Services
ADULT & OUTPATIENT EMERGENCY SERVICES (AOES)
AOES is comprised of outpatient, emergency and substance abuse treatment services.
Outpatient Services are designed to treat persons who are suffering significant psychological stress and symptoms in their lives. These services include individual, group and family therapy; parent and community education; and consultation with schools, physicians, etc. Outpatient service-staff work with individuals and/or families to help with a variety of problems including anxiety, depression, obsessions and compulsions, and post-traumatic stress disorder. At times, Outpatient Services staff may also provide crisis intervention and emergency evaluation for psychiatric hospitalization.
Emergency services is a 24 hour per day, 7 day per week service for persons who may need short-term, time-limited services including: clinical assessment face to face, telephone clinical screening, triage, crisis stabilization, brief treatment, crisis case management, emergency evaluation for hospitalization, psychiatric assessment, and others. These services are intended to appropriately triage clients based on clinical need to effective treatment programs in the least restrictive setting. Services are provided by psychiatrists, clinical nurse specialists, registered nurses, and/or case managers, through a supportive relationship(s) and to promote the individual’s recovery.
For those clients assessed as needing short-term, problem solving, solution-focused crisis intervention, a time-limited resource exists within ES. Activities of crisis intervention include assistance for referrals for shelter, food, and medical care, legal advocacy, referral for substance abuse intervention, transportation, and others.
SUBSTANCE ABUSE TREATMENT SERVICES
The Substance Abuse Treatment Service (SATS) is a specialty program of the Adult Outpatient & Emergency Services Department, General Outpatient Services program. This program treats adults who have chemical abuse or dependence problems. This program provides therapeutic services and drug-free outpatient counseling. Residential treatment, de-tox, methadone maintenance are not offered in the SATS program setting. The SATS program staff is prepared to collect saliva and urine samples in order to facilitate drug testing by an independent laboratory. When other needs are apparent and beyond the scope of services offered, the SATS program works collaboratively with other providers of chemical abuse treatment to link clients with needed services. The SATS program provides co-occurring services and addresses the mental health and substance abuse needs of clients and values the support to individuals offered by AA, NA and Al- Anon recommending that clients integrate those supports into their recovery program. These services are provided by outpatient therapists, drug counselors, psychiatrists, registered nurses, and/or case managers, through a supportive relationship(s) and to promote the individual's recovery.
CHILD & ADOLESCENT TREATMENT SERVICES (CATS)
CATS is comprised of Outpatient Services, Children Intensive Services, Independent Living Apartment Program, Children & Adolescent Service System Program, Child Psychiatric Services and School-based Supportive Family Outreach. Services are designed to treat children and adolescents who are suffering significant psychological stress and symptoms in their lives. CATS Services include individual, play, group and family therapy; parent and community education and consultation with schools, physicians, etc. At times, treatment services may also include crisis intervention and emergency evaluation for psychiatric hospitalization.
CHILDREN'S INTENSIVE SERVICES (CIS)
CIS is a comprehensive continuum of community-based mental health services for treating severely emotionally and behaviorally disturbed youths. The key purpose of CIS is to provide community-based alternatives to psychiatric hospitalization and out-of-home placements. CIS is intended as an acute care program with intensive clinical and supportive services provided to the youths and their families. Service intensity is defined by the level-of-care standards that are determined using functional assessment measures.
CIS offers an array of therapeutic, clinical, services which include 24 hour crisis assessment/intervention, crisis stabilization, psychiatric/medication evaluation, family assessment or re-assessment, and development of individualized treatment plans. Intensive therapeutic treatment may include medication management, individual, family and group therapy, and therapeutic case management.
Non-clinical services that are supportive of the overall behavioral treatment plan and may be supportive, directive, skill building, or coordinating, may also be offered. These include service coordination and integration and coordination with other providers, other payers, or other systems of care such as DCYF, courts, CEDARRS Family Centers, etc.
