Adult Services

BDIHS

Assertive Community Treatment Team is aimed at serving individuals with persistent MH/DD/SA issues that require intensive interventions to achieve and maintain stability in the community. Its primary goals are promotion of symptom stability both emotionally and physically, restoration of personal, community living and social skills and establishment of access to entitlements, housing, work and social opportunities. The hope is to assist the individual to maintain the highest possible level of functioning in the community.

Community Support Team services consist of community-based mental health and substance abuse rehabilitation services provided through a team approach to assist adults in achieving their rehabilitative and recovery goals. CST services at B & D Behavioral Health Services are intended for individuals with mental illness or both mental illness and substance abuse disorders, who have complex and targeted treatment needs.

Peer Support Services is a community-based, recovery-oriented service for adults with identified mental health and/or substance abuse issues. PSS differs from other services in that individuals in need are paired with “peers”; trained and certified individuals who are stable in recovery from their own mental health or substance abuse issues, and who can listen, provide guidance, and instill hope for recovery based on their own personal experiences. Peer Support allows those seeking recovery the opportunity to learn directly from those who have been, and continue, walk that same path.

Purpose: The purpose of the B&D Behavioral Health Services’ Integrated Care Program is to integrate primary care medical services into the behavioral health service array offered to adults at B & D.

Goal: The goal of the program is improve the health status of adults diagnosed with mental illness, and those with co-occurring substance use disorders, who are at risk for, or diagnosed with, one or more chronic physical illness, but are not currently utilizing primary and preventive health care services.

Objectives: The program’s objective is to support the triple aim of improving the health of adults diagnosed with mental illness; enhancing the individual’s experience of care in regards to quality, access, and reliability of care; and reducing/controlling the per capita cost of care.


Eligibility Criteria for Participation in B&D’s Integrated Care Program:

• Adult (age 18 or older) diagnosed with mental illness and/or substance use disorder(s); and
• At risk for, or diagnosed with, one or more chronic physical illness; and
• Receiving, or eligible to receive, a mental health and or substance use service at B and D Behavioral Health Services (BDBHS); and
• Not currently utilizing primary and preventive health care services; or
• Individuals currently utilizing community primary and preventative health care services, and who are enrolled in ACTT, CST, SAIOP, OBOT, or PSS at B&D, will receive care coordination as standard care to facilitate communication between the individual’s current community Primary Care Provider, behavioral health providers, and other specialists.

Outpatient Therapy is based on clinical need and available to children, adolescents and adults for whom it is determined therapy may be an effective means to reduce symptoms or eliminate impairment. Individual, family, and group therapies are available and ongoing individual sessions are offered either at the B & D office or the individual’s home.

Tenancy Support Team (TST) is a service provided to individuals participating in the Transition to Community Living Initiative (TCLI). B & D Behavioral Health Services provides TST to individuals with TCLI housing slots in Durham and Wake Counties. TST is a rehabilitation service intended to increase and restore an individual’s ability to live successfully in the community by maintaining tenancy. TST focuses on increasing the individual’s ability to live as independently as possible, managing the illness, and reestablishing his or her community roles related to the following life domains: emotional, social, safety, housing, medical and health, educational, vocational, and legal. TST provides structured rehabilitative interventions.

Expected outcomes include, but are not limited to, the following:

Achieved recovery goals identified in the individuals Person Centered Plan (PCP);
Continued community tenure;
Improved personal, social, and community living skills;
Increased access to necessary services in all life domains;
Improved functioning in community roles;
Re-established or restored network of healthy natural supports and community contacts;
Re-established or restored independent living abilities.
For more information about the Transition to Community Living Initiative (TCLI):

http://www.alliancebhc.org/consumers-families/transitions-to-community-living/

BDIHS

Medication Management is provided by B & D’s psychiatrist to determine whether a medication would be helpful for the child, adolescent or adult and works with the individual over time to assess effectiveness of the medication. Proper medication can assist the individual in being better able to positively affect their mental health and fully utilize all aspects of their treatment. Common conditions treated with medication regimens are ADHD, depression, Bipolar disorder, PTSD, anxiety and psychotic disorders.

Office-Based Opioid Treatment (OBOT) is a service designed to offer individuals an opportunity to maintain changes in their lifestyle by using opioid replacement therapy approved by the Food and Drug Administration (FDA) for the treatment of opioid addiction. This treatment approach is provided in conjunction with rehabilitation and medical services, and is a tool in the detoxification and rehabilitation process of opioid-dependent individuals. At B & D Behavioral Health Services, OBOT consists primarily of the prescribing of buprenorphine (e.g., Suboxone) for the treatment or maintenance of individuals suffering from opioid addiction, as well as therapeutic services like outpatient therapy (individual or group), or appropriate enhanced services.

The Substance Abuse Intensive Outpatient Program provides structured individual and group addition services which are designed to assist adult and adolescent consumers in initiating abstinence, and learning skills for recovery maintenance. The SAIOP at B & D Behavioral Health Services adheres to the Matrix Model, and includes individual, group, family counseling, case management, urinalysis, relapse prevention, life skills education, crisis planning, and disease management. SAIOP is delivered 3 days per week for a minimum of 3 hours each day. A typical treatment episode for SAIOP is 90 days.

Medication Management is provided by B & D’s psychiatrist to determine whether a medication would be helpful for the child, adolescent or adult and works with the individual over time to assess effectiveness of the medication. Proper medication can assist the individual in being better able to positively affect their mental health and fully utilize all aspects of their treatment. Common conditions treated with medication regimens are ADHD, depression, Bipolar disorder, PTSD, anxiety and psychotic disorders.

Cognitive behavioral therapy, or CBT, is a short-term therapy technique that can help people find new ways to behave by changing their thought patterns. ... It focuses on their present-day challenges, thoughts, and behaviors.

Illness Management and Recovery. ... Illness Management and Recovery (IMR) is a curriculum that a specially trained mental health practitioner or specially trained consumer specialist uses to help people to develop personal strategies for coping with mental illness and moving forward with their life.