The ACMHS Medical Team consists of psychiatrists, including a child psychiatrist; advanced nurse practitioners (ANPs); physician assistants (PAs); psychiatric nurse-case managers (N-CMs); nationally certified medical assistants (NCMAs); and administrative support staff. The range of psychiatric services is provided to adults, children, and families, and includes diagnostic psychiatric evaluations; medication and symptom management; medication administration; coordination of care with case managers, therapists, primary care providers, and other medical specialists; group therapy; and providing educational training to staff throughout the Agency. The Team provides services in three clinics at three different sites, at assisted living facilities (ALFs), and occasionally in the community.

| Scott Terranella, MD, MPH ![]() Director of Medical Services |
Becky Bay, MD, MPH ![]() Psychiatrist |
Christine Goddard, MD ![]() Psychiatrist |
Rachad Rayess, MD ![]() Child, Adolescent and Adult Psychiatrist |
| Jennifer Nance, PA ![]() Physician’s Assistant |
Jan Adasiak, ANP ![]() Advanced Nurse Practitioner |
Maria Orr OOO ![]() Medical Department Coordinator |

Steve Fisher, RN![]() Registered Nurse |
Donna Bennett, LPN![]() Licensed Practical Nurse |
Jennifer Brecheisen, RN![]() Registered Nurse |
Jeanna Brogden, RN![]() Registered Nurse |
Teresa Wahala, RN![]() Registered Nurse |
Elizabeth Smart, RN ![]() Registered Nurse |



































