For Mental Health and Substance Use Programs

Build & Improve Your Behavioral Health Program

LSP helps mental health and substance use programs navigate licensing, prepare for Joint Commission or CARF accreditation, strengthen compliance, and build the policies, processes, and systems needed to deliver consistent, high-quality care.

Our Services

Consulting, Program Development & Training Services

Practical consulting support for licensing, accreditation, compliance, program development, documentation, and staff readiness.

Behavioral health licensing and accreditation consulting

Licensing &
Accreditation

Licensing support in California and Nevada, with Joint Commission and CARF readiness nationwide.

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Behavioral health program development and implementation

Program Development & Implementation

Programs, policies, forms, workflows, and EHR processes tailored to your organization.

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Behavioral health compliance and quality improvement

Compliance & Quality Improvement

Audits, utilization review, medical necessity, QA/QI, and performance improvement.

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Behavioral health documentation and staff training

Documentation &
Staff Training

Documentation systems, ASAM guidance, case review, and practical staff training.

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Who We Serve

Behavioral Health Programs We Support

LSP supports mental health and substance use organizations at every stage, from launching new programs to strengthening established operations through licensing, accreditation, compliance, and continuous quality improvement.

New Behavioral Health Programs

Licensing, policies, forms, workflows, and operational systems for a responsible program launch.

Mental Health Treatment Programs

Outpatient, residential, day treatment, wraparound, and related programs improving quality and operations.

Substance Use Treatment Programs

Detox, residential, PHP, IOP, and outpatient programs navigating ASAM, licensing, compliance, and accreditation.

Established Behavioral Health Programs

Accreditation readiness, audit correction, utilization review, documentation, and performance improvement.

About the Founder

Dr. Lorna Pham, PsyD

Founder & Principal Consultant

Dr. Lorna Pham brings a rare combination of clinical, executive, regulatory, and teaching experience. As a former Vice President of Quality Assurance, HIPAA and Compliance Officer, outpatient director, and graduate-level psychology instructor, she has helped behavioral health organizations achieve initial Joint Commission accreditation, CARF recertification, and Medi-Cal certification while building practical quality systems that work in daily operations.

20+ Years of Behavioral Health Experience
90%+ Documented Audit Compliance Improvement
100+ Therapists & Case Managers Trained
Dr. Lorna Pham, PsyD, founder and principal consultant of LSP Behavioral Health Consulting
Frequently Asked Questions

Answers to Common Behavioral Health Consulting Questions

Find clear answers about behavioral health licensing, Joint Commission and CARF accreditation, compliance, program development, clinical documentation, audits, and staff training.

Yes. LSP supports behavioral health organizations with licensing preparation and Joint Commission or CARF accreditation readiness. Services may include reviewing or developing required policies, procedures, and forms; conducting gap and tracer analyses; preparing staff; supporting site readiness; and developing corrective-action plans for initial accreditation or re-accreditation.

Depending on the scope, LSP may review client charts, assessments, treatment plans, progress notes, medical necessity, utilization review processes, policies, workflows, and supporting records. Findings are organized into clear compliance gaps, risk priorities, and practical corrective actions designed to strengthen documentation, QA/QI, performance improvement, and readiness for payer, licensing, or accreditation review.

Yes. LSP develops and revises clinical and operational policies, procedures, forms, program workflows, compliance plans, QA/QI plans, HIPAA and risk-management plans, and documentation processes. LSP can also help create or update forms and workflows for an existing EHR so regulatory and operational requirements are reflected in practical tools staff can use consistently.

Yes. LSP provides practical training on ASAM criteria, level-of-care placement, medical necessity, assessments, treatment plans, progress notes, group documentation, case review, and related documentation standards. Training can be tailored for clinicians, therapists, case managers, support staff, and medical teams, using examples and feedback relevant to the organization’s programs and requirements.

A typical engagement begins with a consultation to clarify the organization’s goals, current status, and immediate priorities. LSP then reviews relevant materials, such as policies, forms, workflows, documentation, audit findings, and licensing or accreditation requirements. From there, LSP identifies the most important gaps and recommends a practical scope of work with clear priorities and next steps.