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Residential Treatment Settings (RTS)s

Assertive Community Treatment (ACT)

Clubhouse Model

Respite/Crisis Housing

Evolving Consumer Household

Case Management

In Patient Stay

Partial Hospitalization Programs (PHPs)

Psychiatric Rehab

Management of care on a case-by-case basis, used for inpatient and community needs. Act as liaisons between client and community resources, home care, and third-party payers, as well as help accessing medical and psychiatric services, and carrying out ADLs.

Intentional community based on the belief that those with serious & persistent psychiatric disabilities can & will achieve normal life goals when given opportunity, time, support, & fellowship. It focuses on having a place to come to, meaningful work, meaningful relationships, & a place to return to (lifetime membership).

Some of these types of settings are designed as transitional housing with the expectation that residents will progress to more independent living. Others will serve clients for as long as the need exists, sometimes years. In addition to on-site staff, many provide case management services for clients & put them in touch with other programs (e.g., vocational rehabilitation; medical, dental, psychiatric care; & psychosocial rehabilitation programs or services) as needed.

For clients in need of short-term temporary shelter. These clients may live in group homes or independently most of the time but have a need for “relief” from their usual residences. This usually occurs when clients experience a crisis, feel overwhelmed, or cannot cope with problems or emotions. These services often provide increased emotional support & assistance with problem-solving in a setting away from the source of the clients’ distress.

Used as a tool to prevent repeat admissions. Clients make a gradual transition from being inpatients to living independently. Most programs include groups for building communication & social skills, solving problems, monitoring medications, learning coping strategies & skills for daily living. Individual sessions are available in some, as are vocational assistance, occupational & recreation therapies.

A problem-solving orientation is used allowing staff members to attend to specific life issues, no matter how mundane. Utilizing a team approach, most services are provided directly. Services are implemented in the client homes or communities, not in offices. Clients get three or more face-to-face contacts tailored to meet their needs. Services are provided for as long as the need persists & without time constraints.

A group-living situation in which the residents make the transition from a traditional group home to a residence where they fulfill their own responsibilities & function without on-site supervision from paid staff. As a permanent living arrangement, it eliminates the problem of relocation.

Using a client-centered multidisciplinary approach, there is rapid assessment, stabilization of symptoms, & discharge planning. Goals must be accomplished quickly & stays are brief. Clinicians help clients recognize symptoms, identify coping skills, & choose discharge supports.

Services designed to promote the recovery process for clients with mental illness. Recovery goes beyond symptom control & medication management to include personal growth, reintegration into the community, increased independence, & improved quality of life as the beginning of the recovery process and higher-level goals & expectations characterize later stages of recovery.