Adult Mental Health Assessment (Diagnostic Assessment)

Transcription

1 Adult Mental Health Assessment (Diagnostic Assessment) This service begins with the collection of information including socio-economic. A diagnostic evaluation is completed to assist in determining needs and appropriateness for mental health treatment. Information gathered includes history of mental health and substance abuse/dependence treatment, support system available, and other information needed to determine if Murtis Taylor HSS should provide services, or if the individual needs to be referred elsewhere. Data from the personal history is used by the clinical supervisor to determine admission, referral, or counselor/cpst assignment. An interpretive summary is completed as a result of the assessment. Treatment Planning is begun during the Mental Health Assessment. Problems, strengths and treatment recommendations are agreed upon with the client and documented in the written assessment. An Individual Service Plan is developed as the clinical framework for comprehensive care. The treatment planning process is a collaborative effort between the primary care provider, the client, treatment team, and family members/significant others when indicated, and is based on the needs of the person served. Appropriate treatment is scheduled. Medicaid Accepted, ADAMHS Board and United Way subsidies available Persons who can benefit from the determination of mental health treatment needs Contact: Michael Rhoades Ext.2291 Edward Omabegho Ext Wanda Smart Ext David Brown Ext

2 Adult Psychiatric Interview This service begins with a medical interview which involves the history of the present illness, past history, social history and family history. The problem is assessed, the client-physician relationship is developed and maintained, information is communicated and treatment is planned. The course of the symptoms is understood, their relation to each other and the meaning. The next step is the Psychiatric Interview which addresses the client s psychological make-up, motivation (conscious and unconscious), ego strengths and weaknesses, coping strategies, defense mechanisms, vulnerabilities, areas of aptitude and achievement. The environmental context is reviewed including the client s relationship to his/her environment, significant religious and socio-cultural influences, support system/network, and environmental stressors. The service ends with the therapeutic encounter/alliance which involves empathetic listening, therapeutic interactions using mirroring, reflection, and empathy. The physician seeks to provide a holding environment, a corrective experience, increase insight and alter behavior. Develop medical somatic treatment plan, if appropriate Identify and prescribe appropriate medication Schedule appropriate treatment Medicaid Accepted, ADAMHS Board and United Way subsidies available Mentally ill diagnosed person who can benefit from determination of psychiatric needs Contact: Edward Omabegho Ext

3 Community Psychiatric Support Treatment (Adult Case Management) This service is designed to provide community support and advocacy to adults diagnosed with a severe mental illness. It assists individuals to succeed in the community by identifying, accessing, and advocating for needed services. Using a comprehensive case management approach, quality mental health treatment is provided to individuals and families using the mental health recovery model, a conceptual psychosocial rehabilitation model. This recovery-oriented model empowers the individual and offers hope, healing, and connection to services, resources and peers. The service provides rehabilitation and environmental support activities that assist clients in reducing the symptoms of psychiatric illness, build resilience and improve their quality of life and integration into the community. These services are relevant to the diversity of the persons served and consistent with their needs. Clinicians assist with the identification, evaluation, and assessment of needs and strengths. Individualized Service Plans are jointly developed and implemented with the individual being served and family or peers as appropriate and permitted. Reduce the symptoms of psychiatric illness Build resilience and improve quality of life a community integration Improve coping skills and strategies Fulton, Detroit, and East Cleveland Medicaid Accepted, ADAMHS Board and United Way subsidies available Mentally ill diagnosed persons with case management identified in treatment plan Contact: Edward Omabegho Ext

