In-Person Interview Summary

Fisher and Harrison (2009), explain that inpatient treatment is positive for social interactions and decreased isolation. When touring the facility the patients were spending time together showing decreased isolation between them. The patients frequently have outings to activities such as a ropes course or attending community AA or NA meetings. Lakeside Milam has 24 hour care for its patients which make it less likely that the patients will use a substance while in treatment (Fisher & Harrison, 2009).

The conditions of psychiatric hospitals were poorly maintained yet again. From the late 1800s until the mid-1900s, the conditions of these institutions were hit or miss. Despite the rising population of those in need of mental health treatment, conditions were deteriorating across the board. This pushed in the deinstitutionalization movement (Nevid, Rathus, & Green, 2014). This was a push to remove patients from state-run hospitals into a more community-based treatment center. In most cases today, there are treatment plans in place depending upon the severity of the disorder an individual may be suffering from. It’s more about treating an individual with any variety of modern techniques or therapies and trying to reintegrate them into society rather than a lifelong stay in an institution. Deinstitutionalization didn’t work the way it was intended. After it was put into place there was a rise in the homeless population and different programs that were supposed to be put into place didn’t live up to

The solution to the problem is to provide sufficient funding to the community-based mental health system so people could be helped before they become part of the prison system. Services like medication therapy and monitoring, residential services, rehabilitation services and support services are successful in bringing the severely mentally ill back to communities. As a rule, community services are also less expensive. Instead, we see mental health agencies being closed and stripped of their budgets. As a result the mentally ill have no place to go for treatment and support.

The final item of business brought up was the vision for system integration in behavioral health. There was plenty of discussion focused on this since it is a new introduction but a much needed policy that needs to be put into place. Included in this discussion was the possibility of implementing behavioral health homes in Nebraska. Many other states have implemented behavioral health homes and some have worked out well and others have failed. One member brought up the big picture concern of behavioral health homes and how they are to take care of those with multiple morbidities since they are very complicated patients and healthcare workers tend to shy away from them. Nobody knew the answer to solve this concern but the committee planned how they should be thinking about what approach to take to make the behavioral health system more integrated. Today’s discussion about the vision for system integration was just the beginning of what is going to be handled at the next meeting.

I have worked for the West Virginia Division of Rehabilitation Services (WVDRS) for over three years as a Rehabilitation Service Associate. During that time I have been given the opportunity to work with the clients that we serve on a regular basis. However, the practicum experience provided me with an opportunity to gain a deeper understanding of the rehabilitation process and what it means to work as a team with individuals to achieve goals. The practicum experience also gave me insight on the processes involved in providing individuals information and assistance in finding solutions to help overcome or work through challenges encountered on a daily basis.

The difference should not affect the quality and success of the program, as the target population for PATH is 18 and older. Each of the EBPs reviewed were developed for individuals with mental illness and/or substance abuse to be utilized during reintegration into a more independent living environment. The Critical Time Intervention (CTI) aims to prevent recurrent homelessness in individuals with severe mental illness leaving shelters, hospitals, or other organizations aiding the homeless (Critical time intervention - top tier, (2013). Not all of these approaches have been tested on the targeted homeless demographic. The Modified Therapeutic Communities (MTCs) focus on offenders with mental illness and chemical abuse (MICA) disorders (Modified Therapeutic Community for Offenders with Mental Illness and Chemical Abuse Disorders (MICA). However, the U.S. Department of Housing and Urban Development (2012) classify offenders and incarcerated adults as at risk of homelessness. Therefore, these strategies should still produce a similar positive outcome for the targeted homeless population. Research has indicated that community integration and recovery from mental illness and substance

I was nervous at first because this was this was my first field work, and had just started the Therapeutic Recreational program. Nichole Cummins was aware of this and made me comfortable in my new venture at the St. Joseph’s Impatient Rehabilitation Unit. I discussed my goals with her before starting the field work. The unit is on the 4th floor of the main hospital. Files of patients are filed in a secure cabinet. My field work was 60 hours of experience. My goals were to learn about documentation, program planning, and activity modification.

