{"id":9484,"date":"2019-07-12T14:12:40","date_gmt":"2019-07-12T18:12:40","guid":{"rendered":"https:\/\/www.med.unc.edu\/psych\/cecmh\/?p=9484"},"modified":"2020-11-04T15:32:09","modified_gmt":"2020-11-04T20:32:09","slug":"seeing-patients-in-other-facilities","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/psych\/cecmh\/seeing-patients-in-other-facilities\/","title":{"rendered":"Seeing Patients In Other Facilities"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-9485\" src=\"https:\/\/www.med.unc.edu\/psych\/cecmh\/wp-content\/uploads\/sites\/880\/2020\/11\/Screen-Shot-2020-11-04-at-2.09.20-PM-300x197.png\" alt=\"Daniel Leone Mountains\" width=\"300\" height=\"197\" srcset=\"https:\/\/www.med.unc.edu\/psych\/cecmh\/wp-content\/uploads\/sites\/880\/2020\/11\/Screen-Shot-2020-11-04-at-2.09.20-PM-300x197.png 300w, https:\/\/www.med.unc.edu\/psych\/cecmh\/wp-content\/uploads\/sites\/880\/2020\/11\/Screen-Shot-2020-11-04-at-2.09.20-PM-1024x673.png 1024w, https:\/\/www.med.unc.edu\/psych\/cecmh\/wp-content\/uploads\/sites\/880\/2020\/11\/Screen-Shot-2020-11-04-at-2.09.20-PM-768x505.png 768w, https:\/\/www.med.unc.edu\/psych\/cecmh\/wp-content\/uploads\/sites\/880\/2020\/11\/Screen-Shot-2020-11-04-at-2.09.20-PM-600x395.png 600w, https:\/\/www.med.unc.edu\/psych\/cecmh\/wp-content\/uploads\/sites\/880\/2020\/11\/Screen-Shot-2020-11-04-at-2.09.20-PM.png 1297w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<ul>\n<li>Hospitals<\/li>\n<li>Nursing homes<\/li>\n<li>Rest homes<\/li>\n<li>Group homes<\/li>\n<li>Family care homes<\/li>\n<li>Jails<\/li>\n<\/ul>\n<p>In creating any policy and funding in support of ACT intersecting with any institution, it\u2019s best to consider the \u201cspirit\u201d of the program and how to support that best practice, and also consider the many ways it can be abused.\u00a0 Overlaying ACT on institutional settings as a longer term practice is often not good (I can always identify an exception \u2014 where if it were not for ACT on top of a residential placement, that person would end up in even more of a restrictive setting).\u00a0 The focus should be on community inclusion and integration, not community segregation, which is what many supervised residential placements feel like.\u00a0 (Check this out \u2014 nod to Mark Salzer at Temple for pointing me towards <a href=\"https:\/\/www.thinkinclusive.us\/inclusion-exclusion-segregation-integration-different\/\" target=\"_blank\" rel=\"noopener noreferrer\">this<\/a>.)<\/p>\n<p>In the emergence of practices like Critical Time Intervention (CTI), I considered how ACT was designed to serve this role \u2014 going into institutions to identify people who would benefit from more intensive, wrap-around community supports, and then assisting with that transition and then providing the longer term care (and, per CTI model, if the person is found to actually not need ACT level of care, facilitate the transfer to another better fitting service \u2014 which sadly doesn\u2019t exist in many communities (!)).<\/p>\n<p>Not sure if it remains true, but I believed Delaware was a state that actually had financial incentives (or consequences) for both ACT\/ICM and hospital inpatient staff coordinating care \u2014 they basically were paid to communicate with each other when someone was inpatient.\u00a0 I always loved that idea.<\/p>\n<p>\u2013 Lorna<\/p>\n<p>&nbsp;<\/p>\n<p><em>Photo by: Daniel Leone<br \/>\n<\/em><\/p>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>Hospitals Nursing homes Rest homes Group homes Family care homes Jails In creating any policy and funding in support of ACT intersecting with any institution, it\u2019s best to consider the \u201cspirit\u201d of the program and how to support that best practice, and also consider the many ways it can be abused.\u00a0 Overlaying ACT on institutional &hellip; <a href=\"https:\/\/www.med.unc.edu\/psych\/cecmh\/seeing-patients-in-other-facilities\/\" aria-label=\"Read more about Seeing Patients In Other Facilities\">Read more<\/a><\/p>\n","protected":false},"author":97082,"featured_media":9485,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[52,75,2],"tags":[],"class_list":["post-9484","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-home-page-news","category-ips-directors-insights","category-news","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Seeing Patients In Other Facilities - UNC Center for Excellence in Community Mental Health<\/title>\n<meta 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