HRI Hospital

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 HRI Hospital 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 Brookline 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 HRI Hospital 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 HRI Hospital in the Brookline area.

HIV testing

Detects whether you have been infected with the human immunodeficiency virus (HIV), which weakens the immune system and can progress to acquired immunodeficiency syndrome (AIDS).

TB screening

Dermal tests utilized to assess individuals who have a high likelihood of exposure to tuberculosis, such as those with illnesses or conditions that impair their immune system.

Metabolic syndrome monitoring

Refers to the process of monitoring an individual's metabolic health as part of their drug treatment program. Metabolic syndrome is a group of risk factors, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, that increase the risk of developing heart disease, stroke, and type 2 diabetes. Monitoring an individual's metabolic health helps to detect any potential health issues related to substance abuse and to ensure that they receive the appropriate level of care and services at HRI Hospital to address their substance abuse issues and promote their overall health and well-being.

Testing for Hepatitis B (HBV)

A blood test that measures the presence of Hepatitis B virus (HBV) antigens and antibodies.

Testing for Hepatitis C (HCV)

An evaluation for Hepatitis C, typically recommended for individuals who fall under the following categories:Currently or previously engaged in drug injection Prior recipients of blood transfusions or organ transplants Individuals with certain medical conditions, including: a. Those who received clotting factor concentrates prior to 1987 b. Those who underwent long-term hemodialysis c. Those with persistent elevated alanine aminotransferase (ALT) levels d. Those with human immunodeficiency virus (HIV) infection.

Laboratory testing

Refers to the process of conducting various laboratory tests on individuals seeking drug treatment services from HRI Hospital. These tests may include blood tests, urine tests, and other types of medical tests. The purpose of laboratory testing is to assess the individual's overall health status, identify any potential health issues related to substance abuse, and inform the development of an effective treatment plan. The results of the laboratory tests are used to inform the treatment team about the individual's health status and to make any necessary adjustments to their treatment plan.

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 Massachusetts 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)

Diet and exercise counseling

HRI Hospital may offer information and support (such as training in skills and access to resources) to individuals with an emphasis on the relationship between physical and mental health. Diet and exercise counseling helps individuals make informed decisions regarding: (1) proper nutrition and healthy eating habits, as well as food choices that enhance health and/or aid in weight management; and (2) selecting physical activities that promote overall health and fitness, with a focus on reducing the risk of chronic diseases and supporting recovery.

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.

Psychosocial rehabilitation services

Refers to therapeutic or intervention services offered individually or in groups at HRI Hospital, aimed at improving daily and community-living skills, self-care abilities, and training in specific skills such as grooming, bodily care, feeding, social skills, and basic language skills.

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.

Suicide prevention services

Involve identifying potential warning signs; educating staff on recognizing signs of suicidal behavior and evaluating risk; and managing patients who are at risk of suicide by providing appropriate interventions, such as treating underlying mental health or substance use disorders, administering psychotropic medications, offering supportive services, and providing education. Hotlines also allow individuals to reach the closest suicide prevention mental health provider in Brookline for assistance.

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.

Chlorpromazine

A drug to treat various conditions such as schizophrenia, bipolar disorder, and severe nausea or vomiting. It belongs to a class of medications known as antipsychotics, which work by affecting the levels of certain chemicals in the brain to help alleviate symptoms.

Fluphenazine

Used in drug treatment to manage various conditions such as schizophrenia and other psychotic disorders. It belongs to a class of medications known as antipsychotics, which work by affecting the levels of certain chemicals in the brain to help alleviate symptoms such as delusions, hallucinations, and disordered thinking.

Haloperidol

More effective at treating positive symptoms of schizophrenia, such as hallucinations and delusions, but may also have a higher risk of causing adverse effects, Haloperidol is considered a high-potency antipsychotic drug used to treat psychotic disorders. Haloperidol is typically prescribed at a lower dose than Fluphenazine due to its higher potency.

