Chapter 4 - Treatment Setting and Therapeutic Programs

Inpatient care

• 24/7 care

•Managed care model

•Short and long term

•Stabilization (a danger to themselves or others)

•Recovery Model

Discharge Planning

•Case manager

•Barriers

•Criminal history

•Medication non-adherence

•Suicidal ideation

•Alcohol and/or drug use

•Medical necessary

•Assertive community treatment(ACT)

Outpatient Care

Partial Hospitalization, Residential, Clubhouse

Partial Hospitalization

• Transitional

• Day/evening programs

• Focus on skill to prevent inpatient admission

Residential

• Not permanent

• Transitional

• Group homes, halfway house

Clubhouse

• Community-based rehabilitation- “intentional community”

• Focus on health

• Full autonomy for individual

Homelessness

• Frequently changing environment

• Psychosocial rehab, peer support, vocational training, daily living skills can be more important than housing

Incarcerated

• Increasing population

• Criminalization of mental illness

• Attitudes of law enforcement

• Likely to be a victim of violence

• Mobile mental health services working with law enforcement hel

Veterans

• Directly related to military services

• Highly stigmatized

• Can lead to various diagnosis

• Therapeutic life changes help to decrease incidence

Multidisciplinary Treatment Team

• Mental health nurse

• Advanced-practice psychiatric nurse

• Mental health technician

• Physical therapist

• Occupational therapist

• Recreational therapist

• Physician assistant Psychiatrist

• Psychologist

• Social worker

• Licensed professional counselor

• Pharmacists

• Pastoral counselors

• Peer Support

• Case Managers

Mental Health Nurse

• Assessment

• Treatment effectiveness

• Mileu therapy

• Education

• Group and individual therapy

• Administer medication

Room Assignment Considerations

• Which patients can share a room?

• Infection prevention

• Shared bathrooms

• PPE

• Crisis Stabilization vs Medical