PHP was developed to meet the needs of those for whom outpatient counseling is not effective but inpatient/residential is too restrictive. The program will run 5 days a week (M-F), for at least 20 hours per week, and provide assessment, treatment and education of adult patients, as well as coordinate treatment with agencies and organizations for the delivery of psychiatry and medical care.
Although the PHP will begin to evaluate clients mid-September and will begin to treat clients October 1, 2018, we have already developed policies and procedures that will guide the daily management of this program.
Treatment plans will be developed to not only address their substance use, mental health and primary care issues/needs, but also the major social determinants of health.
All program participants will be assessed with a variety of standardized tools to include the AUDIT/DAST, PHQ 2 or 9, the Addiction Severity Index, the Columbia Suicide Risk Assessment and the URICA (University of Rhode Island Change Assessment).
Not only will participants receive intensive individual and group treatment, but strong aftercare and family components will be provided to insure the continuity of care and the inclusion of family and support members in the treatment process.
The PHP is a multidisciplinary team made up of licensed mental health and substance use clinicians, psychiatric providers, RN’s, case managers and peer support staff who closely coordinate care with primary care providers on a biweekly basis (or more frequently if needed). All staff are trained in co-occurring disorders treatment skills and in appropriate evidence-based skills, such as Motivational Interviewing, Harm Reduction and Integrated Dual Disorder Treatment. Additionally, all staff are trained in the stages of change in order to adapt person-centered care to the needs of the client.
The RN and psychiatric provider will provide medication management, evaluate for medical issues, and strongly coordinate with medical providers to ensure that all of the participant needs are addressed. A focus on a healthy lifestyle will be addressed both individually and in groups in order to promote safety and an avoidance of high-risk behaviors. At a minimum, bi-weekly case conferences with the primary care providers are conducted to ensure that all medical needs are being addressed appropriately. Case managers, RN’s and peer support workers are vital to the case coordination needed to insure comprehensive services in the community to address the social determinants of health.
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