Loxapine

This medication is a tricyclic antipsychotic used for treating schizophrenia, which is marketed under various brand names, including Loxitane and Adasuve.

Perphenazine

An antipsychotic medication that can be used in the area of drug rehabilitation to manage various conditions such as schizophrenia, bipolar disorder, and severe agitation. It works by affecting the levels of certain chemicals in the brain to help alleviate symptoms such as delusions, hallucinations, and disordered thinking.

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 HRI Hospital, 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.

Asenapine

Asenapine works by adjusting the levels of certain neurotransmitters in the brain, such as dopamine and serotonin, which are involved in regulating mood and behavior. It may be prescribed by a healthcare professional in combination with other medications and therapies, such as cognitive-behavioral therapy, individual counseling, and group therapy. The goal of using asenapine in a drug treatment facility like HRI Hospital is to help manage symptoms and improve overall quality of life while an individual is in recovery.

Clozapine

A medication that also belongs to the class of drugs known as atypical antipsychotics and maybe used may be used as a treatment option in HRI Hospital for individuals with treatment-resistant schizophrenia, or those who have not responded well to other antipsychotic medications in a drug treatment facility.

IIoperidone

iloperidone may be used as a treatment option for individuals with schizophrenia. A atypical antipsychotics medication that in some cases used in conjunction with other medications, such as mood stabilizers or antidepressants, as well as various forms of therapy, such as cognitive-behavioral therapy or group therapy.

Lurasidone

Lurasidone is another medication that belongs to the class of drugs known as atypical antipsychotics. It is approved by the United States Food and Drug Administration (FDA) for the treatment of schizophrenia and bipolar depression. It works by modulating the activity of certain neurotransmitters in the brain, including dopamine and serotonin. By doing so, it can help to reduce the symptoms of schizophrenia, such as hallucinations, delusions, and disorganized thinking, as well as the symptoms of bipolar depression.

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.

Paliperidone

A medication used in the treatment of schizophrenia and schizoaffective disorder in adults by modulating the activity of certain neurotransmitters in the brain to to reduce the symptoms of schizophrenia and schizoaffective disorder, such as hallucinations, delusions, and disorganized thinking. In a drug treatment facility, Paliperidone may be used as a treatment in conjunction with other medications, such as mood stabilizers or antidepressants, as well as various forms of therapy, such as cognitive-behavioral therapy or group therapy.

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.

Ziprasidone

Ziprasidone is a medication that belongs to the class of drugs known as atypical antipsychotics. It is approved by the United States Food and Drug Administration (FDA) for the treatment of schizophrenia and bipolar disorder. One unique feature of Ziprasidone is that it may have a lower risk of causing weight gain compared to some other atypical antipsychotics. This can be particularly beneficial for individuals who are already at risk for metabolic disorders, such as diabetes or heart disease, as weight gain can exacerbate these conditions. Additionally, Ziprasidone may have a lower risk of causing sedation or cognitive impairment compared to some other antipsychotics.

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.

Cognitive remediation therapy

Both couple and family therapy involve facilitated discussions and problem-solving sessions led by a therapist to enhance understanding and communication among loved ones. This type of therapy maybe offered in HRI Hospital and aims to address negative patterns of behavior that could escalate into more serious mental health issues. Through education on mental disorders and teaching coping skills, family therapy can help families deal with the challenges of having a family member with mental illness, such as managing feelings of anger or guilt.

Dialectical behavior therapy

A type of therapy that combines cognitive-behavioral techniques with acceptance and mindfulness strategies, with the goal of helping individuals address multiple disorders. DBT has five components, including skills training, individualized treatment plans, access to therapists beyond the clinical setting, reinforcement of adaptive behaviors, and therapist team consultation. The therapy seeks to balance behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.

Group therapy

Involves small groups, typically consisting of 4 to 12 individuals who share similar challenges, meeting regularly with a therapist at HRI Hospital. 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.

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