the family partners
DESCRIPTION
Volunteer Family Monitor Program at Trenton Psychiatric Hospital. The Family Partners. State Hospitals. Trenton (1848 - ) Greystone (1876 - ) Marlboro(1931 – 1999) Ancora (1955 - ) Hagedorn ( 1977 - 2012). Hospitals: One Minute History (Osborn, 2009). - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/1.jpg)
The Family Partners
Volunteer Family Monitor Programat Trenton Psychiatric Hospital
![Page 2: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/2.jpg)
State Hospitals
Trenton (1848 - )
Greystone (1876 - )
Marlboro (1931 – 1999)
Ancora (1955 - )
Hagedorn ( 1977 - 2012)
![Page 3: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/3.jpg)
Hospitals: One Minute History (Osborn, 2009)
1700s: Chains, cellars, prisons 1773: Eastern Lunatic Asylum (first mental hospital) 1790s: Moral treatment: Rush, Pinel, Tuke 1841: Kirkbride at PA Hospital for Insane 1848: Dix and NJ Asylum
1890s Moral treatment Cust .care “Mental Hygiene”Asylums Institutions
1920s ECT, hydrotherapy, insulin therapy, lobotomies, exodontia
1950s: Thorazine, medical model, milieu therapy 1960s: Deinstitutionalization 1970s: Lawsuits 1980s: Psychosocial model
![Page 4: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/4.jpg)
Asylum: “Exceptionalism” (Frank & Glied, 2006)
![Page 5: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/5.jpg)
Institution: Bedlam 1945
![Page 6: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/6.jpg)
Byberry
“Neglect – even in progressive States. This picture was taken in an eastern hospital.”
![Page 7: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/7.jpg)
Byberry
“Incontinent ward. A big Phila. State Hosp. 1945”
![Page 8: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/8.jpg)
Byberry
“Man in restraints, B, violent ward. Phila. State Hosp.
![Page 9: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/9.jpg)
Byberry
Click icon to add picture
“Wasted writing. A, incontinent ward.”
![Page 10: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/10.jpg)
Byberry
Click icon to add picture
“Missing plaster”
![Page 11: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/11.jpg)
Byberry
Click icon to add picture
“Day room scene, B, violent ward. Phila. State Hosp.”
![Page 12: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/12.jpg)
Ten years later…
“…the animals of nearby piggeries were better housed, fed, and treated than many of the patients on their wards.”
--Albert Deutsch, testifying to U.S. Senate, 1955
![Page 13: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/13.jpg)
Legal Matters: Big themes
Civil commitment
Right to treatment
Jackson v. Indiana (1972) Wyatt v. Stickley (1972) Doe v. Klein (1979)
Right to refuse treatment
Community integration
Olmstead v. L.C. (1999) NJPA v Davy (2005)
![Page 14: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/14.jpg)
NJPA v. Davy (2005)
“…Defendant has egregiously misused CEPP status to retain staggering numbers of individuals in locked and dangerous facilities when they have a right to reside in and receive mental health services in the community...“
"CEPP patients residing on overcrowded and understaffed wards are routinely subject to abuse and neglect...
"... very limited therapy is offered in state psychiatric hospitals, even for conditions for which therapy, and not medication, is the recommended treatment..."
"... the Defendant has flagrantly failed to minimize the restrictions on the liberty of the individuals on CEPP status, as required by fundamental tenets of due process and human liberty."
![Page 15: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/15.jpg)
CEPP
http://www.drnj.org/litigation.htm
![Page 16: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/16.jpg)
State Hospitals
Trenton (1848 - )
Greystone (1876 - )
Marlboro (1931 – 1999)
Ancora (1955 - )
Hagedorn ( 1977 - 2012)
![Page 17: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/17.jpg)
Greystone: Monitors (1979-2009) Doe v. Klein (1979)
![Page 18: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/18.jpg)
2008: U.S. DOJ Ancora
Investigation about civil rights violations
“…patients at Ancora suffer an undue risk of harm, stemming from the facility's failure to treat aggressive and self-abusive behavior and its failure to implement systems to protect patients from harm.”
![Page 19: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/19.jpg)
1996
Family members shall be actively encouraged to participate in various hospital advisory committees (e.g., grounds inspection, human rights, monitoring, boards). Each hospital shall develop orientation opportunitiesto help families participate effectively on internal committees (e.g.,Training, buddy systems).
![Page 20: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/20.jpg)
2003: “Transformation” Begins2003: New Freedom Commission
![Page 21: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/21.jpg)
“Transformation”
2003: New Freedom Commission
2003: National Consensus Statement
![Page 22: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/22.jpg)
“Transformation”
2003: New Freedom Commission
2003: National Consensus Statement
![Page 23: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/23.jpg)
“Transformation”
2003: New Freedom Commission
2003: National Consensus Statement
2005:Federal Action Agenda
![Page 24: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/24.jpg)
“Transformation”
2003: New Freedom Commission
2003: National Consensus Statement
2005:Federal Action Agenda
2006:NJ Transformation Statement
![Page 25: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/25.jpg)
NJ Transformation Statement (Martone, 2006)
“…ensure that consumers and families receive a system of recovery-oriented services ...”
“… our system embraces evidenced-based and promising practices that promote recovery and wellness across our entire spectrum of hospital-based and community-based services.”
![Page 26: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/26.jpg)
Recovery-oriented Services
Illness Management and Recovery (IMR)
Integrated Dual Disorder Treatment (IDDT)
Assertive Community Treatment (PACT)
Family Psychoeducation
Supportive Employment
Supportive Housing
![Page 27: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/27.jpg)
BH: Risk vs. Service Intensity (Beacon Health Strategies, 2012)
![Page 28: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/28.jpg)
Office of State Hospital Management
![Page 29: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/29.jpg)
Trenton Psychiatric Hospital
![Page 30: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/30.jpg)
Monitoring
TRENTON PSYCHIATRIC HOSPITAL FAMILY MONITORS PROGRAM
Call for Volunteers
Program Trenton Psychiatric Hospital (TPH) Family Monitors Program. Description A volunteer visiting program to observe, inspect, review, and report
to management on conditions and programs within TPH’s facilities. Purpose To support and advocate for TPH patients, families, and staff.
![Page 31: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/31.jpg)
Program Features
Visits~1 x month60-90 minutesEscorted. Scheduled but unannouncedSubmit evaluations
Team meetings (?)DiscussionsPresentationsTeam-building
![Page 32: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/32.jpg)
Program Benefits
Know the system
Work for improvement
Learn the practices
Support patients and staff
Help the management
Lead for change
![Page 33: The Family Partners](https://reader035.vdocuments.us/reader035/viewer/2022070501/56816925550346895de05eab/html5/thumbnails/33.jpg)
Process
Express interest
Interview
Paperwork (and fingerprinting)
Health check
Orientation
Visit