Homewood Health Centre

An analysis of a community allows for an in-depth look at the inhabitants and services that are available within that specific area. The area of Morris Heights in the Bronx is a neighborhood filled with culture, assets, liveliness, and recreational activities. Marketplace Facilitated Enrollers (MFE’s) work in United Healthcare Community Services (UHCS) a subsidiary of United Healthcare (UHC). Programs such as Women, Children, and Infant nutritional services (WIC) provide parents with dietary support. A specialty clinic for women - Morris Heights Health Center (Women’s Health Pavilion) (MHHCWHP) provides a center that concentrates strictly on maternal and gynecological healthcare to residents. The testimony of the individuals who live

James D. Johnson elaborately explains the everyday battles of living with PTSD in the book, Combat Trauma: A Personal Look at Long-term Consequences. Johnson describes living with PTSD as a, “lifetime sentence”. There are many ways that PTSD is being treated in the United States, including psychotherapies and pharmacological drugs. The Department of Veteran Affairs (VA) works with veterans that struggle with PTSD to help them overcome their traumas and try to get the veterans back to living their normal everyday lives.

The first method of treatment is trauma-focused cognitive-behavioural therapy. In this method, a patient is gradually but carefully exposed to feelings, thoughts, and situations that trigger memories of the trauma. By identifying the thoughts that make the patient remember the traumatic event, thoughts that had been irrational or distorted are replaced with a balanced picture. Another productive method is family therapy since the family of the patient is also affected by PTSD. Family therapy is aimed at helping those close to the patient understand what he/she is going through. This understanding will help in the establishment of appropriate communication and ways of curbing problems resulting from the symptoms (Smith & Segal, 2011).

Posttraumatic stress disorder can occur after someone experiences a traumatic event. Once the mind hits the coping threshold, it is imperative to seek professional help. The VA offers evidence-based treatments, individual, group treatments, and medications. Coping mechanisms range from individual to individual, hence the need for a diverse PTSD program. Under the evidence-based treatment there are two sections: prolonged exposure therapy and cognitive processing therapy. Prolonged exposure therapy is when someone continues to talk about their fears/trauma to gain control of feelings associated with those fears. The cognitive processing therapy is to understand the feelings associated with trauma and finding a way to replace negative feelings with positive

This presentation is on the article titled, “Recovery Ranch”, by Tim Smith. This recovery facility caters to those with a number of ailments, including PTSD. This facility located in Nunnelly, TN offers a continuum of addiction treatment services. This outdoor facility allows the clients to participate in an array of recreational and leisure activities. Some treatments of PTSD are cognitive behavioral therapy and cognitive processing therapy. The ranch can be quite costly. Recovery ranch uses the social behaviors of the clients in order for their healing process to begin. This topic was chosen because the clients are able to partake in many nature activities and the participants are able to cope better with people that they can relate to. It

Bearing the enormous number of veterans falling subject to PTSD, there is need to establish community based interactive recovery center where they can freely and affordably get assistance in overcoming the condition within a community setting and not subjecting the veterans to exit from their community setting.

With the advances in technology and military medicine, improved amounts of armed veterans are surviving the injuries they endure at war. These brave men and woman are faced to enter the civilian life after enduring the things that they cannot remove form their memories. Posttraumatic stress disorder is a common psychological and physiological consequence of deployment for combat in military veterans. For an individual to be diagnosed of PTSD, the person had to have been exposed to an intense traumatic situation, which resulted in terror or helplessness and continue to re-experience the event for at least a month (World Health Organization). It can be very difficult for a military personal to return from active duty with the mindset that

This option provides two Los Angeles outpatient structured programs with solution-based treatments that are based on the clients' objectives. This program requires involvement from a family member or legal guardian. The information for this program is well-designed and broken down step-by-step on the Visions' website.

This is where support groups and coaching comes into play and are very useful for recovery. PTSD survivors need to be heard and be able to talk about their feelings without and judgment or comparisons and to feel that they have a voice in what their pain is.

Health Connect Clinic (HCC) was introduced to provide an additional important service for HCA clients and their families: Psychiatric Assessment with Medication Management.

If veterans do struggle with PTSD after they return from combat the Department of Veterans Affairs, a governmental agency that helps struggling veterans recover, offers two treatments. Studies have been done to see if one of the therapies is more effective than the other. There is not yet evidence that one therapy is better than the other. Cognitive processing therapy, CPT, helps by giving the vet a new way to deal with the maladaptive thoughts that come with PTSD. It also comforts them in gaining a new understanding of the traumatic events that happened to them. One of the other benefits of CPT is that it assists the person in learning how these disturbing events change the way they look at everything in life and helps them cope with that (“PTSD: National”). The second newer option of the two is prolonged exposure therapy, which is repeated exposure to these thoughts, feelings, and situations (“Most PTSD”). This type of therapy is now a central piece in the VA’s war on PTSD. “The problem with prolonged exposure is that it also has made a number of veterans violent, suicidal, and depressed, and it has a dropout rate that some researchers put at more than 50 percent, the highest dropout rate of any PTSD therapy that has been widely studied so far,”(“Trauma Post”). Both of the therapies are proven to reduce the symptoms but both have extremely high drop out rates and low follow through. It

Heritage Oaks Hospital provides a less restrictive step-down treatment environment at three outpatient centers: Harbor Oaks in West Sacramento serves adults and senior adults; Roseville Oaks serves adolescents, adults, and senior adults; and Winding Oaks next to the main hospital serves adults and senior adults. According to course textbook, the goal of outpatient programs is to improve quality of life and to return clients to daily activities among family, peers, and the community (Varcarolis, 2013). The treatments available include psychiatric, emotional, behavioral, and substance abuse. These outpatient centers have partial hospitalization program (PHP) and intensive outpatient program (IOP). According to the hospital website, outpatient services include physician oversight, medication management, group therapies, educational practices such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) (heritageoakshospital.com, 2017). I was assigned to Roseville Oaks Outpatient Behavioral Health Center. It was helpful for me to

In addition to the traditional services of providing nutritious meals, medication management and various therapies, the program has a two prong approach to address immediate needs as well as planning for the future. Services to help clients right now include foot care, clean socks and underwear, blankets and sack meals. Skill-building courses will help clients obtain and keep housing with assisting with appointments, bill payment, home visits, clutter reduction and housekeeping.

These include studies by Morland, Butler and Leskin into the effects of terrorism in the United States; Vazquez, Perez-Sales and Hervas covering the social and individual effects of terrorism in Madrid; Frazier and Berman covering post-traumatic growth in female sexual assault victims; and Joseph, Williams and Yule on psychosocial perspectives on PTSD and treatment (TRG pg 19). These studies show the importance of reprogramming PTSD clients towards normalizing and coping methods and re-integration into their social worlds using tools that bring about positive attitudes in mind, body, and spirituality.

The building is separate in two parts: the resident treatment center “Harold Drive” and the gambling and community service center “Santiam House”. Both buildings are safe, confidential, and therapeutic. The whole treatment program is divided into three parts: residential medical program, outpatient program, and correction program. This program strongly emphasizes freewill, so people can choose whether they go to counseling, do the medical detoxification, continue the treatment programs or not.