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![]() Bradford House Info Outpatient |
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The treatment approach in the adult wing is based on a "therapeutic community" philosophy, where patients actively engage in treatment under the guidance of a comprehensive team of doctors, nurses, social workers and activity therapists. In the geriatric wing, patients also receive services from nurses, social workers and activity therapists under the direction of psychiatrists, but more emphasis is placed on managing the cognitive deficits that are associated with dementia. Therapeutic interventions in this setting place an emphasis on sensory stimulation and reminiscence strategies. Admission criteria - Individuals who are admitted to inpatient psychiatric care must meet strict psychiatric criteria established by hospital policy and their individual payer source. Criteria are reviewed on a regular basis to determine when the patient can safely receive services in a less restrictive setting. Assessment Initially, assessments are performed by nurses, psychiatrists, activity therapists and social workers to determine the level of functioning and the strengths of the patient. Medication/Stabilization Following these assessments, an individualized treatment plan is developed and implemented. Under the direction of a psychiatrist, steps will be taken to initiate the use of medication and other interventions which will contribute to stabilization of the individual’s illness as rapidly as possible. The patient participates in a variety of therapeutic treatment activities to develop more effective strategies for coping with the presenting illness. In some cases, electroconvulsive therapy (ECT) may be recommended by the Treatment Team and the physician. When this is the case, with the patient’s consent, the patient’s family will be asked to participate in an educational session regarding ECT procedures and what to expect, prior to signing consents for ECT treatment. Inpatient hospitalization tends to be brief, with the average stay being approximately one week. As patients make progress, they begin the transition to less intensive levels of care. This may include return home, placement in a nursing home, or referral to rehabilitation services. Often, the treating psychiatrist will provide follow-up care after discharge from inpatient care in order to increase the likelihood of maintaining gains made when in the hospital. | |