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Psychiatry
General Adult Psychiatry
First-Step Day Hospital
Geriatrics/Chronic Pain
Mood & Eating Disorders
Neuropsychiatry
First-Step Day Hospital
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  • Intensive, 12-hour-per-day substance abuse treatment aimed at improving the clinical and psychiatric course for patients with medical and psychiatric disorders associated with substance abuse behaviors.
  • Targeted patients often remain on medical and surgical services for extended periods without any interventions for the substance abuse problems that led to their conditions, and substance abuse patients from both medical and psychiatric inpatient services have high rates of readmission unless they get appropriate treatment.
  • Our patients stay in domiciliary facilities within the community that provide close supervision during their time away from the program.
  • Since there is close management of the transport to and from these facilities, patients are provided housing and safety during what is hoped to be their first step toward recovery.
  • The dormitories eventually serve as a transitional setting as patients move to the next level of care within the community.
Patient Population
  • Adults
  • Diagnoses include substance abuse, substance-induced mood disorder, comorbid psychiatric disorders such as bipolar disorder and comorbid medical conditions such as endocarditis.
  • Average length of stay: 14 days
Number of Spaces
  • 16 (up to 7 patients admitted from inpatient psychiatry services and up to 9 patients admitted from inpatient medical services)
Nurse/Patient Ratio
  • 2:16, assisted by addictions therapists, outreach workers, nurse practitioners and physiciansRotation/Shifts
  • 12 hours
  • Flexible, self-scheduling
Skill Mix
  • 100 percent RN
Orientation
  • 6 weeks; 1 to 2 years experience required
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