State Hospitals

State Hospitals

Public assistance programs and admitted 1 of 3 ways

Voluntary admission

Involuntary civil commitment

Involuntary criminal commitment

Involuntary Civil Commitment

They are considered a danger to themselves or others by a judge but not accused of committing a crime

Involuntary Criminal Commitment

(forensic commitment) - accused of committing a crime and determined by a criminal court not to be competent to stand trial or adjudicated as either not guilty by reason of insanity or guilt except for insanity, depending on state law

State Hospital Profile

State facilities serve children, adolescents, adults, and older adults. Some hospitals serve all age groups, whereas others have separate facilities for children and adolescents.

Primary Diagnoses

• Schizophrenia

• Affective Disorders

• Personality Disorders

• Anxiety Disorders

• Other Psychoses

Funding sources for state mental health hospitals usually include state general funds, state special appropriations, Medicaid and Medicare revenues, plus other federal funds such as Medicaid Disproportionate Share Hospital (DSH) provisions

Treatment Team: State Hospitals

Consumer

Psychiatrist

Registered Nurse

Social Worker

Occupational Therapist

• Rec Therapist, Art Therapists, Dance/Music Therapists

Role of OT: State Hospitals

Eval and screen

Establish Interventions

Select relevant occupations

Implement interventions

modify plan

terminate therapy and plan discharge

Initial Eval: State Hospitals

Include

Prior living conditions

ADLs

IADLs

Mental Functions

Social participation

Commonly used Evals: State Hospitals

Awareness of safety concerns

Assessment of self-injurious behaviors and impact on UE function

Fall prevention

KELS

ACLS

SP

KTA

ILS