cjones68

Wow! Can't imagine strictly psych in a NH!!! I work in Community based MH--and follow the ACT model. I went from working in our clinic to now working as the RN for our Intensive Intervention Center-IIC-(aka Respite) as well as the RN for our HOST (Homelesss Outreach Specialized Treatment) Program. When I've had consumers move to a NH setting, they were then discharged from our services. The only time we ever had consumers in a NH were instances where they medical issues prevented their ability to care for themselves. Our consumers reside in group homes, boarding homes, apartments, and sadly also on the streets. If least restrictive isn't possible-i.e., IIC or our CSU, then ultimately the result is hospitalization. Like elpark-we too have a local hospital which has some residents/patients who have been there for many years d/t mental illness. Just can't imagine our pervasively mentally ill consumers all together in a NH! Really, they are there without a medical condition contributing to the need of an ICF or SNF bed?