Community resources - MH

Question 1

Inpatient Mental Health Treatment

Answer 1

• Often locked units
• Goal: Assessment and stabilization
• Admit directly or through the Emergency Room
• Public or Private
• Voluntary vs Legal 72 hour hold
• Adult or Child Units
• Units have common rooms/group rooms
• Most Units have Seclusion/Restraint rooms
• Most MH units are co-ed and double rooms
• Average length of stay is 5 to 7 days

Question 2

Private Outpatient Clinics

Answer 2

• Therapy
• Psychiatry
• Intensive Outpatient: Day treatment/Partial Hospitalization
• Emily Program
• Prairie Care
• Nystrom and Associates

Question 3

State Hospitals

Answer 3

• Secure Units
• Transfer from other hospitals
• Legally committed
• Average length of stay is 60-90 days
• Anoka Metro Regional Treatment Center

Question 4

Community Behavioral Health Hospitals

Answer 4

• 16-bed hospitals are replacing inpatient adult mental health services
• state’s regional treatment centers in Brainerd, Fergus Falls, St. Peter and Willmar.
• Goal to serve patients closer to their home
• Dont work as well.
• A lot have closed because they are less secure.

Question 5

Forensic Services

Answer 5

• St. Peter, Minnesota – violent crimes
• Moose Lake, Minnesota – sexual predators
• Mentally Ill and Dangerous
• More Restrictive
• Length of stays- Years
• Violent crimes – civil and criminal courts

Question 6

Intensive Residential Treatment Services (IRTS)

Answer 6

• Time-limited mental health services for adults who do not need acute inpatient care, but require 24-hour supervision
• 90 days – for low-come, need to have case manager to make referral into program
• serve very low income individuals who are at risk of significant functional deterioration, hospitalization and episodes of homelessness if they do not receive intensive treatment
• These facilities are designed to develop and enhance individuals’ psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills to enable them to transition to an independent and more permanent housing situation.

Question 7

Partial treatment

Answer 7

• Partial hospitalization programs are a less restrictive alternative to full hospitalization.
• These programs are for patients who have enough support at home, or in their community to return home each evening.
• Program components are similar to the hospitalization program and include six hours of therapeutic program, five days a week. 2-3 weeks total
• Day treatment: 3 afternoons a week, not as intensive as partial hospitalization

Question 8

Detoxification Centers

Answer 8

• Private or Public based
• Locked but people are able to leave against medical advice
• Typical stay is 48 to 72 hours
• Withdrawal protocol to prevent seizures (Valium or Librium)
• Work with CD counselor for assessment and treatment planning.

Question 9

Chemical Health Treatment

Answer 9

• Residential 10-28 days
• Outpatient – morning/afternoon/night meet with counselor
• Sober Housing – after treatment, continued recovery
• MN Recovering Connection – coaching, for all people in any stage of change, provide resources for those recovering
• Assessment
• Detoxification
• Group Therapy
• Individual Therapy
• Education
• Fellowship

Question 10

Assertive Community Treatment

Answer 10

• For patient with SPMI diagnoses (Serious and Persistent Mental Illness).
• Focus on patients who require the most help from the service delivery system
• Promote the patients’ independence, rehab, recovery and in so doing to prevent homelessness and unnecessary hospitalization or other negative outcomes.
• Emphasis on home visits
• Team approach (Psychiatrist or APP, Nurse, Social Work, CD specialist, Vocational rehab, OT, Peer specialist.)

Question 11

CADI- Community Alternatives for Disabled Individuals

Answer 11

• Be eligible for Medical Assistance
• Be certified disabled by the State Medical Review Team or by the Social Security Administration
• Be under the age of 65 years when the waiver is opened
• Be determined to require the level of care provided to individuals in a nursing facility
• Have an assessed need for supports and services over and above those available under other funding sources
• Choose care and services in the community instead of a nursing facility

Question 12

Foster Care

Answer 12

Family Adult Foster Care is an adult foster care home licensed by the Minnesota Department of Human Services. It is the home of the license holder and the license holder is the primary caregiver.

Corporate Adult Foster Care is an adult foster care home licensed by the Minnesota Department of Human Services where trained and hired staff generally provide services. The license holder is not the primary caregiver.

Question 13

Board and Lodge and Boarding Care

Answer 13

-Resemble Small homes or apartment buildings
-Licensed by the Department of Health
-Provide sleeping accommodations and meals
+/- Support services
-Laundry/Housekeeping
-Home care (Bathing, medication administration)

Question 14

Dialectical Behavior Therapy (DBT)

Answer 14

• evidence based comprehensive cognitive-behavioral treatment. It is designed to treat individuals with Borderline Personality Disorder or Borderline Personality traits.
• Goal of DBT is to create “a life worth living.” Clients work on identifying goals for what “a life worth living” would look like for them.
• Other goals include decreasing suicidal thoughts and behavior, decreasing self-injurious urges and behavior, reducing impulsivity, decreasing clinical symptoms such as depression, anxiety and anger, reducing frequency and duration of psychiatric hospitalizations, improving interpersonal effectiveness, increasing coping skills and increasing overall functioning.
• DBT clients attend a skills group and individual psychotherapy. Skills group is similar to taking a class
• MINDFULNESS: Focuses on quality of attention and awareness.
• DISTRESS TOLERANCE: Focuses on getting through a time of distress/crisis without doing anything to make the situation worse.
• INTERPERSONAL EFFECTIVENESS: Focuses on initiating/maintaining/repairing relationships, effectively making requests and setting boundaries and increasing/maintaining self-respect.
• EMOTION REGULATION: Focuses on decreasing emotional sensitivity/intensity, preventing unwanted emotions from starting and stopping or reducing unwanted emotions once they start.