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NADD U.S. Policy Update (from the NADD Bulletin Volume IX Number 4)Complete listing
Transitional Housing to Reduce Inpatient Stays
Kevin Martin, Steve Robson, Joan B. Beasley,Thomas A. Dailey,
Kathryn duPree
US Public Policy Update
A challenge often faced by policy planners is how to assist
individuals with intellectual disabilities and mental health needs
who no longer require a psychiatric inpatient stay, but are not yet
ready to return home. In some states transitional housing has
improved both outcomes for individuals and collaborative efforts
between service systems.
The Woodbridge Center currently has six beds and will soon expand to
twelve, and is a short term facility operated by the Connecticut
Department of Mental Retardation (DMR). The first floor of the
program has a kitchen, living, laundry, medication, exercise room as
well as a separate living room/bedroom for one individual who needs
specialized services. The backyard has an enclosed grassy area with a
fish pond and picnic tables. The second floor has individual bedrooms
with semi private bathrooms, a shared "family" room and a
quiet area for individuals who need some time alone.
Visits range from 30-90 days, renewable every 30 days. A request for
extension of a stay requires an approved transition plan outlining
actions taken to assure community placement within a reasonable
period of time. The primary purpose of the Center is to successfully
transition individuals discharged from acute psychiatric settings
back home. The population most often served at the Center includes
individuals with mental retardation and severe behavioral challenges,
autism, substance abuse and/or serious and persistent mental illness.
Guests must be at least 18 years old. Planning for discharge begins
at the time of admission.
The Center utilizes Milieu Therapy to help guests succeed in a group
environment. As stated by Focus Alternative Learning Center, Inc
(Retrieved May 22, 2006 from www.focus-alternative.org/milieu.htm,
page 1) "Milieu Therapy is a planned treatment environment in
which everyday events and interactions are therapeutically designed
for the purpose of enhancing social skills and building
confidence." The milieu requires "immediate feedback from
caring staff" as well as consistent rules, routines and
activities. The primary goal is "to teach [adults] 'how' to 'fit
in' socially and emotionally in their world without changing 'who'
they are." A key aspect in fulfilling this goal is ensuring that
interactions between all staff and residents are respectful,
non-threatening and done in a manner that will encourage confidence
and independence.
The Center follows a structured and consistent routine. Guests are
expected to participate to their fullest potential. Independence is a
primary goal. Activities include household responsibilities,
recreational activities, and community involvement. Volunteer work at
"Meals on Wheels" plays a major role allowing guests to
have a sense of accomplishment, self-worth and to assist others.
Therapies at the Center include music, speech and occupational
therapy with therapists coming into the house to provide services.
The Woodbridge Center's clinical support services include psychiatry,
psychiatric nursing, psychology, occupational therapy, physical
therapy, speech therapy and clinical nursing coordination. Team
meetings are held at least weekly. The Woodbridge team works
cooperatively with public and private agencies including discharging
facilities. To promote success, the Center emphasizes training and
supervision provided to direct support professionals with frequent
information sharing and team meetings as a centerpiece of the project.
The Center has strong support from administrators on local, regional
and state wide levels. This helps the program maintain its mission to
provide quality services to individuals with serious challenges and
to limit lengths of stay to ensure availability to as many as
possible following an acute psychiatric inpatient stay.
Policy planners must consider remedies to limits in the provision of
inpatient mental health services and how to best serve individuals
with intellectual disabilities who often require more than is
provided in generic psychiatric inpatient settings. In many cases
individuals are not yet ready to return home but no longer require an
inpatient stay according to current practices. The Woodbridge Center
is one example of the effective use of a transitional clinical
setting to ensure a successful return home.
For more information on the Woodbridge Center contact:
Thomas Dailey, North Region Director of Public Residential and Day Supports
Thomas.dailey@po.state.ct.us
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Upcoming Conferences:
September
Ohio State 10th Annual MI/DD Conference , Mental Health Aspects
–Treatment & Support (September 18 & September 19, 2012)
Columbus, Ohio
October
NADD 29th Conference & Exhibit Show, (October 17 - 19, 2012)
Denver, Colorado
October 2013
NADD 30th Conference & Exhibit Show, Baltimore MD (October 23 -
October 25, 2013)
Complete Calendar |
New Educational Products:
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 Intellectual
Disability and Mental Health: A Training Manual in Dual Diagnosis
Sharon McGilvery, Ph.D. and Darlene Sweetland, Ph.D.
With the release of this book, Drs. McGilvery and Sweetland share
decades of experience working with individuals diagnosed with an
intellectual disability and co-occurring psychiatric disorders. Their
well-practiced approach takes into account the extremely complex
nature of working with dual-diagnosis. The authors provide
in-depth information about the diagnostic process, hands-on treatment
considerations, and their experience training thousands of people to
work passionately with these individuals. An important
contribution is their approach to addressing complicating factors in
identifying appropriate psychiatric diagnoses, as well as the problem
of the underreporting of psychiatric symptoms and disorders. Finally,
those working in a variety of contexts with these individuals will
benefit from the innovative approaches of looking at treatment and
intervention strategies that can be immediately implemented. 264 pages
Details:
ST11-053B
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 A
PRACTICAL GUIDE to Assessing Medical Issues Associated with
Behavior/ Psychiatric Problems in Persons with Intellectual
Disability – Revised in 2011
Ann R. Poindexter, M.D.
