Adult Mental Health Services are delivered through a Disease Management Model

WHAT IS DISEASE MANAGEMENT?
Treatment of Major Depression, Bipolar and/or Schizophrenia Disorders that focuses on an individual’s outcomes, selected services, tools, and strengths in order for them to recover.

WHAT IS RECOVERY?
“A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles. It is a way of living a satisfying, hopeful, and contributing life even with limitations caused by illness” (Anthony, 1993).

• Recovery is a process that takes place over time
• It promotes balance in a person’s life
• It develops the whole person
• Its focus is on potential
• It involves changing thinking and attitude
• It promotes emotional and spiritual growth
• It begins with self-acceptance
• It’s activated through a willingness to self-change
• It’s is a hand up, not a hand out. Hill Country strives to help individuals lead independent, productive lives.

TREATMENT IS BASED ON THE BASIC PRINCIPLES THAT EVERYONE NEEDS

• A sense of power
• A sense of uniqueness
• Positive role models and mentors
• Problem solving skills
• Conflict resolution skills

FOUNDATIONS OF DISEASE MANAGEMENT

• Recovery
• Community Integration
• Good Clinical Practice Guidelines
• Good Utilization Management
• Good Business Practice

DISEASE MANAGEMENT MODEL

• Builds on current strengths of individual.
• Teaches skills to help reach “real life” goals.
• Promotes recovery within limitations of the disease through encouraging independence.
• Focuses on community integration.
• Focuses on whole-person and not just the disease.
• Requires participation of individuals served.
• Services are determined by individual’s needs.

BASIC DISEASE MANAGEMENT PRINCIPLES

• Treatment based on specific diagnosis and level of need.
• A system of service delivery based on progression of recovery.
• Outcomes that help individuals reach real life goals, increase community integration, and support progression toward recovery.
• Community integration through building on an individual’s skills.
• A system of services reflecting level of need matched with clinically appropriate resources. It is structured to progress from more intense levels of service to less intense and eventual graduation.
• Service delivery that is designed to reduce psychiatric hospitalization, reduce substance abuse, and encourage jail diversion.
• Services reflect right treatment, for appropriate length of time, and delivered in the appropriate setting.
• Individualized services based on a set of practice guidelines.

WELLNESS STRATEGY
What is it that the individual needs and wants in order to recover?
A Wellness Strategy, looking at an individual’s activities 24 hours a day, 7 days a week, is completed for every adult mental health patient at Hill Country to ensure that they receive:

• Regular Physical Exercise
• Adequate Sleep
• Healthy Diet
• Referral to outside agencies for funding assistance as needed and available.
• Linkage with at least 2 community supports specific to the individual’s needs, such as the National Alliance for the Mentally Ill, Peer Support Groups, local churches, Narcotics Anonymous, and Alcoholics Anonymous.

PSYCHIATRIC REHABILITATION

• Identifies desired outcomes and real life goals of an individual.
• Builds on strengths and focuses on positives in an individual’s life.
• Strengthens and teaches skills necessary for individual to cope with their disease.

AREAS AN INDIVIDUAL MAY FIND ASSISTANCE THROUGH PSYCHIATRIC REHABILITATION AND
SELF MANAGEMENT TRAINING/EDUCATION INCLUDE:

• Stress Management

• Coping Skills

• Symptom Management

• Medication Education

• Activities of Daily Living

• Budgeting

• Problem Solving

• Accessing Services

• Communicating Effectively

• Social Skills

• Development of Natural Supports

• Family Training Education

• Illness Education

• COPSD Groups

• Anger Management

• Supported Employment

• Supported Housing

SERVICE PACKAGES *
SERVICES WILL BE AUTHORIZED IN ONE OF THE FOLLOWING PACKAGES
BASED ON DIAGNOSIS AND EACH INDIVIDUAL’S NEEDS
*As of 5/17/04 (Subject to Change)

** Service Package 4 includes Pharmacological Management, Patient & Family Education, Case Management, Psychiatric Rehabilitation Services, Supported Employment, Housing Services, and Co-Occurring Psychiatric & Substance Abuse Services

Peer Support
Peer Support programs offer individuals a unique, experiential learning opportunity for people with any serious mental illness who are interested in establishing and maintaining their wellness and recovery. Through care and share time, diagnosis education, medication education, wellness education, role play, socialization, and education on every day life and every day solutions, individuals learn from others living with their illness how to increase self-esteem, increase self-awareness, and increase self-management. Peer support opportunities are available for individuals suffering from mental illness as well as individuals suffering from both mental illness and substance abuse. For more information on Peer Support opportunities in your area, please contact Martha Toles at mtoles@hillcountry.org or via phone at 830-792-3300.

Hill Country Community MHMR Center Mental Health Clinics by County

Mental Health Crisis Number 1-877-466-0660
Operated after hours between 5:00pm and 8:00am.

Links
For more information and resources, please visit the following links:

National Alliance for the Mentally Ill (NAMI) www.nami.org
Texas NAMI www.namitexas.org
National Mental Health Association www.nmha.org
Substance Abuse and Mental Health Services Administration www.samhsa.gov
Texas Department of State Health Services www.dshs.state.tx.us

PDF's
Disease Management Case Studies
Disease Management Brochure
Dm and Mental Health