The purpose of the specialized dual diagnosis unit is to prevent long-term institutionalization and to maintain community placement by providing short-term (up to 6 months) specialized psychiatric inpatient services for those whose diagnostic/therapeutic needs and/or medical requirements in the context of pharmacological interventions are such that community based care is contraindicated. The goal is to enhance quality of life, maximize individual's potentials, reduce mental health and behavioral challenges, teach new skills to optimize functioning, and improve relationships, working within a recovery oriented framework. Focusing on the specialized needs of those functioning in the Moderate to Profound range of Developmental Disability, the gender integrated, open door unit will optimize dependent/semi-independent living. The unit's team will collaborate with the DDS Outreach Staff in discharge planning.
- Person-centred planning and promotion of self-determination; personalized wellness plans
- Transdisciplinary team approach, including patient, family, community providers, and collaboration across systems. Primary care will help to ensure a key contact for each patient's needs and integration of clinical information.
- Integrative (multi-modal) biopsychosocial assessment and treatment planning
- Comprehensive screening and assessment
- Best practice guidelines for use of psychotropic medications
- Objective monitoring for assessment, evaluation of treatment efficacy, and measurement of progress toward personal goals
- Optimization of nonpharmacological approaches including adaptive skill maintenance/enhancement, environmental adaptations (e.g., semi-private or private rooms, availability of a quiet/relaxation room, visual cues to promote generalization of new skills taught, e.g., feelings identification, relaxation, prn protocol/coping plan, wellness plan)
- Use of least restrictive model/positive-based behavioural approaches
- Crisis Planning
- Upon discharge, followed by the DDS Outreach Team and other community agencies as needed.
Based on recovery principles and utilizing a biopsychosocial/multi-modal framework and best practices in dual diagnosis, the focus of the unit will be on intensive diagnostic assessment and wellness planning, building upon the strengths of the patients, their families, and community partners.