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About Eastern State Hospital

Type of Care

1. Mental health treatment

Facility which provides services including therapy or psychotropic medication to treat a person’s mental health issue, reduce symptoms, and improve behavioral functioning and outcomes.

Treatment Approaches

1. Individual psychotherapy

Focuses on a patient's current life and relationships within the family, social, and work environments through one-on-one conversations with a therapist. The goal is to identify and resolve problems with insight, as well as build on strengths.

2. Group therapy

Involves groups of usually 4 to 12 people who have similar problems and who meet regularly with a therapist. The therapist uses the emotional interactions of the group's members to (1) help them get relief from distress and (2) possibly modify their behavior.

3. Cognitive behavioral therapy

Involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.

4. Integrated Mental and Substance Use Disorder treatment

Provides combined treatment for mental illness and substance abuse from the same clinician or treatment team. Effective integrated treatment programs view recovery as a long-term, community-based process. The approach employs counseling designed especially for those with co-occurring disorders.

5. Activity therapy

Includes art, dance, music, recreational and occupational therapies, and psychodrama.

Facility Smoking Policy

1. Smoking not permitted

Smoking is not allowed.

Service Setting (e.g., Outpatient, Residential, Inpatient, etc.)

1. Hospital inpatient/24-hour hospital inpatient

Medical treatment that is provided in a hospital or other facility and requires at least one overnight stay.

Facility Operation (e.g., Private, Public)

1. State government

Government of a state or country subdivision in a federal form of government, which shares political power with the federal government and must meet certain standards set by the federal government but are free to expand beyond what exists at the federal level and improve services, access, and protections for consumers, such as mental health and substance use services, in that state.

Payment/Insurance/Funding Accepted

1. Cash or self-payment

Payment for treatment is made by the person directly, through cash or other means, rather than using health insurance.

2. Medicaid

A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.

3. Medicare

The federal health insurance program for people age 65 and older and people with disabilities.

4. Private health insurance

5. Federal military insurance (e.g., TRICARE)

6. State mental health agency (or equivalent) funds

Funds designed to finance the cost of treatment for mental health conditions.

7. State welfare or child and family services funds

8. State education agency funds

9. Other State funds

10. U.S. Department of VA funds

Emergency Mental Health Services

1. Crisis intervention team

A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.

2. Psychiatric emergency onsite services

A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.

Language Services

1. Sign language services for the deaf and hard of hearing

Service provided for persons who are deaf and hard of hearing.

Special Programs/Groups Offered

1. Criminal justice (other than DUI/DWI)/Forensic clients

Facility has a program or group specifically tailored for clients referred from the court/judicial system.

2. Seniors or older adults

Facility has a program or group specifically tailored for Seniors or older adults.

3. Persons 18 and older with serious mental illness (SMI)

Facility has a program or group specifically tailored for persons with serious mental illness.

Ancillary Services

1. Case management service

Helps people arrange for appropriate services and supports through a case manager who monitors the needs of clients/patients and their families and coordinates services, such as mental health, social work, health, educational, vocational, recreational, transportation, advocacy, and respite care, as needed.

2. Chronic disease/illness management

A systematic approach to improving health care for people with chronic disease. Central to most CDM approaches are patient self-management, physician education, and organizational support. Among the variety of strategies employed are case management, continuous quality improvement, disease management (DM) and the chronic care model (CCM).

3. Court-ordered outpatient treatment

Known by different terms in different states, such as, “assisted outpatient treatment (AOT),” “involuntary outpatient treatment,” or “mandatory outpatient treatment.” Forty-four states permit the use of court-ordered outpatient treatment as a condition for persons with severe mental illness, who are too ill to seek care voluntarily, to remain in their community. Each state has its own civil commitment laws that establish criteria for determining when court-ordered treatment is appropriate for these individuals. (https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)

4. Diet and exercise counseling

Diet and exercise counseling helps a person learn to make decisions about: (1) good nutrition, healthy eating practices, and food choices for health improvement and/or weight management; and (2) choosing physical activities to increase overall health and fitness, with a focus on helping persons reduce their risk for chronic disease and support their recovery.

5. Education services

Locate or provide educational services from basic literacy through a general equivalency diploma and college courses including special education at the pre-primary, primary, secondary, and adult levels.

6. Illness management and recovery

Uses a standardized individual or group format based on five evidence-based practices: 1) Psychoeducation, 2) Behavioral tailoring, 3) Relapse prevention training, 4) Coping skills training, and 5) Social skills training.