This book discusses medical/medication issues which may present as
behavioral/ psychiatric problems in individuals with intellectual
disability. Three self-directed instructional courses and
several illustrative case histories are included. 110 pages\
Details:
DA05-021BR
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Psychotherapy for Individuals with Intellectual Disability
Edited by: Robert J. Fletcher, DSW, ACSW
This book provides the reader with insightful and useful ways to
provide psychotherapy treatment for individuals who have intellectual
disability (ID). It brings together all three modalities
(individual, couple, and group), and a variety of theoretical models
and techniques are discussed. The first section, Individual
Therapy, offers a variety of approaches and techniques including
dialectical behavioral therapy, positive psychology,
mindfulness-based practice, and relaxation training. Also included in
this section are chapters on specialty populations including victims
of abuse, people who have Autism Spectrum Disorder, and people in
mourning. The second section is a chapter on group therapy addressing
trauma issues. The third section is on family and couple therapy. The
fourth section covers chapters on research, ethics, and
training. The individual authors are respected authorities in
the field of providing psychotherapy treatment for persons with ID
and all have contributed to the professional literature.
This book is a major contribution to the effort to make psychotherapy
available to individuals who have ID and should serve to further
stimulate interest in the provision of psychotherapy treatment for
individuals who have ID co-occurring with significant mental health problems.
NADD # CT11-051B Details
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 Comprehensive
Competence-Based Parenting Assessment for Parents with Learning
Dificulties and Their Children
Maurice Feldman, PhD, Marjorie Aunos, PhD
This book presents an innovative, empirically-supported approach to
assessing parenting capacity of parents with learning difficulties
that can lead to more humane, fair and accurate child custody
decisions. The authors are leading researchers and
practitioners in this field haing worked with hundred of these
families. Many professionals working with these families
recognize that the current parenting capacity assessment approaches
are based on outdatd and invalid assumptions and methods. This
book addresses the unique assessment needs of these families and
includes detailed background information, rationales and methods.
NADD # DA10-050B Details
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 Working
with People with Challeging Behaviors: A Guide for Maintaining
Positive Relation
Nathan Ory
The material in this book introduces general practices
and specific solutions to behavior problems that will work with
people who display difficult and challenging behaviors regardless of
who they are. It is especially suitable for working with
individuals who have developmental or intellectual disabilities
coupled with a behavior disorder. The methods also apply to the
person with emotional or psychiatric disturbances, or another serious
mental health problem. Finally, they are helpful in providing
support to elderly individuals who display challenging behavior.
NADD # ST10-049B Details
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Human Needs and Intellectual Disabilities: Applications for Person
Centered Planning, Dual Diagnosis, and Crisis Intervention
Steven Reiss, Ph.D.
Human Needs and Intellectual Disabilities identifies the 12 human
needs most relevant to the lives of people with intellectual
disabilities, autism and related developmental disabilities. It
includes detailed, practical suggestions for caregivers or parents
interested in the happiness, quality of life, and self-determintion
of their loved ones or consumers. The book includes detailed,
practical suggestions for reducing episodes of challenging behavior
and psychiatric symptoms in people with a dual diagnosis
(intellectual disabilities and mental illness). It shows how to
substitute the language of individuality (e.g., "friendly
person") for the language of disability (e.g., "person with
disability"). It also reduces the tendency of planners to
confuse their own value system for that of the consumer. The
book includes scholarly reviews of dual diagnosis literature on
mental illness, prevalence, and assessment.
NADD # DA10-048B Details
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Positive Identity Development
Author: Karyn Harvey, PhD
Positive Identity Development is an exciting new approach to
treatment for individuals with intellectual disabilities. This
book provides a new theoretical perspective on treatment along with a
variety of innovative tools. It rejects reducing adults with
intellectual disabilities to a mere compilation of their behaviors
and promotes the use of a positive, therapeutic approach to each
unique individual. Psychologists, social workers and therapists
should be able to use the tools presented in this book to directly
enhance the effectiveness of the treatment they provide to adults
with intellectual disabilities. This book promotes well-being on
every level and explores a broad range of issues relevant to the life
and mental health of adults with intellectual disabilities
Mbr Price: $34.95
Non-Mbr: $39.95
NADD #CT09-047B Details |
 Down
Syndrome: When to Worry about Mental Health and What to Do About It
Robin Friedlander, M.D. & Peter Johnson, Ph.D.
NADD # FI09-044B Details |
 Working
with People who have Intellectual Disability and Behavioral
Problems: A Self-Study Guide for Interdisciplinary Team Members
Ann R. Poindexter, M.D. & Paul D. Kolstoe, Ph.D.
NADD # ST09-045B Details |
Multi-Media CDs of NADD 25th Annual Conference Presentations
Presentations recorded at NADD 25th Annual Conference are available
as multi-media CDs. These CDs contain the video and Power Point
from conference presentations and are a great tool for training
yourself and your staff. To order, or for additional
information, click here.
Community Networks of Specialized Care: Building Community
Capacity through Training and Education Lisa Holmes, Liz
Froese, MSW, Rosanne Stein, LLB, BSc, Sandi Bricker
NADD Competency-Based Dual Diagnosis Certification Program Robert
Fletcher, DSW, ACSW, FAAIDD; Donna McNelis, PhD; John McGonigle,
PhD; Kathleen Olson, PhD; Jarrett Barnhill, MD
Autism Spectrum Disorders: Separating the Data from the
Myths Ann R. Poindexter, MD
Diagnostic Systems for Use with People with ID Luis
Salvador-Carulla, MD, PhD, Robert J. Fletcher, DSW, ACSW, FAAIDD,
Sally-Ann Cooper, MD
The price for the above multimedia is: Member:
$49.95 Non-member: $59.95
To order, or for additional information, click
here.
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