4 Adult Counseling/Psychotherapy Chemical Dependency Treatment This service is designed to provide a fairly structured framework through which adults can pursue internal changes through insight, problem solving, and behavioral intervention. Several theories are employed. The following two are most common. Strength-Based Counseling focuses on an individual s personal strengths in dealing with life s challenges. It emphasizes the positive aspects of addressing problems without minimizing them, and builds upon past successes and coping strategies. Counselors help people recognize their own ability to identify solutions, and then help them to put those solutions into action. Cognitive-Behavioral Therapy is an empirically supported treatment that focuses on patterns of thinking that are maladaptive and the beliefs that underlie such thinking. While the person in distress likely holds such beliefs with great conviction, with a therapist s help, the individual is encouraged to view such beliefs as hypotheses rather than facts and to test out such beliefs by running experiments. Cognitive- Behavioral Therapy is active, problem-focused, and goal-directed. Improve social, emotional, and adaptive functioning Increase the effectiveness of interpersonal relationship Improve coping skills and strategies Medicaid Accepted, ADAMHS Board and United Way subsidies available Persons who can benefit from the determination of mental health treatment needs Contact: Edward Omabegho Ext

5 Adult Pharmacological Management Pharmacological services provide mental health consumers with face-to-face psychiatric evaluations, psychiatric treatment, and pharmaceutical relief from psychiatric symptoms. These services are provided in a comprehensive treatment center that supports outpatient community care under the direction of the Medical Director, a licensed physician. Pharmacological services are provided based on current research indicating that mental illness is caused by an imbalance of chemicals within the brain. Medications offer relief from the symptoms of this imbalance and enable a person to better manage his/her illness. Pharmacological services improve symptom management by reducing or eliminating them. This is done through psychiatric evaluation and prescribing medication. For adults this may enable them to function more effectively and improve attention and focus. Ongoing assessment of psychiatric needs and stability is provided. Medication is monitored for effectiveness. Clients are assisted with the acquisition of free medication (only certain medications apply) through the Central Pharmacy Program and Patient Assistance Programs. Information/education about medications, contra-indications, and side effects is provided. Medicaid Accepted, ADAMHS Board and United Way subsidies available Mental ill diagnosed person with Pharmacological Therapy identified in treatment plan Contact: Sonya Jones Ext

6 Correctional Advocacy & Re-Entry Support (CARES) The CARES (Correctional Advocacy & Re-entry Support) is a specialized team providing Community Psychiatric Supportive Treatment, Counseling Therapy, Pharmacologic Management, and Supportive Services for adult mental health consumers returning from incarceration. The team seeks to reduce recidivism, hospitalization and use of crisis/emergency services, move re-entrants toward recovery, and assist re-entrants with housing and effective life coping skills for successful community re-integration. This service or group of services treats and supports individuals re-entering the community. Services are also delivered to consumers on probation and involved in the County s Mentally Disordered Program. These services are provided by a Jail Liaison in both the city and inner ring suburban correctional facilities. Clients are provided mental health treatment and linked to supports that support recovery and reduce their involvement in criminal activity. The level of intensity distinguishes these services. Rehabilitation and environmental support activities reduce the symptoms of psychiatric illness, build resilience and improve their quality of life and integration into the community. Medicaid Accepted, ADAMHS Board and United Way subsidies available Mentally ill diagnosed person referred by the ADAMHS Board or a correctional institution Contact: David Brown Ext

7 Adult Partial Hospitalization (Day Treatment) This service is designed to provide intensive treatment through group psychotherapy, counseling, medication education, and psychoeducation. This program offers a structured curriculum that addresses the barriers often encountered by people with severe mental illness in their recovery process and maintaining themselves in the community. It is a transitional model of acute care that is offered as an alternative to hospitalization and leads to recovery or stabilization at the highest level of functioning for the person served. The program is based on the philosophy that given adequate support and opportunities for improvement within a community milieu setting, clients can demonstrate control over psychiatric symptoms, maintain motivation and self-direction, improve social interaction, and practice adequate functioning within the general community. In most cases, with an intensive treatment program coupled with ongoing support, clients can rebound faster from setbacks in the course of their illness, shorten crisis periods, and prevent hospitalization or re-hospitalization. Contact: Medicaid Accepted, ADAMHS Board and United Way subsidies available Mentally ill diagnosed persons with Day Treatment identified in treatment plan Carol Chappelle Ext

