Harmony Hill School

Substance use treatment

Refers to a diverse array of activities and services, which encompass identifying the issue (and involving the person in therapy), brief therapeutic approaches, evaluating substance abuse and associated problems, including histories of different forms of abuse, diagnosing the issue(s), and devising a treatment plan in Harmony Hill School that may involve counseling, medical care, psychiatric care, psychological care, social services, and post-treatment support for individuals struggling with alcohol or drug problems in the Chepachet area (as stated by the Institute of Medicine in 1990).

Mental health treatment

Encompasses treatments such as therapy or the use of psychotropic medication that address an individual's mental health concerns, alleviate symptoms, and enhance behavioral functioning and outcomes. More information is available on the Harmony Hill School website.

Treatment for co-occurring substance use plus either serious mental health illness in adults / serious emotional disturbance in children

The housing provided for individuals in recovery from substance abuse is specifically designed to offer a drug and alcohol-free environment along with appropriate support services, facilitating the transition to independent living. This type of housing can be categorized as transitional living, sober houses, sober living, recovery houses, and 3/4 houses and maybe offered by Harmony Hill School in the Chepachet area.

IHS/Tribal/Urban (ITU) funds

Funds directly from the Indian Health Service come in two forms: tribal funds through "638 contracts" authorized by public law, and urban funds through federal Title 5 grants. These funds are considered a component of the Indian healthcare system and can be utilized for programs offering behavioral health services like Harmony Hill School or for programs that provide other health-related services.

Medicaid

A collaborative federal and state initiative that provides financial aid for medical expenses for certain individuals with limited income and resources. Medicaid programs differ in Rhode Island than other states.

Federal military insurance (e.g., TRICARE)

The TRICARE health insurance program provided by the Department of Defense is available for active duty service members and be be accepted a treatment facility like Harmony Hill School. They are not required to pay any out-of-pocket expenses for medical treatment or prescriptions, and there are no insurance premiums to be paid.

Other State funds

Financial resources obtained or provided by other Rhode Island agencies and/or government entities within the government.

Private health insurance

Refers to health insurance plans administered by private health insurance companies.

State corrections or juvenile justice funds

Harmony Hill School may work through financial resources made accessible to individuals who have served or are currently serving time in prison or are legally detained.

State education agency funds

Financial support provided to individuals in the education sector and/or students who are pursuing or intending to pursue education through state aid in Rhode Island.

Cash or self-payment

Treatment payment is made directly by the individual, either in cash or through alternative means, instead of using health insurance.

State-financed health insurance plan other than Medicaid

Other medical platforms aimed at providing assistance to Medicaid recipients and patients across the Rhode Island and other states.

State mental health agency (or equivalent) funds

Financial aid made availiable in Rhode Island specifically allocated to cover the expenses of treatment for mental health conditions.

State welfare or child and family services funds

Financial resources directed towards improving the well-being of citizens and children who require protection within the home.

Court-ordered outpatient treatment

Referred to by various names in different states, such as "assisted outpatient treatment (AOT)," "involuntary outpatient treatment," or "mandatory outpatient treatment." 44 states including Rhode Island allow the use of court-ordered outpatient treatment as a way for individuals with severe mental illness, who are unable to voluntarily receive care, to stay in their community. Each state has its own laws regarding involuntary commitment that establish the criteria for determining when court-ordered treatment is appropriate for these individuals. (https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)

Family psychoeducation

Refers to Harmony Hill School aiming to assist consumers, their families and supporters in understanding mental illness, developing effective coping strategies, reducing family tension, providing social support, focusing on the future, and finding ways to aid in recovery through relationship building, education, collaboration, and problem-solving. This includes learning about mental illness, mastering new methods of managing it, and offering encouragement to one another.

Intensive case management

Intensive Case Management (ICM) is an essential service in the mental health care continuum for individuals with severe mental illness. It involves building a caring and trustworthy relationship with the consumer, promoting their independence by coordinating appropriate services and providing ongoing, long-term support. ICM evolved from Assertive Community Treatment (ACT) and Case Management (CM) and emphasizes frequent contact, small caseloads, and high-intensity care to improve the consumer's quality of life. The case manager coordinates services from multiple systems as the consumer's needs change, working to help them achieve their recovery goals and stabilize their lives. Intensive case management is critical in providing the support and resources that consumers need to improve their quality of life.

Case management service

A service that provides assistance to individuals and families in coordinating necessary support and resources through a designated case manager. The case manager assesses the needs of clients and their families and arranges for various services such as mental health care, social work, healthcare, education, employment training, recreational activities, transportation, advocacy, and respite care as needed.

Education services

Source or offer educational services ranging from basic literacy to obtaining a GED and college courses, including special education for individuals at the pre-primary, primary, secondary, and adult levels.

