Hilo Day Tx Brochure

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Adult Services

 

Case Management and Outpatient Therapeutic Program Services

 
1. Community Based Case Management (CBCM)
CBCM is for seriously mentally ill individuals who need recovery focused treatment and supportive interventions in order to gain access to necessary services. This program is available 24 hours a day, every day. The goals of this program are for maximum reduction of psychiatric symptoms and for optimal development of community living skills. CBCM is often used as a “step down” program for individuals discharged from community and state psychiatric hospitals. It may also be used to serve persons at risk of psychiatric hospitalization. These services are offered on the islands of Oahu, Hawaii and Kauai.

Services include:

a. psychiatric care that prescribes and monitors medications for individuals to assist in the management of mental health issues,

b. nursing care to insure that medication regimes are providing maximum support as well as to insure that basic health needs are met,

c. case management to assist individuals finad and/or maintain stable housing in the community, maximize entitlements for food and benefits, access needed services, and manage the challenges of living in the community with a mental illness

 
2. Bio Psycho Social Rehabilitation (BPSR)

 
The Bio Psycho-Social program provides a mixture of classes, practical experience, and community interaction as individuals pursue the goal of recovery. Individuals are taught to manage the symptoms of mental illness so that they may fully participate in community life. Practical experience includes learning how to shop for and prepare for meals, scheduling medical appointments, developing leisure activities, and beginning to develop job-finding skills. Throughout the program, the goal of recovery is emphasized. Participants are encouraged and supported to actively direct their recovery process through choosing activities that support their growth and development.


3. Day Treatment

 
The Day Treatment program focuses on treatment, relapse prevention, and recovery for individuals with serious mental illness and addiction concerns. . Day Treatment provides the consumer with the opportunity to participate in a structured therapeutic program while being able to reside in the community. Activities include, but are not limited to, group counseling, education, skill building, recreational therapy, and family services.

 
4. AfterCare

 
This program provides graduates of the Day Treatment Program group and/or individual therapy and psycho-educational activities focused on maintaining and strengthening the person’s recovery and relapse prevention skills.

 
5. Seeking Safety

 
Seeking Safety is a present-focused therapy designed for people with serious mental illness and who have experienced severe trauma in their lives. “Trauma” means that a person has suffered or witnessed a severe life event, such as physical or sexual abuse, a car accident, or a hurricane. Many individuals with serious mental illness an have experienced a trauma during their lifetime. Some people develop post traumatic stress disorder (PTSD) as a result of their trauma and may also have developed addiction issues. You will learn more about this during treatment.

 
The treatment consists of 25 psychotherapy topics. It is an “integrated” treatment, meaning that both trauma and substance abuse issues are worked on at the same time to promote the most successful recovery possible.
 

Our Seeking Safety group for adults with severe and persistent mental illness are for those struggling with trauma and/or Post traumatic Stress Disorder (PTSD) issues. The group focuses on teaching and processing safe coping skills that restore ideals such as the following:

 
•           Respect

•           Care

•           Protection

•           Healing

•           Coping

•           Trust

 

 
Adult Residential Services


The Adult residential services consist of 4 levels of care:


1. Specialized Residential Services Population (SRSP)

The SRSP is a long term (up to 6 months) residential program for adults with serious mental illness and or adults with serious mental illness who may also have co-occurring alcohol and other drug problems, Services of the program may provide an individual an alternative to admission into the Hawaii State Hospital or a community setting for those recently discharged from the Hawaii State Hospital. The residential program offers individualized services tailored to each resident’s needs with respect and support for the individual’s choice. The individual’s participation in treatment planning helps achieve the goal of increased independent functioning in community living and work settings.   The SRSP is staffed by a registered nurse and mental health workers. Clinical supervision is provided by a licensed Qualified Mental Health Professional (QMHP), Nursing Director, and Medical Director. The program supports up to eight male and/or female adults and is located on Oahu. Referrals to the SRSP are received from various mental health agencies and hospitals in the community through case managers and social workers.

 
The SRSP continuum of care includes the following components: observation, monitoring and treatment twenty-four (24) hours a day, seven (7) days a week. Individual and group programming and activities are provided to facilitate recovery and assist the consumer to live successfully in the community, maintain an abstinent lifestyle, regain employment, develop and maintain social relationships, or to independently participate in social, interpersonal, community and peer support activities to increase community stability.

 
2. Therapeutic Living Program (TLP)

The TLP is a long term (up to 6 months) residential program for adults with severe and persistent mental illness, who do not need the care of a specialized treatment facility. The primary goal of the program is to assist consumers in meeting their basic needs until they are able to transition in to a more independent living option of their choice. Support is flexible, focused, and based on recovery.

 
Services include, but are not limited to, assessments; development and implementation of individualized services plans; coordination and linkage to activities in the community including clubhouses, psychosocial rehabilitation programs, and vocational rehabilitation. Consumers are encouraged to participate in social and recreational activities. Additional services may include restorative therapy, recreational therapy, assistance with activities of daily living, individual and group skill building and other activities which support healthy living.

 
The TLP is staffed by a registered nurse and mental health technician. Clinical supervision is provided by a licensed Qualified Mental Health Professional (QMHP), Nursing Director, and Medical Director. The program supports up to eight male and/or female adults and is located on Oahu. Referrals to the TLP are received from various mental health agencies and hospitals in the community through case managers and social workers.
 

3. 24 Hour Group Home

The 24 Hour Group Home provides services to individuals with severe and persistent mental illness. The primary goal of the housing program is to facilitate consumer’s transition throughout the residential continuum to a more permanent and independent living option of their choice. Support is flexible, focused and based on recovery.


Services include but are not limited to: housing assessments; development and implementation of master treatment/services plans; and coordination and linkage to activities in the community including clubhouses, psychosocial rehabilitation programs, and vocational opportunities. Consumers are encouraged to participate in social and recreation activities.


The 24 hour group home is staffed by a mental health technician twenty four hours a day. Quarterly clinical supervision is provided by a licensed Qualified Mental Health Professional (QMHP), Nursing Director, and Medical Director. The program supports up to eight male and/or female adults and is located on the island of Oahu. Referrals to the 24 hour group home are received from various mental health agencies and hospitals in the community through case managers and social workers.

 
4. 8-16 Group Home

The 8-16 Group Home provides services to individuals with severe and persistent mental illness. The primary goal of the services is to help the consumer master necessary skills for independent living in the community. This housing service is designed to be individualized and is the least restrictive of the residential services.


Activities include teaching, assisting and supporting the consumer in the development and performance of daily, social and interpersonal skills. Consumers are strongly encouraged to seek vocational training and continued adult college education. The staff work collaboratively with the consumer and designated case managers to facilitate transition to independent living.
 

The 8-16 Group home is staffed by a mental health technician for one eight hour shift per day.Clinical supervision is provided by a licensed Qualified Mental Health Professional (QMHP), Nursing Director, and Medical Director. Referrals to the 8-16 Group home are received from various mental health agencies and hospitals in the community through case managers and social workers. The program supports up to eight male and/or female adults and is located on Oahu and the Island of Hawaii (Kona).