8 Residential Treatment (Therapeutic Community) This service is designed to provide residential treatment to adults diagnosed with a severe mental illness and who could benefit from a residential facility. The Therapeutic Community (TC) is a fourteen-bed, co-ed facility with one handicap accessible unit, three single bedrooms, and five double bedrooms. The program operates on a psychosocial model, is client oriented, and driven to meet the needs of severely mentally disabled adults through the coordination of therapeutic, community, and family resources. The Therapeutic Community provides rehabilitation and environmental support activities that assist those served to reduce the symptoms of psychiatric illness, build resilience and improve their quality of life and integration into the community. These services are relevant to the diversity of the persons served and consistent with their needs. Residents are responsible for assisting with menu planning, cooking, cleaning, and day-to-day personal care skills. All activities are under the 24 hour supervision of the residential staff. Residents also participate in groups that focus on de-institutionalization, self-awareness, and relationships with others, community socialization, and many other daily living skills. Fulton, Detroit, and East Cleveland Contact: Medicaid Accepted, ADAMHS Board and United Way subsidies available Mentally ill diagnosed person referred by the ADAMHS Board Tamika Mitchell Ext

9 Community Drop-In Services (The Life Exchange Center) The Drop-In Center (The Life Exchange Center) is a peer-run and consumer driven support program that offers peer support, advocacy and education to empower mental health consumers to take part in their recovery process. Mental health consumers develop and operate the Drop-In-Center as well as evaluate the program. Key program values include consumer operated programming, choices and opportunities for decision-making by consumers and activities which grow out of the varied skills and interests of mental health consumers. Recovering mental health consumers staff the program and facilitate program activities. The Drop-In-Center is organized using components of the Clubhouse Model. It provides opportunities for peer support, the development of friendships and other socialization, participation in educational activities, advocacy and community service. It focuses on consumers strengths and abilities and empower them to work with the skills and abilities/tools they already possess. It provides opportunities for consumers to be actively involved in decision-making. Medicaid Accepted, ADAMHS Board and United Way subsidies available Mentally ill diagnosed persons Contact: Paul Williams

10 Financial and Budgeting Management (Representative Payee) This service provides budget management and payment services to disabled individuals receiving Social Security Income because they are unable to manage funds to meet daily living needs. Working together with the client, the Specialist develops a budget that addresses daily living needs. Specialists assist with budget revisions, bill paying, purchases, and saving. Murtis Taylor Human Services System, as payee, helps to ensure that benefit payments are used for basic needs first, providing the beneficiary with a more stable living environment. Staff attempt to motivate beneficiaries to work toward more independent living which can improve their response to therapy, rehabilitation and a relationship with their family. Staffs are patient, helpful and understanding of the feelings clients have in relation to their lack of control over their money. Specialists pay for the current and foreseeable needs of the beneficiary and properly save any funds not needed to meet current needs. They keep accurate records of expenditures and educate clients on budgeting, planning, and bill payment month Disable person with a recommendation prescription by Social Security or a physician Contact: David Woods

11 Child Psychological Testing This service is performed by a licensed psychologist when a problem that does not have a physical origin is noticed and the cause needs to be determined. This problem can exist in several realms, for example: (1) inappropriate behavior (2) inappropriate mood states (3) failure to perform up to expected standards (as in schoolwork). The purpose of evaluation is to determine what is happening in the individual's psychological life that may be blocking the ability to behave (or feel) in a more appropriate and constructive manner. Testing cannot necessarily pinpoint the precise cause of the disturbance, especially if it is a complex emotional issue, but it will give a number of clues that can help the parent and the professional guide the child in the right direction. Psychological testing includes the following assessments: Academic Achievement Assessments; Arithmetic Assessments; Cognitive Assessments; Emotional and Conduct Assessments; Information Processing Assessments; Memory and Learning Assessments; Readiness Assessments; Reading Assessments; Remedial Activities; Speech and Language Assessments. Medicaid Accepted Ages 3-22 Contact: David Whitt Ext