Aripiprazole

A medication that belongs to the class of drugs known as atypical antipsychotics. It is primarily used to treat symptoms of schizophrenia, bipolar disorder, and depression. Aripiprazole works by adjusting the levels of certain neurotransmitters in the brain, such as dopamine and serotonin, which are involved in regulating mood and behavior.In a drug treatment facility like Harmony Hill School, aripiprazole may be used to help manage symptoms of substance withdrawal, particularly in cases where there is an underlying mental health condition, such as schizophrenia or bipolar disorder. Aripiprazole may also be used as part of a comprehensive treatment plan for individuals with co-occurring substance use and mental health disorders.

Olanzapine

Olanzapine, an atypical antipsychotic, is primarily prescribed for the treatment of bipolar disorder and schizophrenia. It can be used for both long-term maintenance and new-onset disease in schizophrenia, and can be administered orally or via intramuscular injection.

Quetiapine

An atypical antipsychotics used to treat schizophrenia, bipolar disorder, and major depressive disorder by reducing the symptoms of schizophrenia, bipolar disorder, and major depressive disorder, such as hallucinations, delusions, mood swings, and sleep disturbances. Aunique aspect of Quetiapine is that it has been associated with a relatively lower risk of extrapyramidal symptoms (EPS) compared to some other antipsychotics. EPS are a set of movement disorders that can occur with the use of antipsychotic medications, and can include symptoms such as tremors, muscle stiffness, and involuntary movements. While Quetiapine may still cause EPS in some individuals, it is generally considered to have a lower risk of these symptoms compared to other antipsychotics.

Risperidone

Risperidone also an atypical antipsychotics thats used in the treatment of schizophrenia, bipolar disorder, and irritability associated with autism, may differ from similar medications in its class because its able to be administered via a long-acting injection that is given every two weeks. This can be particularly helpful for individuals who have difficulty adhering to a medication regimen, as it ensures that the medication is consistently delivered to the body.

Nicotine replacement

A form of treatment that delivers nicotine to the body through alternative means, excluding tobacco, and without the presence of harmful chemicals. Nicotine replacement therapy usually takes the form of nicotine patches, gum or lozenges, nasal spray, or inhaler, aimed at curbing cravings and helping a person quit tobacco use.

Antipsychotics used in treatment of SMI

A multi-disciplinary clinical team approach helps individuals with serious mental illness to live in the community by offering 24-hour intensive services within their natural surroundings.

Activity therapy

Refers to therapy that utilizes creative arts, physical movement, sound and rhythm, leisure activities, and dramatic role-playing to aid in the treatment of emotional and mental health issues.

Cognitive behavioral therapy

Refers to a form of therapy that focuses on identifying and changing negative thought patterns. Clients work with a therapist, either individually, in a family setting, or in a group setting, to identify and replace unproductive thoughts with more positive and realistic ones. The client is encouraged to be an active participant in the therapy process.

Couples/family therapy

Involves group sessions with a therapist at Harmony Hill School who facilitates discussions and problem-solving activities to enhance the understanding between couples and family members and improve their relationships. This type of therapy addresses problematic behaviors that could contribute to serious mental health issues. Family therapy also provides education about mental illness, and teaches coping skills for dealing with the challenges of having a family member with a mental illness, such as managing feelings of anger or guilt.

Group therapy

Involves small groups, typically consisting of 4 to 12 individuals who share similar challenges, meeting regularly with a therapist at Harmony Hill School. The therapist leverages the emotional interactions within the group to provide relief from distress and potentially modify the behavior of the group members.

Integrated Mental and Substance Use Disorder treatment

A treatment approach that addresses both mental illness and substance abuse simultaneously, offered by a single clinician or treatment team. This long-term, community-focused program uses specialized counseling specifically designed for individuals with co-occurring disorders.

Individual psychotherapy

Focuses on addressing a patient's current life and relationships within their family, social, and work environment through one-on-one therapy sessions. The aim is to identify and resolve issues with a deeper understanding, and also to build upon the patient's strengths.

Telemedicine/telehealth therapy

The use of telecommunication technology at Harmony Hill School that enables healthcare providers to connect with patients remotely, diagnose conditions, offer treatment, and collaborate with other providers to deliver quality healthcare services is known as telemedicine, teletherapy, telepsychiatry, or e-psychiatry. The facility maf offer it as an option for individuals not located in Chepachet.

Abnormal involuntary movement scale

Refers to a treatment approach used in a drug treatment facility to monitor and manage involuntary movements that may occur in individuals receiving antipsychotic medication. AIMS is a tool used by healthcare providers to assess and measure the severity of drug-induced movement disorders, such as tardive dyskinesia, which can occur as a side effect of antipsychotic medications.

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