COMMUNITY SUPPORT FOR ADULTS
Community Psychiatric Supportive Treatment Services for Adults
CPST is an array of services provided by caring professional case managers. Services are designed to address the individualized mental health needs of people with severe and persistent mental illness who are 18-years-old or older. CPST workers focus on people's ability to succeed in the community by assisting them to access needed community resources, learn effective coping skills and manage their basic needs. CPST workers provide services in the community, such as in the consumer's home, community agencies, courts, etc. CPST workers do not do for people, instead, they assist people with mental illness do for themselves. CPST services are provided face-to-face and over the telephone.
Psychiatrists are available for people assessed as needing medication to help them better manage their symptoms. The doctors and nurses become part of the treatment team, along with the consumer and the case manager.
COMMUNITY SUPPORT FOR CHILDREN
Community Psychiatric Supportive Treatment Services for Children
Children with emotional and behavioral problems that interfere with their functioning at home, school and the community can benefit from specialized CPST services for children. Caring professionals work with the child and his/her family to teach behavior management skills and provide education related to the emotional issues, in addition to support and advocacy. Children CPST workers work within the child's home and school and in other community settings. Parents are an important part of treatment at SMHC and are encouraged to be involved in treatment planning and sessions with their child. Also, since children spend a lot of their time in school, case managers involve the teacher and guidance counselors in treatment (when applicable) to better assist the child and family manage school related concerns.
Child Psychiatrists are available for children assessed as needing medication to help them better manage their symptoms. The child psychiatrist and nurses become part of the treatment team, along with the child, parents/caretakers and the case manager.
Counseling services are designed to teach people the skills necessary to manage situational and phase of life problems. These services are brief and solution-focused. Treatment plans are developed for four to six sessions; however, we understand that there are times when additional treatment is needed, so treatment plans can be updated or extended if there is a specific need.
Since services are brief and solution-focused, clients are not typically referred to one of the staff psychiatrists for medication.
Group counseling is also available depending on client need.
· Health assessments
· Diagnosis and treatment of various chronic conditions
· Treatment of minor acute conditions such as colds, flu, infections, etc.
· Preventive exams (Example: Well Woman)
· Wellness education
· Smoking cessation
· Sport Physicals
Your primary health care will be provided by a Certified Nurse Practitioner. Nurse Practitioners are registered nurses with advanced education (master's degee). Nurse practitioners also have to pass a board certification exam. The Nurse Practitioner's focus is on health promotion, disease prevention, and health education and counseling. From treating illness to advising patients on maintaining a healthy lifestyle, Nurse Practitioners are fully qualifed healthcare providers.
The mission of crisis intervention services is to help individuals and families in crisis achieve stabilization in a timely manner. Mobile crisis workers respond to situations in local emergency rooms, jails, group homes and other community settings. Crisis workers help locate services and resources, provide consultation, and screen people potentially in need of psychiatric hospitalization. Workers are licensed professionals who have experience and training in dealing with psychiatric emergencies.
HEALTH HOME SERVICES
A health home is not a building of any kind. It is a team of people working together to make sure that your medical and non-medical needs are met. The health home teams at Shawnee are composed of:
- A mental health team leader
- Care Coordinators/Care Managers
- Health Navigators
- Wellness coaches
- Primary health care nurse practitioners
- Psychiatric nurse practitioners
What type of medical help can Shawnee provide as my health home?
- Help you or your child find a medical doctor or psychiatric doctor (we have these doctors on-site)
- Arrange dental care
- Remind you of needed exams, vaccinations or screenings
- Coordinate specialty medical care (such as cardiac care)
- Help you or your child get to medical appointments
- Help you talk with your doctor about your care
- Make sure all of the doctors you or your child sees talk to each other and have the same information
- Help make sure that you are taking the correct medication
What type of non-medical help can Shawnee provide as my health home?
- Help you with transportation
- Help you find affordable housing
- Help make sure that you get your Medicaid and / or Social Security reviews completed on time
We believe that people with mental illness who want to work can work, regardless of their mental illness. These services address vocational training, education and support for adults who have been diagnosed with a severe mental illness. Although services are primarily provided to people living in Adams, Lawrence and Scioto Counties, we also provide them to people with severe mental illness who live in surrounding counties and have been referred by the Bureau of Vocational Rehabilitation.
Our program is based on the supported employment model, which is an evidence based approach to employment. The seven principles of this model are:
· Zero exclusion (anyone who wants to work can be admitted to the program, regardless of severity of symptoms)
· Consumer preferences drive the plan
· Treatment is integrated
· Rapid job search
· Competitive employment is the goal
· Follow along supports are time limited
· Personalized benefit planning
People with severe mental illness who work report less symptoms and a higher quality of life.
THERAPEUTIC FOSTER CARE
SMHC has agreements with foster home parents who have been trained to effectively work with youth with special psychiatric needs. Children may stay in TFC for several months or they may just need a brief respite stay, for example, for a weekend or just overnight. A dedicated SMHC staff person oversees the training of parents and the placement of children in TFC and SMHC clients receive continued support from CPST case managers. The homes are licensed by the Ohio Department of Mental Health.
Respite care is provided for children with serious emotional problems and their families. Trained respite workers give families a "time out" by taking the kids to the park, movies, or just out for ice cream. To receive respite, children and families must be clients of SMHC and be enrolled in the Community Psychiatric Supportive Treatment Services for Children (CPST) Program.
Adult and child psychiatrists and nurses are available to provide pharmacological management for clients assessed as needing medication to help stabilize psychiatric symptoms. Also, follow-up psychiatric services and assistance helps ensure that clients have an understanding of their illness and the impact of medication, including side-effects. We believe in involving the person served and their family in decisions about medication and we support client choice. We also encourage involvement of a primary care physician so that overall health status can be continuously assessed.
Activities are face-to-face and include psychiatric evaluations, medication check-ups, medication education, laboratory work, and administration of medication and coordination of services provided by other health care providers. Nurses are available to make home visits if applicable and if part of the person's treatment plan.