“There are times when an individual has to return for inpatient or residential treatment. Most of the time re-admission is necessary because of relapses, or not following through with outpatient care. Medication may have been discontinued or considered unnecessary because an individual feels better. So they think, ‘I don’t need this medicine; I am better.’ They fail to realize the reason they are feeling better is because the medicine is benefitting them. In other situations a person may decide medicine is too expensive, inconvenient to take, or has unpleasant side effects.
Many times people don’t show up to their outpatient therapy appointments to discuss mental health symptoms. Stigma, transportation problems, apathy, financial concerns, and lack of understanding may all contribute to lack of follow-through. Failure to adhere to a treatment plan is the number one reason for recidivism,” states Kris Brown, RN-BC, MS, Pomegranate’s Nursing Director. Kris has worked in mental health education and counseling in a community training role.
Pomegranate therapists work diligently to provide education on different conditions with residents. For example, therapist Cory created a wall display for group discussion and sharing on everything from Bi-Polar Disorder to Borderline Personality Disorder. Pharmacology is provided by nursing, so a teen may participate in his or her own care to understand the goal, effects, and desired outcome. “Self-care and responsibility are very important. If you don’t take care of yourself, who else will? Each individual is present during treatment team meetings for assessment and monitoring, and discussion with the psychiatrist, nursing and therapy team members. But ultimately each individual is part of his or her own healing process,” adds Kris.
Any time someone discharges, there are outpatient appointments in place, a 30-day supply of medications, and a discharge plan. “The discharge plan covers outpatient appointments with a therapist or psychiatrist on acute. Residential provides step-down services such as those offered by our colleagues at Nationwide Children’s Hospital MST, Starr Commonwealth, Rosemont, Abraxas, but all are highly specific to the individual treatment plan and the needs of the youth involved. The aim is to restore a teen to full functioning in health, with greater resilience and coping skills in place and a sense of hope,” says Clinical Director, Demetra Taylor, MA, LPCC-S. ‘Keeping outpatient therapy appointments after an acute and/or residential stay adds accountability and continues to reinforce the progress made toward healing and re-integration into the community.’
[Photo credit: Portrait of Unhappy Pre-Teen Girl Stockbroker/Superstock 1888R-22327]