St. Elizabeth s Medical Center

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 St. Elizabeth s Medical Center 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 Brighton 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 St. Elizabeth s Medical Center 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 St. Elizabeth s Medical Center in the Brighton 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).

STD testing

An examination to identify the specific sexually transmitted infection that an individual may have contracted.

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 St. Elizabeth s Medical Center 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 St. Elizabeth s Medical Center. 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.

Chronic disease/illness management

A structured approach aimed at enhancing healthcare for individuals with chronic diseases. The core elements of most CDM approaches include patient self-management, physician education, and organizational support. A range of strategies are used at St. Elizabeth s Medical Center, including case management, continuous quality improvement, disease management (DM), and the chronic care model (CCM).

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)

Family psychoeducation

Refers to St. Elizabeth s Medical Center 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 St. Elizabeth s Medical Center 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 St. Elizabeth s Medical Center, 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.

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 Brighton 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.

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.

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.

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 St. Elizabeth s Medical Center for individuals with treatment-resistant schizophrenia, or those who have not responded well to other antipsychotic medications in a drug treatment facility.

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.

Non-nicotine smoking/tobacco cessation

Medications that work on the brain to reduce a person's desire for tobacco and are not containing nicotine are known as smoking cessation medications. Some popular examples include Bupropion (Zyban, Wellbutrin) and Nortriptyline (Pamelor). These medications are often used along with behavioral therapy or support groups for maximum efficacy in helping individuals quit smoking for the long term.

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 St. Elizabeth s Medical Center 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 St. Elizabeth s Medical Center. 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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