7. Integrated primary care services

These services address the general health care needs of persons with mental and substance use disorders. These general health care needs include the prevention and treatment of chronic illnesses (e.g., hypertension, diabetes, obesity, and cardiovascular disease) that can be aggravated by poor health habits such as inadequate physical activity, poor nutrition, and smoking. The services include screening, care coordination with staff, and providing linkages to ensure that all patient needs are met in order to promote wellness and produce the best outcomes.

8. Legal advocacy

Refers to legal services provided to help protect and maintain a client/patient's legal rights.

9. Psychosocial rehabilitation services

This service is offered individually or in groups. It provides therapeutic or intervention services such as daily and community-living skills, self-care, and skills training (grooming, bodily care, feeding, social skills training, and basic language skills).

10. Suicide prevention services

Services include identifying risk factors; educating staff on the signs of suicidal behavior and using methods to detect risk; and the assessment, intervention, and management of suicidal patients including treatment of an underlying mental or substance use disorder, and use of psychotropic medication, supportive services, and education. Hotlines help individuals to contact the nearest suicide prevention mental health provider.

Recovery Support Services

1. Mentoring/peer support

Pharmacotherapies

1. Nicotine replacement

Administers nicotine to the body by means other than tobacco, without other harmful chemicals found in tobacco. Common forms of nicotine replacement therapy are nicotine patches, nicotine gum or lozenges, nasal spray and inhaler. The goal of nicotine replacement is to prevent cravings in a tobacco user, allowing the person to abstain from tobacco.

2. Non-nicotine smoking/tobacco cessation

Medications that do not contain nicotine but are designed to reduce a person's craving for tobacco. Some common examples are Bupropion (Zyban, Wellbutrin) and Nortriptyline (Pamelor). Medications are often prescribed in conjunction with counseling or support groups to provide the best chance for achieving long-term smoking abstinence. (http://www.mayoclinic.com)

3. Chlorpromazine

4. Fluphenazine

5. Haloperidol

6. Loxapine

7. Perphenazine

8. Pimozide

9. Prochlorperazine

10. Thiothixene

11. Thioridazine

12. Aripiprazole

13. Asenapine

14. Brexpiprazole

15. Clozapine

16. Lurasidone

17. Olanzapine

18. Paliperidone

19. Quetiapine

20. Risperidone

21. Ziprasidone

22. Antipsychotics used in treatment of SMI

Refers to medication intended to help clients’ ability to function as a result of serious mental illness (SMI). A mental illness that interferes with a person’s life and ability to function is called a serious mental illness (SMI) for ages 18 and over.

Assessment/Pre-treatment

1. Screening for tobacco use

Determines a client's use of tobacco products, such as cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended that providers screen for tobacco use on a regular basis by asking clients, as they are seen, about their current and past use of tobacco products and their exposure to secondhand smoke or tobacco.

Education and Counseling Services

1. Smoking/vaping/tobacco cessation counseling

Includes interventions for persons who use tobacco and want help with stopping, including behavioral support or counseling in groups or individually.

Age Groups Accepted

1. Young Adults

Facility accepts young adults (18-25) for treatment.

2. Adults

Facility accepts adults (26-64) for treatment.

3. Seniors

Facility accepts seniors (65 or older) for treatment.

Testing

1. HIV testing

Determines whether you are infected with HIV, a virus that weakens the immune system and can lead to acquired immunodeficiency syndrome.

2. STD testing

Testing to determine the type of sexually transmitted disease a person may be carrying.

3. TB screening

Skin tests that are used to screen people who are at high risk for TB exposure such as people with diseases or conditions that weaken their immune system.

4. Metabolic syndrome monitoring

5. Testing for Hepatitis B (HBV)

Involves blood test that measure HBV (Hepatitis B virus) antigens and antibodies.

6. Testing for Hepatitis C (HCV)

Test for Hepatitis C, which is usually done and recommended for persons currently injecting drugs, ever injected drugs, were prior recipients of transfusions or organ transplants, or have certain medical conditions, including persons: 1. who received clotting factor concentrates produced before 1987 2. who were ever on long-term hemodialysis 3. with persistently abnormal alanine aminotransferase levels (ALT) 4. who have HIV infection

7. Laboratory testing

Facility Type

1. State hospital

Facility Vaping Policy

1. Vaping not permitted

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Contact:
509-565-4000
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website:
Http://
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Address:
850 Maple Street
WA, Medical Lake, 99022, Spokane