Independent Living Apartment Program (ILAP) is designed to provide a non-restrictive, but therapeutic living environment for six emotionally disturbed adolescents and/or young adults between the ages of seventeen (17) and twenty-one (21). This program is designed to be utilized by individuals who have been found to need some structure and supervision in their living arrangements, have demonstrated sufficient self- care skills and emotional maturity, and for whom placement with their family of origin or in a more structured residential setting is no longer appropriate. The program provides ongoing support, financial and emotional, as well as continued instruction and guidance in independent living skills.
The primary modality of intervention for clients in the ILAP program will be through the provision of Case Management services. These services include, but are not be limited to, medical services, education/vocational life skill training, recreational opportunities, transportation and family contact and visitation.
Clinical treatment services may include emergency assessment, psychiatric services, and individual, family and group therapy.
The Newport County Child and Adolescent Service System Program (CASSP) is a collaborative group whose mission is to promote the treatment of children and adolescents with severe emotional and/or behavioral problems in the least restrictive environment possible. This group is composed of mental health and social service agencies, DCYF, educational authorities, parents, advocates and other community members. The primary function of this group is the review and planning for children through a Child and Family Team meeting process. CASSP also provides for follow-up and tracking of these children, research on outcome, and advocacy. CASSP is a community-based effort and seeks first to support the functioning of children in their own homes and communities.
The CASSP team provides many services including, but not limited to, case finding, case management, provision and coordination of critical services for children including, family service coordination, system navigation, wraparound and facilitating access to both non-traditional and agency-based supports and services, advocacy, and community education.
The Children's Psychiatric Services program provides comprehensive, community-based psychiatric evaluation, consultation, educational and medication services to children and adolescents and their families. The CPS program works collaboratively with other programs and staff members of NCCMHC and with other providers of mental health, educational and social services. The Children’s Psychiatric Services program offers an array of therapeutic services that include the following: psychiatric evaluation, medication management, skilled nursing review and intervention, parent and community education, and consultation to schools, physicians, etc. At times staff may also provide crisis intervention and emergency evaluation for psychiatric hospitalization.
The School-Based Supportive Family Outreach Services program in collaboration with Middletown Public Schools provides educational, preventative, and therapeutic services to Middletown students grades 9-12. These services target students who are at risk for poor academic performance, drop-out, and/or failure and are designed to enhance and support the student’s adjustment to school and home life while promoting his or her success in learning. This program serves approximately 60-80 students and their families throughout the school year. The School-Based Supportive Family Outreach Services program offers an array of services that may include, but are not limited to, case management, transportation aid, attendance tracking, identification of and linking with other community resources. Program staff may facilitate referrals to other NCCMHC services including individual, family and group therapy and crisis intervention and emergency evaluation for psychiatric hospitalization.
COMMUNITY SUPPORT SERVICES (CSS)
CSS is comprised of the Mobile Treatment Team, Support Services, Day Treatment Services (Phoenix One Program) and Intensive Case Management Services (Freedom Apartments.) CSS provides comprehensive, community-based mental health treatment, rehabilitation and support services within a continuous treatment team model to adults with chronic and persistent mental illness and who are at risk for homelessness, involvement with the criminal justice system, ongoing substance abuse or unemployment.
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| The RIACT II Team (L to R): Dr. Farrel Klein, Medical Director; Peter Bradley, BA, LCDP; William Kelleher, BA, BS, CCSP; Elizabeth Gilchrest, BA, CCSP; Kathryn Dwyer, BS, RN; Erica Michalek, CS, CIT; Erica Johnson, MA; Aubrey Matthews, BA; Kim Boudreau, BS and Michael Gunning, MSW, LCSW. |
The Mobile Treatment Team model merges clinical and rehabilitation staff expertise (e.g., psychiatric nursing, substance abuse, employment) into one service delivery team under the leadership of a qualified Program Coordinator. This approach fosters minimal referrals of clients to other clinical programs for treatment, rehabilitation and support services. The team’s clinical priorities include: outreach to clients and provision of services, which include individual client needs, desires, and choices. This approach emphasizes community and home-based services with 75% of clinical contacts occurring outside of the MTT office.