12 Child Mental Health Assessment (Diagnostic Assessment) This service begins with the collection of information including socio-demographics. A diagnostic evaluation is completed to assist in determining needs and appropriateness for mental health treatment. Information gathered includes history of mental health and substance abuse/dependence treatment, support system available, and other information needed to determine if Murtis Taylor HSS should provide services, or if the individual needs to be referred elsewhere. Data from the personal history is used by the clinical supervisor to determine admission, referral, or counselor/cpst assignment. An interpretive summary is completed as a result of the assessment. Treatment Planning is begun during the Mental Health Assessment. Problems, strengths and treatment recommendations are agreed upon with the client and documented in the written assessment. An Individual Service Plan is developed as the clinical framework for comprehensive care. The treatment planning process is a collaborative effort between the primary care provider, the client, treatment team, and family members/significant others when indicated, and is based on the needs of the person served. Appropriate treatment is scheduled. West Side-Fulton, Glenville-Northeast Medicaid Accepted Ages 3-22 Contact: David Whitt Ext

13 Child Psychiatric Interview Chemical Dependency Treatment This service begins with a medical assessment which involves the history of the present illness, past history, social history and family history. The problem is assessed, the client-physician relationship is developed and maintained, information is communicated and treatment is planned. The course of the symptoms is understood, their relation to each other and the meaning. The next step is the psychiatric assessment which addresses the client s psychological make-up, motivation (conscious and unconscious), ego strengths and weaknesses, coping strategies, defense mechanisms, vulnerabilities, areas of aptitude and achievement. The environmental context is reviewed including the client s relationship to his/her environment, significant religious and socio-cultural influences, his/her support system/network, and environmental stressors. The service ends with the therapeutic encounter/alliance which involves empathetic listening, therapeutic interactions using mirroring, reflection, and empathy. The physician seeks to provide a holding environment, a corrective experience, increase insight and alter behavior. West Side-Fulton, Glenville-Northeast Medicaid Accepted Ages 3-22 Contact: David Whitt Ext

14 Community Psychiatric Support Treatment (Child Case Management) Chemical Dependency Treatment This service is designed to provide community support and advocacy to children diagnosed with a severe emotional disorder. It assists the child to succeed in the community and school by identifying, accessing, and advocating for needed services and supports the child with navigating systems such as family, school, or County Child and Family Services. Using a comprehensive case management approach, quality mental health treatment is provided to children and families using the mental health recovery model, a conceptual psychosocial rehabilitation model. The service provides rehabilitation and environmental support activities that assist clients in reducing the symptoms of psychiatric illness, build resilience and improve their quality of life and integration into the community. These services are relevant to the diversity of the persons served and consistent with their needs. Clinicians assist with the identification, evaluation, and assessment of needs and strengths. Individualized Service Plans are jointly developed and implemented with the individual being served and family or peers as appropriate and permitted. Ages 3-22 Medicaid Accepted, ADAMHS Board and United Way subsidies available Contact: David Whitt ext

15 Child Counseling/Psychotherapy Chemical Dependency Treatment For children, the service is intended to integrate systems such as family, school, or County Jobs and Family Services, and provide an approach to treating the whole child within the context of the current family situation. Several theories are employed, the following two are most common. Play Therapy is the systematic use of a theoretical model to establish an interpersonal process wherein therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial challenges and achieve optimal growth and development. Cognitive-Behavioral Therapy is an empirically supported treatment that focuses on patterns of thinking that are maladaptive and the beliefs that underlie such thinking. While the person in distress likely holds such beliefs with great conviction, with a therapist s help, the individual is encouraged to view such beliefs as hypotheses rather than facts and to test out such beliefs by running experiments. Cognitive- Behavioral Therapy is active, problem-focused, and goal-directed. Ages 3-22 Medicaid Accepted, ADAMHS Board and United Way subsidies available Contact: David Whitt ext

