Services

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 PHA Residential provides behavioral health residential facility (BHRF) services to adults 18 and older with serious mental illness and those who have other behavioral health and/or substance misuse issues. Services are provided in community facilities that provide individualized care and may include the following:

• Supervision 24 hours a day, 7 days a week
• Counseling for behavioral health issues
• Medication assistance/supervision (providing storage, reminders, and observation of clients taking medications)
• Instructions in daily living skills (hygiene, budgeting, cooking, shopping, resources, etc.)
• Social and recreational activities
• Establishing positive daily routines
• Transportation to appointments for medical, financial, and legal needs

 PHA Residential offers BHRF integrated health services to adults. PHA has services designed for residents with serious mental illness, serious emotional disturbances, general mental health issues and substance recovery services. All PHA programming is based on Evidence Based Practices and provided by trained staff. 

• Evaluation and Assessment 
• Treatment Planning
• Individual, and/or group counseling/therapy
• Case Management/Support Services
• Medical services support
• Transportation support
• Peer Support 
• Skills Training and Development
• Health education, promotion and prevention 
• Social Communication Skills
• Behavioral Health Prevention/Promotion Education
• Outreach and Engagement
• Substance abuse abstinence can/will be verified by a third-party vendor who is accredited and/or certified SAMHSA (i.e. urgent care, primary care provider, mobile laboratory, and etc.) 

PHA Residential offers:

Psychotherapy, refers to a broad category of treatment provided by mental health professionals where individuals discuss their thoughts, emotions, and behaviors to address various mental health concerns, life challenges, or personal issues through conversation with a therapist; essentially, it's "talk therapy" aimed at improving overall wellbeing and coping mechanisms. 

1. Behavioral and Emotional Support: General therapy targets improving emotional well-being and coping mechanisms.
2. Non-Medical Approach: Unlike psychiatric therapy, this form of therapy does not include medication management.
3. Diverse Modalities: Therapists may employ approaches like cognitive-behavioral therapy (CBT), or dialectical behavior therapy (DBT).
4. Short-Term or Long-Term Care: Sessions can be brief and focused or span several years, depending on individual needs.

 Dialectical behavior therapy (DBT) is a type of psychotherapy that helps people learn to manage their emotions and change unhelpful behaviors: 

What it is

DBT is a type of cognitive behavioral therapy (CBT) that teaches people to accept their experiences and behaviors while also making positive changes. The name "dialectical" refers to the combination of opposite ideas.

Who it's for

DBT is often used to treat people with borderline personality disorder (BPD), highly effective for individuals with substance use disorders or who have difficulty controlling their emotions. It can also be used to treat mood disorders, suicidal ideation, and self-harm.

How it works

DBT teaches people skills in four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT is divided into four stages of treatment, each with a different goal.

How it's delivered

DBT involves weekly skills groups and weekly individual therapy sessions with a therapist. The skills groups typically meet for one to two hours per week.

 Cognitive behavioral therapy (CBT) is a type of talk therapy that can be effective in treating co-occurring disorders, also known as dual diagnosis: 

How it works

CBT helps people identify and change harmful thought patterns and behaviors that contribute to their issues. It can also help people develop skills to manage symptoms and prevent relapse.

 Benefits

CBT can help people:

• Identify triggers for addiction 
• Mitigate cravings 
• Become aware of high-risk situations 
• Focus on present problems 
• Learn to relax 
• Apply social and communication techniques 

Effectiveness

CBT is considered one of the most effective treatments for co-occurring disorders. It's most effective when used early on, within the first 6 months after treatment.

 Milieu Therapy is a therapeutic community.

 (TC) as a model of treatment is based on family and community. It is fundamentally a self-help approach which strives to sustain the main characteristics of a prosocial and positive family environment. This includes structure to provide order in daily living; nurturance through physical and psychological safety; individual acceptance and encouragement, conditional only upon honest participation; and the transmission of healthy values* . 

 The total 24-hour house environmental milieu (surroundings) of the therapeutic community (TC) provides a unique opportunity for therapy. Formal structured group and individual therapy sessions are of major importance, but so too are the more reality-based therapies of working together, recreating together, relaxing together, decision-making, problem-solving, empathizing, reaching out, helping and teaching. All activities are considered part of therapy, and are directed towards assisting the person to develop their skills and identity and work toward managing their own recovery. Even the most fundamental necessities, such as laundry, cooking, maintenance and office work can be therapeutic, and are also vital in developing essential life skills. In fact work is one of the most distinctive components of the therapeutic community (TC) model.  

  Contingency management (CM) is a behavioral therapy technique that uses rewards and consequences to encourage positive behaviors and discourage negative ones. It's often used to treat substance use disorders (SUDs), but can also be used to treat other behavioral problems like smoking, eating disorders, and aggression. 

 CM is based on the principle of operant conditioning, which states that behavior is shaped by its consequences. It involves providing or withholding rewards and consequences in response to a measurable behavior, such as a drug test. For example, a member might receive vouchers for retail goods if they abstain from substance use, or have their vouchers withheld if they use substances.

 CM is used in conjunction with other evidence-based therapies.  

 PHA will refer out for specialized services not offered at PHA Residential. This will need to be in the patients prior authorization if applicable. Specialized services not offered, include:

• Women’s issues
• Lesbian, gay, bisexual, transgender, questioning (LGBTQ) issues
• Post-traumatic stress disorder (PTSD) and trauma focused
• Eating disorders
• Sex offenders
• Sex addiction
• Issues specific to military personnel and their families
• Personality disorders
• Eye Movement Desensitization and Reprocessing (EMDR)
• Sand Tray Therapy
• Play Therapy
• Acceptance and Commitment
• Internal Family Systems (IFS)
• Emotional Freedom Tapping (EFT)
• Moral Reconation Therapy (MRT)
• etc. 

 PHA Substance Misuse Treatment Program is designed to meet the needs of individuals affected by substance misuse.  PHA's therapists meet with members to assess the level of care that is most appropriate and to identify specific issues that need to be addressed while in treatment.  Additional assessments may be conducted throughout the recovery process to ensure members are making progress.  Co-occurring disorders will also be addressed as a component of treatment.

PHA offers several levels of substance misuse treatment designed to meet the specific needs of each member including:

• Substance use recovery
• Relapse prevention
• Seeking Safety 

PHA Residential transportation services can be used for recovery meetings such as:

• Smart Recovery
• Alcoholics Anonymous
• Narcotics Anonymous

*Can be in person or virtually

PHA employs peer support specialist, also known as Certified Recovery Support Specialists (RSS) who may have lived experience with mental health and substance misuse issues to assist members in their recovery journey.