immediately upon the patient’s admission.
After the initial
assessment, the physician develops an admission
note which reflects the patient’s medical and
The treatment team,
under the leadership of the
physician/psychiatrist or nurse practitioner,
meets with the patient and develops a
comprehensive, individualized treatment plan.
NMSH uses an
interdisciplinary treatment team approach that
includes physicians, nurse practitioners,
nurses, pharmacists, social workers,
psychologists, recreation therapists, mental
health technicians, and others.
provide input throughout the patient’s stay
based on their assessment and their personal
observations of and interactions with the
The treatment team
meets as a group weekly to assess the patient’s
The patient may sit
in on subsequent weekly meetings.
the units, we have a system designed to help the
take responsibility for him or herself.
The level system is
used to provide structure, consistency, and a
sense of responsibility for the patient’s
behavior toward himself or others.
therapeutic progress and level status is
assessed weekly by the treatment team.
A patient’s level
may be lowered for continued disciplinary
problems, failure to participate actively in
treatment, any serious behavioral “acting out”
problems, breaking unit rules, or attempting to
leave the hospital grounds.
In general, the
more cooperative, active, and responsible the
patient it, the higher the level will be the
more privileges the patient will have.
are identified by the patient’s armband color.
The white level is
used for patients when they arrive at the
usually on the white level for 48 hours.
During this time,
they can only make one phone call per day.
trial visits or passes are given at this level.
Visitation is not
permitted on this level, unless otherwise
Yellow and green
armbands show progress.
Red armbands are
considered a Restricted Level and usually result
from problematic behavior.
treatment program includes therapeutic groups,
recreation therapy, goal-setting, interaction
with mental health professionals, and
Process groups help
patients address interpersonal problems;
didactic (teaching) groups assist the patients
in acquiring skills for dealing with their
The program is
designed and personalized to help each patient
begin the process of recovery.
continuum of care is emphasized through the
The goal is to be a
part of the community mental healthcare system
and to work cooperatively with other service
providers to positively influence outcomes and
overall care for our patients.
begins the moment a patient enters the hospital.
A social worker
and/or other treatment team member will talk to
the patient and his/her family about discharge
In working toward a
smooth transition out of the hospital, various
community treatment programs and support groups
will be discussed with the patient.
Based on the
patient’s needs, community resources will be
identified and referrals will be made prior to