Origins Behavioral Healthcare’s residential programs are designed to treat people with addiction to alcohol and other drugs. There are times, however, when even clinical and medical professionals working with an individual might be unsure if the person is truly chemically dependent. For those cases, Hanley Center at Origins in tropical West Palm Beach, FL, offers a ten-day Clinical Assessment Program (CAP) to help determine the extent of a person’s condition.
This program is not for people who simply want to detox or who want a short residential stay. Rather it is limited to patients whose clinical presentation does not clearly indicate whether or not a full course of residential treatment is necessary.
Often, patients who are misusing substances have developed a physiological dependence to chemicals, and the sudden removal of those chemicals can cause complications ranging from slight discomfort to extreme physical complications, including seizure and even death. Origins has been providing state of the art, on-site detox for many years. Our medical team works to assure that every patient is medically managed for safety and to minimize discomfort as much as possible during this crucial time.
All patients entering Origins’ CAP complete an initial nursing assessment within the first hours of arrival. This helps our medical team assess and treat acute concerns that need immediate medical attention. Our proximity to St. Mary’s Medical Center, a renown hospital directly adjacent to Hanley Center, ensures that we are able to swiftly transfer them to emergency care if needed.
Upon arrival into our care, each person is screened for psychiatric concerns. Taking a mental health screening is one of the quickest and easiest ways to determine whether a person is experiencing symptoms of a mental health condition, especially symptoms that may be affecting a person’s safety, such as thoughts of suicide or self-harm.
Within 24 hours, patients receive a complete history and physical (H&P) exam by a physician or other practitioner (ARNP or PA). This allows us to begin addressing any chronic or acute medical conditions that may be present.
The biopsychosocial assessment, conducted through a personalized interview with a therapist, allows our team to assess for biological, psychological, and social factors that can be contributing to problems such as mental health and substance use disorders. It is considered a holistic assessment, meaning that it looks at various dimensions of wellbeing in order to get a complete picture of health: body, mind, and spirit.
What a person eats invariably contributes to their wellness, including how well the brain is able to function. At Origins, we administer nutritional assessments that detect patterns which may contribute to medical conditions and well as mental health diagnoses. When necessary, we are also able to refer to local eating disorder specialists who can assess a patient during their care.
Every person in our CAP will receive a personalized clinical interview with one of Origins’ licensed psychologists through Origins Center for Brain Recovery. This interview, conducted as a conversation between a psychologist and the patient, can help the professional accurately diagnose mental health or co-occurring disorders. From this interview, subsequent psychological testing (such as the PEPQ, MBMD or MMPI-2) may be recommended and administered.
During the CAP, we welcome loved ones and referring professionals (such as therapists and doctors) to provide critical insight into the patient’s life. Once consent is given by a patient, a patient’s primary therapist will reach out and help “connect the dots” in order to get a more complete picture of their case. Our licensed family therapists will also communicate with families to gather further information via screening.
Group psychotherapy or group therapy is a form of psychotherapy in which a therapist treats a small group of patients together as a group. When offered as a component of integrated treatment, group therapy allows patients to explore aspects of interpersonal relationships while creating an atmosphere that helps a person identify their own strengths and weaknesses.
A psychoeducational group is a specific type of group therapy that focuses on educating patients about their disorders, such as substance use disorders or depression, and how to develop healthy ways of coping with their symptoms. Other groups may explore other components of wellness, such a trauma, grief, smoking cessation, or nutrition.
Each patient in Origins CAP will be assigned a therapist who will meet with them individually during their stay. These sessions are a vital component of the assessment and recommendation process. During this time, the therapists will guide a patient to privately explore issues that may be contributing to (or exacerbated by) substance use or other mental health concerns.
Upon completion of the Clinical Assessment Program, we provide an integrated summary of our findings. This includes information from Origins’ skilled multidisciplinary team—from doctors and therapists to psychologists and support staff.
Along with an integrated summary of our clinical findings, we also provide a well-crafted treatment plan that takes into consideration the various options available for the person’s wellness and recovery. In some instances, continuing care may include a recommendation to a residential treatment facility. In others, it may be medical or psychiatric care, trauma therapy, or ongoing counseling. Every treatment plan is individualized and guided by sophisticated medical and clinical assessments.
On or before day 9, patients are presented with all of the results, findings, and recommendations of the treatment team. Clinical and continuing care staff work with the patient and others involved to facilitate the next steps which may include extending residential treatment or moving to a different level of care. Regardless of the recommendation, we work with you to ensure the smoothest possible transition to whatever level of care you need.
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