2. Inpatient Mental Health Treatment Jennifer Slusarz-Conroy, Psy.D. Licensed Psychologist Michelle Stein, M.A. Florida State Hospital – located in Chattahoochee, Florida

3. 3 FLORIDA STATE HOSPITAL OPERATIONS CIVIL ADMISSIONS CIVIL TRANSITION SPECIALTY CARE FORENSIC ADMISSIONS FORENSIC CENTRAL

4. 4 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

6. F.S. 394 - Baker Act or Florida Mental Health Act Must be evaluated at Receiving Facility  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 CRITERIA FOR ADMISSION

7. 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

8. 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

9. CIVIL TRANSISTION 232 beds in 2 connecting buildings 202 Males & 30 females House residents committed under 394 and Forensic Step downs (916’s) 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

10. 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

11. 11 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.

12. 12 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

13. 13 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.

15. 15 RECOVERY TEAMS  Recovery Team Members Include: A.The Resident B.Qualified Mental Health Professional (QMHP) C.Psychiatrist or Psychiatric ARNP D.Medical Doctor or Medical ARNP E.Nurse F.Human Service Counselors III G.Psychologist H.Dietician I.Direct Care Staff - Unit Treatment Rehabilitation Specialist/Personal Advocate J.Personnel Currently Providing Services, such as: i.Unit Rehabilitation Services ii.Hospital Wide Rehabilitation Services (CPS) iii.Substance Abuse Counselors

16. 16 All Recovery Team Members Help Develop a Recovery Plan by: Completing Assessments/Evaluations as required Identifying and Providing Needed Services Documenting Resident’s Progress in Progress Notes Participating in Scheduled Recovery Team meetings Helping Make Various Critical Decisions Developing a Personal Safety Plan RECOVERY TEAMS All Services Should be Geared To Help Resident’s Achieve His/Her Identified Goals

18. 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

19. 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

20. Questions??