Meridian Behavioral Health

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 Meridian Behavioral Health 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 Shrewsbury 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 Meridian Behavioral Health 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 Meridian Behavioral Health in the Shrewsbury area.

Diet and exercise counseling

Meridian Behavioral Health 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.

Family psychoeducation

Refers to Meridian Behavioral Health 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.

Illness management and recovery

Involves a standardized individual or group approach at Meridian Behavioral Health that incorporates five evidence-based practices, including psychoeducation, behavioral tailoring, relapse prevention training, coping skills training, and social skills training.

Psychosocial rehabilitation services

Refers to therapeutic or intervention services offered individually or in groups at Meridian Behavioral Health, 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.

Integrated primary care services

Offers comprehensive healthcare services to individuals struggling with mental health and substance abuse issues. The services aim to address chronic health conditions such as hypertension, diabetes, obesity, and cardiovascular disease, which can be exacerbated by unhealthy habits such as lack of physical activity, poor nutrition, and smoking. The program includes screening, coordination between behavioral and medical healthcare providers, and connecting patients to resources to support overall well-being and positive outcomes.

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.

Thiothixene

Tiotixene, also referred to as thiothixene, is a thioxanthene class typical antipsychotic medication that is similar to chlorprothixene. It is utilized to manage psychoses like schizophrenia and bipolar mania and is sold under various brand names, including Navane.

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 Meridian Behavioral Health, 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 Meridian Behavioral Health 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 Meridian Behavioral Health 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.

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.

Olanzapine/Fluoxetine combination

Olanzapine/Fluoxetine combination is a medication that is prescribed for the treatment of depressive episodes associated with bipolar I disorder, as well as treatment-resistant depression in adults. It is a combination of two active ingredients, olanzapine and fluoxetine, that work by modulating the activity of neurotransmitters in the brain. This medication is typically used when other antidepressant medications have been found to be ineffective.

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.

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.

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 Meridian Behavioral Health 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.

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 Meridian Behavioral Health. 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 Meridian Behavioral Health 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 Shrewsbury.

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