally. Think comprehensive, not rushed.
All major credit cards are accepted, as well as cash and check.
Payment for services is accepted in a variety of formats:
Insurance: Current plans with whom I am in-network include Providence, Premera, Lifewise, Regence, and First Choice.
Out-of-Network: I provide a super bill to any patient who I see on a cash pay basis, so that they may submit documentation to their insurance for reimbursement for out of network benefits.
Cash Pay: You may choose to have any service through a cash pay rate per service. Intake evaluations are provided at a rate of $250. Individual therapy sessions are at a rate of $220 per hour and $110 per half-hour. Family therapy sessions are provided at a rate of $250 per 75-minute sessions. Group therapy sessions are $60 per participant. The fee for a comprehensive evaluation is $3000.
Sliding-Scale Placement: I offer one sliding scale placement for testing per month. The sliding scale fee is $1500, and a person may qualify for the sliding scale placement by being at twice the poverty rate or below (per family size) and providing documentation of meeting this requirement. Due to federal law, I cannot accept state, or Medicaid, patients at this time.
Deposits: All testing appointments require a $250 deposit. This requirement is required of insurance and private pay patients. It is transferred to any payments for your co-pay, coinsurance, or deductible, or your cash pay rates to meet the cost of the evaluation. Overages after you have made all payments to complete full payment for the comprehensive evaluation will then be refunded to you from the deposit. Please note the no-show and late-cancellation fees for assessment appointments are $250 per clinical hour scheduled and are not covered by insurance.
Credit card on file: To reserve your intake appointment, you must complete the intake packet (sent to you via a patient portal link by email) 48 hours prior to the appointment time. This includes uploading a valid credit card and your insurance information. You will receive your unique, HIPAA compliant patient portal access link after scheduling by phone.