Skills Training and Development (Partial Care)

Skills Training and Development (Partial Care) is treatment for adult clients with Serious and Persistent Mental Illness (SPMI) whose functioning is sufficiently disrupted to the extent that it interferes with productive involvement in daily living.

Skills Training and Development (Partial Care) is a structured ambulatory program of therapeutic interventions offering less than 24-hour daily group-based care delivered by licensed, qualified professionals.  These interventions assist members with stabilizing their behavior and conduct, and preventing relapse or hospitalization through the application of principles of behavior change and structured goal-oriented group socialization for skill acquisition.

Skills Training and Development (Partial Care) services vary in intensity, frequency, and duration in order to support clients in managing functional difficulties, or to otherwise realize recovery goals.

Joshua D. Smith and Associates offers Skills Training and Development (Partial Care) at both the Idaho Falls and Pocatello Offices.


Anxiety is a normal part of life.

However, some may experience anxiety that is persistent,  seemingly uncontrollable and overwhelming  If it is excessive, irrational dread of everyday situations, it can become disabling.  When anxiety interferes with daily activities, you may have an anxiety disorder.

Anxiety disorders are a real, serious medical condition and are the most common and pervasive mental disorder in the United States.   The term “anxiety disorder” refers to specific psychiatric disorders that involve extreme fear or worry.  Anxiety is recognized in many forms:

  • Generalized Anxiety Disorder (GAD)
  • Panic Disorder and Panic Attacks
  • Agoraphobia
  • Social Anxiety Disorder
  • Separation Anxiety


Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD) are closely related to anxiety disorders, which some may experience the same time as depression.

Nearly 40 million people in the United States experience an anxiety disorder in any given year.  Only one-third of those suffering from an anxiety disorder receive treatment even thought though the disorders are highly treatable.

Joshua D. Smith and Associates works with clients who are experiencing symptoms of Anxiety or it’s related disorders.

SOURCE: Anxiety and Depression Association of America


Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest.  Also called major depressive disorder or clinical depression, it affects how you feel, thing and behave and can lead to a variety of emotional and physical problems.  You may have trouble doing normal day to day activities, and sometimes you may feel as if life is not worth living.

More than just a bout of the blues, depression isn’t a weakness and you can’t simply “snap out” of it.  Depression may require long term treatment.  But don’t get discouraged.  Most people with depression feel better with medication, psychotherapy or both.

Although depression may occur only once during your life, people typically have multiple episodes. During these episodes, symptoms occur most of the day, nearly every day and may include:

  • Feelings of sadness, tearfulness, emptiness or hopelessness
  • Angry outbursts, irritability or frustration, even over small matters
  • Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports
  • Sleep disturbances, including insomnia or sleeping too much
  • Tiredness and lack of energy, so even small tasks take extra effort
  • Reduced appetite and weight loss or increased cravings for food and weight gain
  • Anxiety, agitation or restlessness
  • Slowed thinking, speaking or body movements
  • Feelings of worthlessness or guilt, fixating on past failures or self-blame
  • Trouble thinking, concentrating, making decisions and remembering things
  • Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide
  • Unexplained physical problems, such as back pain or headaches


For many people with depression, symptoms are severe enough to cause noticeable problems in day to day activities.  Some people may feel generally miserable or unhappy without knowing why.

If you think you may hurt yourself or attempt suicide as a result of depression please call one of our Crisis Lines and speak to a team member.   Idaho Falls Office can be reached at 208-681-7120.  Pocatello Office can be reached at 208-681-7121.

If you are suffering with symptoms of depression and you would like to speak with a counselor please call either of our offices.  We will work with you and your insurance or any other means you may need to get you the help you are looking for.

SOURCE: Depression (Mayo Clinic)

Linda Snell, LCSW (Idaho Falls)

Linda has been working in the mental health field for 30 years.  She graduated with a Bachelor of Arts from the University of Washington in 1974.  She returned to school at Walla Walla University and obtained a Masters in Clinical Social Work in December of 2008.  Linda worked to gain her Clinical Social Worker license after that.

Linda has worked in duel diagnosis (Clients with mental health and addicition issues) program for several years.  She ran a program for dual diagnosis in Alaska for 2 years.

Linda is accomplished in serving clients of the LGBT community,  individual counseling, couples, group and family counseling.

Ethan Smith, LCSW (Idaho Falls)

Ethan graduated from BYU-Idaho with a Bachelor of Science in Psychology in 2006.   He then completed his Master’s degree in Social Work in 2010 at Eastern Washington University.

He has been a counselor at Joshua D. Smith and Associates for the past eight years.  Ethan has served as the Supervisor since 2013 when he achieved his clinical licensure.

He is an advanced generalist with emphasis on Adrian Psychotherapy, Solution Focused Therapy, and Cognitive Behavior Therapy.

Ethan loves to help people and has been recognized for his work with veteran’s throughout the community.  He facilitates a pro bono PTSD group on the 1st and 3rd Thursday of each month.  Joshua Smith and Associates is proud that this program has been occurring for a little more than 3 years now.

He is  a licensed hypnotherapist and utilized hypnosis to modify behaviors such as weight loss, smoking cessation, performance and relaxation.

Ethan is a life long Idahoan and a devoted family man.

Post Traumatic Stress (PTSD)

Post Traumatic Stress is a normal set of reactions to a trauma such as war, which could be experienced by almost anyone.  Sometimes, it becomes a Disorder (PTSD) with the passage of time when feeling or issues related to the trauma are not dealt with, but are suppressed by the individual.  This can result in problems readjusting to community life following the trauma.  A delayed stress reaction may surface after many years and include some or all of the following problems.

  • anger, irritability, and rage
  • feeling nervous
  • depression
  • difficulty trusting others
  • feeling guilt over acts committed or witnessed, the failure to prevent certain events, or merely having survived while others did not
  • hyper alertness and startle reactions
  • feeling grief or sadness
  • having thoughts and memories that will not go away
  • isolation and alienation from others
  • loss of interest in pleasurable activities
  • low tolerance to stress
  • problems with authority
  • problems feeling good about one self
  • nightmaress
  • substance abuse
  • trouble sleeping
  • anxiety
  • paranoia

Joshua D. Smith is committed to serving those suffering from Post Traumatic Stress Disorder (PTSD) and helping them successfully readjust to the community in which they live.

SOURCE: Post Traumatic Stress Disorder (Veteran Administration)