Saratoga County no longer has safe, stigma-free, places for individuals with severe and persistent mental illness (SPMI) to spend their days. SPMI individuals need somewhere to go where they can feel safe and can interaction with others. In the past SPMI Individuals in Saratoga County had the options of attending day treatment, going to a drop-in center called The Social Club, or spending the day being productive in a sheltered workshop environment. Over the past few years all of these options have been removed. First, The Social Club was closed. Next, the day treatment center was changed to a “PROS” model where services are limited, time specific, and the focus is on community integration. Lastly, state and county funding was cut for shelter workshop environments and funneled into work readiness programs focused on integrating SPMI individuals into the community workforce. Integration is a noble aspiration. However, many SPMI individuals do not have the capacity to successfully integrate into community settings. These individuals are better served in situations where their special needs are appreciated and met such as sheltered workshops, drop-in centers and day treatment. Thus, due to the closing or changes in these types of programs, Saratoga County no longer offers safe supportive places for many SPMI Individuals to spend their days.

The client demographic for the CSH are voluntary based. Our client demographics include 30.3% of the population speak a language other than English and overall 8.1% of clients live below the poverty line. It is the experience of the writer that patient admissions is at 70%. This is because some clients who are referred to the CSH for services do not choose to stay for in-patient treatment. In these cases, clients may opt for out-patient rehabilitation services. Other clients, whether mandated or not, choose to pursue services at other agencies.

This rehabilitation center goes above and beyond simply addressing a mental illness or substance abuse need. They work to help their clients find and keep employment. This is specialized care that focuses mainly on life after addiction not the problem

The purpose of this case study is to evaluate an individualized supported housing program that provides stable, long-term housing, and community and clinical support to those living with a mental illness (Muir et al., 2008). This program, called the Housing and Accommodation Support Initiative (HASI), is an initiative in New South Wales, Australia (Muir et al., 2008). With the help of health services, housing services, and support agencies, HASI assists those who need support to participate in the community, maintains tenancies, enhances quality of life, and helps in the recovery from mental illness (NSW Health and NSW DoH, 2005 as cited in Muir et al., 2008).

The availability of enrollment to the program will be 24/7, all year around. Potential participants will be able to join the program at any time. In order to have participant become accustomed to a daily routine, the schedule of the intervention would be determined upon enrollment. Three days a week, participant will attend workshops and activities related, but not limited to, financial management, employment, continued education, and developing basic social skills. The other 2 days a week they will be meeting with their counselors, psychiatrists, and caseworkers to give updates on their progress, and occasionally, or as needed, meet with medical professionals. According to the research done on the START program, the frequency of access to psychiatric help was outlined but all other services were not, the program did have promising results with mental disorders and its symptoms. Outlining a specific schedule and frequency of services included in the intervention will show if how often the participants have contact with their support teams, and the services, will improve the outcome of the

The original model became a local community center for people over the age of eighteen with mental illness. Its goal was and still is for people with mental ailments to reach their full potential (The Fountain House, n.d.). Membership is open to anyone who has a history of mental illness. Being a member of Fountain House helps people feel like they belong and are always welcomed. Also, members have a stake in the organization and they work together to meet a shared goal (Clubhouse International, n.d.). In particular, the clubhouse standard proves that people with mental health

Mr. Daren Lindstrom requested a phone interview. Mr. Daren resides Minnesota Adult Teen challenge 1619 Portland Ave south. Privacy practices and Tennessen notices were reviewed verbally. The interview was not recorded due to being a phone call.

An interview was conducted on November 10, 2015 with librarian reference desk personnel in the Clarion University’s Carlson Library. The interviewee was asked questions regarding the university’s libraries. A total of ten questions were ask and answered. The first question that asked was “when was the library built?” Librarian reply was “In the early 1960s, state government collected money to create the library for the university.” The next inquiry was “What is the origins of the library name?” The response was “The Carlson Library was dedicated to honoring a retired librarian of 34 years, Rena M. Carlson”.