16 Child Pharmacological Management Chemical Dependency Treatment Pharmacological services provide mental health consumers with face-to-face psychiatric evaluations, psychiatric treatment, and pharmaceutical relief from psychiatric symptoms. These services are provided in a comprehensive treatment center that supports outpatient community care under the direction of the Medical Director, a licensed physician. Pharmacological services are provided based on current research indicating that mental illness is caused by an imbalance of chemicals within the brain. Medications offer relief from the symptoms of this imbalance and enable a person to better manage his/her illness. Pharmacological services improve symptom management by reducing or eliminating them. This is done through psychiatric evaluation and prescribing medication. For adults this may enable them to function more effectively and improve attention and focus. Ongoing assessment of psychiatric needs and stability is provided. Medication is monitored for effectiveness. Clients are assisted with the acquisition of free medication through the Central Pharmacy Program and Patient Assistance Programs. Information/ education about medications, contra-indications, and side effects is provided. Indentify existing mental health diagnosis Develop treatment plan (individualized Service Plan) if appropriate Schedule appropriate treatment West Side-Fulton, Glenville-Northeast Medicaid Accepted, Ages 3-22 Contact: David Whitt ext

17 School-Based Prevention and Consultation Services Chemical Dependency Treatment Prevention is designed to provide mental health services (either group or individual) that reduce the incidence, prevalence or severity of specific types of mental disabilities or emotional disturbances in children. Prevention services presume that the severity of mental disabilities and emotional disturbances can be greatly reduced through mental health interventions before the specific problems become habituated. Prevention services provide environmental support activities that assist those identified by the Cleveland Metropolitan School System, build resilience and acquire skills that will help to improve their quality of life. Consultation is a formal and systematic information exchange between Murtis Taylor HSS staff and school staff concerning a person other than a client, which is directed towards the development and improvement of individualized service plans and/or techniques involved in the delivery of mental health services. Consultation is focused on the clinical condition of students served by the Cleveland Municipal School District in order to provide appropriate and timely mental health intervention if appropriate. West Side-Fulton, Glenville-Northeast Medicaid Accepted, Ages 3-22 Contact: David Whitt ext

18 Chemical Dependency Treatment Chemical Dependency Treatment Dual Diagnosed Description: Chemical Dependency Treatment services are provided to individuals who are duallydiagnosed with a mental illness and substance abuse/addiction. Services are provided using the evidence-based, Integrated Dual Disorder Treatment (IDDT) model. The IDDT program model focuses on symptom management, stress management, interactions of substance abuse and mental illness (including medications), relapse triggers and medication compliance. Mental health and substance abuse services are provided at the same time, in the same location and by the same clinicians each time. The IDDT program model seeks to increase a consumer s stability, increase the number of consumers who achieve and maintain abstinence and reduce recidivism for re-admissions to hospital and prison systems. Services provided include assessment, case management, non-intensive outpatient group and individual treatment and relapse prevention. Increase stability Increase and maintain abstinence Reduce recidivism for re-admissions to hospital and prison systems. Contact: 2121 St. Clair Avenue, Cleveland OH Medicaid Accepted, and United Way subsidies available Dually diagnosed adults age 18 years and older who are referred by service providers and the criminal justice system David Brown ext

19 Description: Chemical Dependency Treatment services are provided to individuals who are dually-diagnosed with a mental illness and substance abuse/addiction. Services are provided using the evidence-based, Integrated Dual Disorder Treatment (IDDT) model. The IDDT program model focuses on symptom management, stress management, interactions of substance abuse and mental illness (including medications), relapse triggers and medication compliance. Mental health and substance abuse services are provided at the same time, in the same location and by the same clinicians each time. The IDDT program model seeks to increase a consumer s stability, increase the number of consumers who achieve and maintain abstinence and reduce recidivism for re-admissions to hospital and prison systems. Services provided include assessment, case management, non-intensive outpatient group and individual treatment and relapse prevention. Increase stability Increase and maintain abstinence Reduce recidivism for re-admissions to hospital and prison systems St. Clair Avenue Cleveland, Ohio :00a.m. to 5:30p.m. M-F and Saturdays by Medicaid Accepted, ADAMHS Board and United Way subsidies available Dually diagnosed adults age 18 years and older who are referred by service providers and the criminal justice system Contact: David Brown (216) Ext