MTT Services include case management, crisis assessment and intervention, symptom assessment, management and supportive counseling, medication management, direct assistance in support of basic necessities of daily living, development and support of social activities and relationship-building, substance abuse , criminal justice and vocational services.
RIACT II began operations on November 1, 2006 making it our newest program for adult clients who experience serious mental illness. The RIACT II model essentially provides the same comprehensive approach to service delivery as the MTT. The primary difference is that it provides its services to individuals who do not need the same frequency or intensity of services. While a full range of case management services are available, this team has a particular focus on vocational rehabilitation. The focus is on the empowerment of the client in a supportive environment as they build on skills needed to become more independent and move towards goals of more meaningful and productive lives.
The Support Services Case Management Service program (SS CM) provides comprehensive, community-based mental health treatment and support services to adults with chronic and persistent mental illness and/or emotional disorders who need assistance in reaching optimal levels of functioning in daily living. It is comprised of four units: General Case Management, Intensive Case Management, Intensive Plus Case Management, and Older Adult Case Management and Consultation.
Each unit provides case management services to individuals seeking to promote stability in their life circumstances. Some services included in case management are assistance necessary for the person to attain the goals of his or her individualized plan for recovery, ongoing assessments and review of supports and services to ensure the continuing availability of required services, counseling, support, and treatment services identified in the person’s individualized treatment plan, assistance with securing and maintaining employment in an appropriate setting and many more.
Day Treatment Services/ Phoenix One Program assists adults with severe and persistent mental or characterological disorders to increase their independent living skills in the community through the provision of support services in a learning environment, which is conducive to mutual support, group cohesion, and personal/social enrichments. This environment is created through voluntary association and the cooperative building of a supportive social network by program participation with assistance from staff.
The Partial Day Services/Psychiatric Rehabilitation unit provides the following therapeutic services as needed: Job seeking skills training; Job development and job matching services; Job coaching; Follow-along supports; Benefits counseling; Referral to the Office of Rehabilitation Services; Career counseling and training; Planning for, and applying to GED and post-secondary educational programs and opportunities and many more.
Additionally, program development takes place with significant input from clients. Emphasis is placed on competency training, workshops, extended family, building on self-esteem and a sense of belonging through client participation and empowerment.
Intensive Case Management Services-Freedom Apartments
Freedom Apartments provides treatment at a 10-unit, 12 residents permanent housing setting for adults with chronic and persistent mental illness on-site activities of daily Intensive Case Management Services living skill building with intensive case management. These services assist clients to reaching higher levels of functioning in daily living and endorse recovery principles.
Staff provides 13 hours of services per day and these include case management services and individualized
treatment planning, psychiatric services, nursing consultation and medication monitoring, symptom assessment, management and supportive counseling, activities of daily living, skill building, nutritional management, assistance with food shopping, meal planning and preparation, financial management and many others.
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| Phoenix One Club staff provide daily lunches to clients at our 65 Valley Road facility. This year their own garden supplied fruits and vegetables. |
ADULT RESIDENTIAL SERVICES
The Anita Jackson House (AJH) provides adults with severe and persistent mental illness on-site residential case management services within a highly structured, staffed group living experience that prepares clients for a more independent living situation while promoting autonomy and recovery.
AJH is an eleven-bed, intensively staffed group home for adults with severe and persistent mental illness who require a highly structured and supportive residential treatment environment. The facility provides twenty-four hour awake coverage on a three-shift basis. House schedule, routines, and activities are focused on the functional level and needs of this population.
Staff attempt to provide an environment predicated upon the recovery and rehabilitation model which emphasizes residents learning skills and acquiring support which enable them to function successfully and satisfactorily in their environment of choice with the lease amount of professional support and intervention. Services include: case management and individualized treatment planning, access to and use of medical and dental services, psychiatric services, nursing consultation and medication monitoring, symptom assessment, management and supportive counseling, skill building and assistance with personal hygiene, financial management, vocational assessment and skill building opportunities, and many others.
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| The living room at Anita Jackson House provides residents with a homelike atmosphere where they can socialize, read or simply relax. |
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