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Services
While the focus and frequency is tailored to meet the individual
service plan goals and objectives, clients are involved in
a variety of medical and clinical treatment modalities. Mingus
Center offers assessment and referral, pharmacological evaluation
and treatment, group therapy, recreational therapy, psycho-educational
and outpatient services. There will be an emphasis on brief
therapy utilizing cognitive-behavioral approaches. Each is
briefly described:
Use
the following hyperlinks for more information
on the following Mingus Center services.
Intensive
Adult Inpatient Unit
Mingus Center provides intensive crisis stabilization services
to voluntary and involuntary adult clients age 18 to elderly.
There are 16 beds on the adult unit. The following services
are provided to adult clients on this unit:
- Primary Psychiatric Diagnosis and Dual Diagnosis
- Detoxification Services
- Psychiatric/Psycho-pharmacologic assessment/diagnosis
by psychiatrist in 1st 24 hours of admission.
- Complete history/physical/neurological exam by a Family
Nurse practitioner in 1st 24 hours of admission.
- Laboratory, radiology and other medical evaluation/screenings
as indicated.
- Complete psychiatric and physical assessment by a nurse
with the Initial Service Plan in 1st 24 hours.
- Comprehensive bio-psychosocial assessment by a Licensed
Clinical Social Worker or Licensed Professional Counselor
within 72 hours of admission.
- Crisis oriented intensive family therapy as indicated
by client's needs · Individual therapy one to three times
weekly as indicated by client's needs.
- Cognitive-behavioral skill building group focusing on
feelings management, problem solving, and social skills
3 times daily.
- Daily psychotherapy process group with Licensed Clinical
Social Worker or Licensed Professional Counselor.
- Creative art/leisure skills group under the supervision
of Activity Specialist twice daily
- Weekly AA/NA groups
- Intensive Weekend Substance Abuse Groups.
- Treatment Plan review every 7 days.
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Individual Counseling
Conducted by therapists and/or psychiatrists to complete
initial assessments, develop and evaluate progress toward
treatment goals and objectives, to discuss the appropriate
treatment modalities, and to process and problem-solve issues
of a short-term nature. The number of individual counseling
hours varies based on acuity level.
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Group Counseling/Support
Groups
Led by members of the clinical staff, groups are designed
to foster client growth, to assist the client in building
a support system and to evaluate the client's progress on
goals specific to their service plan. Approximately five and
½ hours of group therapy is provided on a daily basis in addition
to 1 hour AA and NA weekly meetings.
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Cognitive Behavioral
Technique Learning Groups
Structured therapeutic group activities based on each client's
treatment needs. These groups are facilitated by the Licensed
Therapist, Licensed Social Worker, or trained behavioral paraprofessionals.
Group topics include:
- Emotions (Anger, depression, anxiety, thinking errors,
balance thinking)
- Relapse prevention (Initial recovery plan, warning signs,
thought management, recovery planning, recovery activities)
- Stress reduction (Breathing, thought stopping, visualization
and progressive relaxation, coping skills and assertive
training)
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Psychotherapy
Process Group
Facilitated daily by a Licensed Social Worker for Licensed
Professional Counselor. The purpose of this group is to allow
clients to talk about their feelings and to assist in developing
healthy coping skills. Group topics may include:
- Relationships with self, family, friends, and authority
- Life skills-communication, goal setting, health and leisure
- Cognitive skill-positive thinking
- Day to day skills-stress management, conflict resolution
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Crisis Evaluations and
Counseling
We provide pre-petition screening and evaluation of clients
alleged to be, as a result of a mental disorder, a danger
to self or others, persistently or acutely disabled, or gravely
disabled and who are unwilling or unable to undergo a voluntary
evaluation. Written evaluations and court testimony regarding
the client's mental status is provided.
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Recreational/Activity
Sessions
Provided by the Activity Specialist in conjunction with nursing
staff, these sessions aim to provide age appropriate, social
skill building activities and recreation. Mingus Center incorporates
diverse cultural beliefs and traditions in many aspects of
the clients care and treatment. Many of the expressive art
and leisure activity groups involve culturally based traditions
and concepts. During art and leisure activity group we offer
Native American based experiences such as paper weaving, Medicine
Wheel, drumming on a community drum, rattle, story telling,
talking circle, pottery, animal totems and pictograph drawings.
The clients are encouraged to draw from their personal experiences
and express their emotions, thoughts and feelings through
the art and music. The culturally based activities are beneficial
for all clients as they cross cultural boundaries.
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Medication Services
Services, pertaining to medical care are performed at the
direction of the attending psychiatrist. Many clients with
complex psychiatric needs also have medical needs. Mingus
Center has qualified medical and nursing staff to manage the
Medical-Psychiatric client. Pre-admission medical clearance
is obtained through one of our nearby medical centers and
emergency services are readily available if needed. Medication
is used only when treatment and /or recovery maintenance without
this intervention is not feasible. These services include
medication education, medication administration, medication
monitoring and adjustment as necessary for treatment effectiveness.
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Behavior Management
Behavioral methodologies may be used to help a client re-socialize
nonproductive, aggressive or dangerous behavior. These will
be defined with the client and family, if appropriate, and
integrated into the individualized service plan.
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Case Management
This modality is offered to any client who is using and/or
in need of the coordination of multiple community social and
psychiatric services and who is not already case managed through
another agency with which Mingus Center staff can cooperate.
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Out Patient Services
Out patient services are provided for medication management,
individual, and family therapy for private pay and private
insurance clients.
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Medical Detoxification
Medical detoxification services include the following substances:
alcohol benzodiazepines, amphetamines, and opiates. Clients
accepted for treatment usually have a mental health and /
or substance abuse diagnosis. Clients may be voluntary or
court ordered for the sole purpose of detoxification. Clients
who are under 18 years of age or who have severe medical problems
are not admitted. Clients for admission to the adult substance
detox and rehab for primary purpose of detox must have appropriate
referral from an outside agency.
Upon admission of an eligible client, psychiatric and nursing
assessments are completed. The sources of information for
these assessments consist of review of referral information,
informant information, prior treatment records and interviews
with the client and significant others. The nursing assessment
is completed upon admission. In addition, a psychiatrist conducts
a psychiatric evaluation and a nurse practitioner conducts
a history and physical within 24 hours of admission. The purpose
of these assessments is to provide a comprehensive clinical
picture of the client that serves as the basis for determination
of the diagnosis and individual treatment plan.
These services can only be provided if the level of dependence
and the amount and type of substance does not require hospital-based
services to address likely physical complications from withdrawal.
If there is a disagreement as to the need for medical/hospital-based
detoxification, the Medical Director will make the final determination.
Detoxification services may include the safe withdrawal from
substances as well as a safe reduction in the amount of prescribed
medication (from a previous unsafe amount). Treatment focuses
on nursing observation, medication, short-term counseling
and the introduction to Twelve Step cognitive and behavioral
program principles of substance abuse. Upon discharge, referrals
will be made to an outpatient setting for further assessment
and possible Intensive Outpatient Treatment or Residential
Treatment to address the dynamics of addiction and offer long-term
treatment and support.
Client progress and problems are tracked daily through staff
observation, chart documentation and treatment team reviews.
Discharge planning begins upon admission and strives to include
arrangements for appropriate aftercare and self-help approaches.
Average length of stay is estimated to be seven days for detoxification.
Any client may be re-admitted without restrictions providing
they meet the admission criteria.
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