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Inpatient Mental Health Treatment

• Jennifer Slusarz-Conroy, Psy.D. Licensed
  Psychologist
• Michelle Stein, M.A.
• Florida State Hospital located in
  Chattahoochee, Florida

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FLORIDA STATE HOSPITAL

• OPERATIONS
• CIVIL ADMISSIONS
• CIVIL TRANSITION
• SPECIALTY CARE
• FORENSIC ADMISSIONS
• FORENSIC CENTRAL

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PEOPLE WE SERVE

• Adults 18 and over
• Severe Persistent Mental Illness
• Forensic Court Involvement Residents committed
  under Fl. Statue 916
• Civil Court Commitments -Residents committed
  under Fl. Statue Chapter 394

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F.S. 394 - Baker Act or Florida Mental Health
Act

• CRITERIA FOR ADMISSION

• Be Mentally Ill
• Refused Voluntary placement
• Unable to Determine if Placement is needed
• Cannot care for self
• No Least Restrictive Placement
• Evidence to support allegations

• Must be evaluated at Receiving Facility

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F.S. 916 Forensic Commitment

• Incompetent to Proceed
• Pretrial status, resident is evaluated by
  community evaluator
• Court hears evidence and determines if person can
  participate in trial process
• Not Guilty by Reason of Insanity
• Post-trial adjudication
• Committed crime but due to mental illness, did
  not appreciate right from wrong, or did not
  appreciate their actions would cause harm

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CIVIL ADMISSION

• 97-beds - male and female
• Accepts residents between the ages of 18 and 64
• Committed under Chapter 394, Florida Statute
• Objective is stabilization and treatment for
  return to community as soon as possible

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CIVIL TRANSISTION

• 232 beds in 2 connecting buildings
• 202 Males 30 females
• House residents committed under 394 and Forensic
  Step downs (916s)
• Objective is
• Restoration of Competency ITP Residents
• Stabilize and Discharge Baker Act Residents
• Further Stabilize and Discharge NGI residents
• Return residents back to community as soon as
  possible

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SPECIALITY CARE

• 161 bed, male and female
• 34 are certified as a Distinct Part with Centers
  for Medicaid and Medicare
• 32 beds for individuals who are dually diagnosed
  with a mental illness and developmental
  disability
• 95 beds are used for individuals with long term
  mental illness and health issues
• Objective is to prepare residents to live and
  function at their highest level possible, and
  improving resident quality of life

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FORENSIC ADMISSIONS

• 150 beds - Male admissions and treatment
• 6 Pods with 25 beds each
• Objectives
• Assessment of new admissions
• Short-term treatment
• Competency restoration for
• Behavioral stabilization
• Medical complex with a medical and dental clinic.

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FORENSIC CENTRAL

• 319-bed, residential unit - 120 Females 199
  Males
• 10 Wards 6 males and 5 females
• Female admission unit
• Serve NGI and ITP
• Objectives
• Assess competency and return ITP residents to
  Court
• Stabilize and discharge NGI residents to
  community
• Transfer residents to least restrictive
  environment

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Milieu Therapy in psychiatry, treatment that
involves maintaining a therapeutic environment

• The Milieu is the life space of the resident 24
  hours a day, 7 days per week.
• The milieu or environment is not static but
  flexible and incorporates the daily routines,
  predictable rules and activities in a
  non-threatening process.

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RECOVERY TEAMS

• Recovery Team Members Include
• The Resident
• Qualified Mental Health Professional (QMHP)
• Psychiatrist or Psychiatric ARNP
• Medical Doctor or Medical ARNP
• Nurse
• Human Service Counselors III
• Psychologist
• Dietician
• Direct Care Staff - Unit Treatment Rehabilitation
  Specialist/Personal Advocate
• Personnel Currently Providing Services, such as
• Unit Rehabilitation Services
• Hospital Wide Rehabilitation Services (CPS)
• Substance Abuse Counselors

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RECOVERY TEAMS

• All Recovery Team Members Help Develop a Recovery
  Plan by
• Completing Assessments/Evaluations as required
• Identifying and Providing Needed Services
• Documenting Residents Progress in Progress Notes
• Participating in Scheduled Recovery Team meetings
• Helping Make Various Critical Decisions
• Developing a Personal Safety Plan

All Services Should be Geared To Help Residents
Achieve His/Her Identified Goals
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Psychologist Duties

• Mental Status Examination
• Competency Evaluation
• Assessment of Manifest Risk
• Violence Risk Assessments
• Suicide/Self-Injury Risk Assessments
• Court Reports
• Barriers to Discharge Analysis
• Motivational Interviewing

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Psychologist Duties

• Recovery Team
• Psychological Assessments Personality,
  Intelligence, Cognitive Processing, Response
  Style, Abilities
• Supervision Practicum Students, Interns,
  Postdoctoral Residents
• Crisis Management
• Behavioral Management Programs
• Group and Individual Therapy
• Presentations to Hospital Staff
• Committee Membership

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Questions??