Patients admitted to Health Care Partners with a diagnosis of mental health disorder are provided a skilled nursing program which addresses primary psychiatric disorders or secondary emotional problems.  We maximize positive outcomes via a holistic interdisciplinary approach focusing on patient and caregiver education in the management of psychiatric illness.

  • Assist persons with mental illness who cannot use traditional outpatient mental health services.
  • Minimize psychiatric emergencies and hospital admissions.
  • Utilize an interdisciplinary approach in managing all aspects of care.
  • Assess baseline cognitive and psychiatric status - utilizing standardized assessment tools such as: Geriatric Depression Scale, Beck Depression Inventory, Hamilton Anxiety Rating Scale, Short Portable Mental Status Exam, Folstein Mini Mental Status Exam, Suicidal Behavior Screen, Abnormal Involuntary Movement Scale.
  • Develop and implement an individualized plan of care congruent with the psychiatric, psycho - social and medical needs of the patient, to educate caregivers in dealing with difficult behaviors, crisis intervention, and safety in the home setting.
  • Educate the patient and caregiver with the importance of complying with the disease management regimen.
  • Develop and implement an appropriate discharge plan utilizing formal and informal networks and community resources.
  • Address the educational needs of the patient, family, caregivers and community on a long term basis.
  • Registered Nurse - To provide an initial assessment and coordinate referrals to the interdisciplinary team. Collaborate with the physician and patient regarding a treatment plan, and then establish and develop a treatment plan that is medically safe and flexible to the patient's environment and lifestyle.  Instruct and supervise administration of medications and provide focused psychiatric illness management education to both the patient and caregiver.
  • Physical/Occupational Therapist - To develop individualized exercise programs for patients, improve endurance, activity levels and safety through established and recognized practices and guidelines developed by physicians and therapists for home maintenance.
  • Medical Social Worker - To address the psychological and social issues that negatively impact the disease process, treatment and recovery (ie. financial, housing, and caregiver needs.) Also, to assess the emotional needs and barriers that impede compliance with the medical regimen and the patient's adjustment to the disease process.
  • Registered Dietician - To conduct an in-depth nutritional assessment and recommend solutions to dietary needs.
  • Certified Home Health Aide - To provide personal care services as needed by the mental health patient.
  • Spiritual Care - To provide spiritual guidance and counseling for the patient, caregiver and family, especially those troubled by acute illness.

 
 
 
provides a comprehensive psycho-educational program designed to educate our patients and their caregivers  with mental illness.  Our teaching plan includes, but is not limited to, the following:
Understanding mental illness
Understanding symptoms
Understanding treatment
Getting the best results from medication
Coping with symptoms and side effects
Recovering from illness
Helping to prevent relapse
Avoiding crisis situations
Managing crisis and emergency situations
 
 
  • Schizophrenia
  • Depression
  • Paranoid Disorder
  • Delusional Disorder
  • Bipolar Disorder
  • Anxiety Disorder

 
  • Patient and family teaching
  • Multidisciplinary approach to patient care
  • Diagnostic tests
  • Administration of IM Decanoate
  • Increase in patient's level of independence
  • Coordination of other community based health and social services
  • Administration of standardized assessment tool.
  1. To provide a bridge of care linking the patient between the inpatient setting and community, that improves the quality of the patient's life and maximizes the potential to live at home.
  2. To provide an anchor of stability, to maintain the patient in the community and to prevent unnecessary hospitalizations.
  3. Support of family/caregiver to assist them in coping with the patient's behavior.
  4. Act as an educational resource to the patient or caregiver on such issues as medication and diet regimens, interpersonal and communication strategies and individual coping techniques.
  5. Provide psychotherapeutic interventions directed at maintaining patients at their maximum functional level and preventing further deterioration.
  6. Coordinate the needed services of other community based health and social services.
  7. To act as a resource to the non-psychiatric medical community by defining the mental health needs of patients.
  8. To facilitate the transition of emotionally and psychiatrically impaired individuals from acute and long term facilities to family care or to other community based living arrangements.
 
For more information on our Mental Health Program call us at  (248) 358-1186

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