PRIORITIES

 

Program

The program accepts voluntary adults ages 18+ who are experiencing a behavioral and/or mental health crisis and do not need higher level of medical or psychiatric care. The program provides an intensive residential alternative to hospitalization for individuals experiencing a behavioral health episode or crisis requiring temporary removal from their home environment.  Priorities recognizes that the need for intensive residential services exists 24 hours per day, seven days per week, evening, weekends and holidays included.  Access to the program shall be available during these times.  The primary focus of this program shall be on reduction of the crisis, stabilization and treatment of the mental health condition, and on a diagnostic assessment of the person's existing support system, including recommendations for referrals upon discharge.


It is expected that referrals will be made from participating Regional Centers.  Only those referrals with Regional Center approval will be admitted to the program. All referrals must meet the admission criteria mutually established between the Regional Center and the Priorities.


At the time of admission a comprehensive assessment is conducted and a treatment plan developed.

During the initial 24-Hour Intensive Assessment and Evaluation period, the treatment team will make a determination of on-going need for intensive residential services. A comprehensive discharge plan is developed and implemented for consumers who no longer require intensive residential services after the initial 24-hour period.  Consumers who have on-going medical necessity and require additional services will receive further assessment of mental health and/or co-occurring condition, psychopharmacologic management, specialty mental health services, coordinated case management and active discharge planning.


Individual needs plans will be developed for each consumer in the program.  The focus of the plan will be to identify interventions and techniques to stabilize and resolve the crisis, manage the consumer’s emotional, behavioral and mental health condition, provide education and skills, and to develop a relapse prevention plan.


The program will move aggressively toward resolution of the emotional and/or mental health crisis and to assist the consumer with identifying, teaching and practicing independent living skills necessary to return home.  Case Management services will be coordinated with the consumer’s referring agency, case manager, therapist, responsible party and/or family member. It is anticipated that residents will have an average length of stay of up to 6 months.

oped. The treatment plan will emphasize those intervention services necessary to stabilize and restore the individual to a level of functioning that either does not require hospitalization or reduces the need for hospitalization and provides the necessary interventions, education and skills to assist the individual to transition and maintain placement in their home community. 

The program will provide coordinated residential services and specialized programs to adults experiencing a need for intensive residential services while preserving the individual’s dignity, privacy and sense of hope.  Priorities will work proactively with the consumer and the referring Regional Center in reducing behavioral acting out, restoring the consumer’s emotional and mental health by intervening with the episode, stabilizing the emotional, behavioral and mental health condition, and providing coordinated case management and education for identifying and practicing the skills necessary to maintain the consumer’s personal wellness.  Emphasis will be placed on developing an individualized needs and care plan that identifies necessary skills and interventions in order to minimize dependence on psychiatric emergency services or other institutional placements, maintain placement in the least restrictive setting, develop skills to optimize the level of functioning and improve social normalization, and assist the client to return home or to a more independent living arrangement. 


Functional analysis will be conducted for each target (problem) behaviors.  The analysis will identify the antecedents, behaviors and consequences of the target behavior in order to identify the function of the target behavior.  A behavior plan utilizing alternatives to teach, related behaviors to teach, intervention and prevention, and goals, will be developed and implemented by staff.  Data collection will be done to monitor the ongoing progress of the Behavior Intervention Plan to ensure efficacy. 

Task analysis is the review and development of specific behaviors the consumer will utilize in replacement of the target (problem) behaviors. Replacement behaviors will be broken down into the simplest, component steps and taught to the consumer.  Prompts, reinforcement, successive approximation, shaping, modeling, chaining/backward chaining, fading and extinction will be used to help shape the replacement behaviors.


A task analysis record will be utilized to ensure efficacy of the intervention.  Each behavior, its component steps and the staff intervention (e.g. prompts or shaping) will be recorded to monitor consumer progress.  Periodic review by the interdisciplinary treatment team will assess task analysis progress and changes will be made to ensure the efficacy of treatment.


The program utilizes a strengths-based approach for individual treatment planning and encourages social normalizing interventions and activities designed to assist the consumer in developing self-responsibility, personal empowerment and a sense of hope that they may return and safely maintain their living situation in the community.


It is the expectation that this program will positively benefit the consumer by reducing their dependence on emergency psychiatric services, reducing the number of inpatient hospitalizations for the consumer, and reducing placements in other long-term, 24-hour care or supervised living facilities such as state hospitals, psychiatric skilled nursing facilities and developmental centers, while providing the resources necessary to assist the client to maintain their placement in the least restrictive setting or return to their home.

Expected Outcomes