DSH - Napa: Treatment Programs & Recovery Services

Program 1 provides mental health services for patients on a forensic commitment, and for non-forensic patients who are under a non-forensic commitment, such as conservatorship have been assessed to require a more secure treatment setting. Patients are both male and female adults, ambulatory, and age 18 or above. Program 1 units include T5, T6, T7, T8, and Q3 and Q4. T5 and Q3 and Q4 are currently coed units, all other units in Program 1 are all male units.

Treatment services in Program 1 are based on the Wellness and Recovery Treatment Model that encourages patients to advance towards discharge. Mall Treatment services are provided both on and off units, and occur throughout the secured treatment area.

Each patient is expected to develop a Wellness and Recovery Action Plans (WRAP). The Plan focuses on the identification of problem behaviors, the development of replacement/acceptable behaviors, social responsibility and independent living skills. Treatment services includes social skills, substance recovery, forensic issues, including trial competency, as well as discharge planning in conjunction with CONREP and/or other county services.

Program 2 provides person-centered treatment services in alignment with the Recovery Model to meet the unique needs of adult men and women who reside on the units. Most patients are admitted under PC 1026, PC 2972, PC 1370, and LPS Conservatorship legal commitments. The program consists of six units. Unit T-17 is a unit with the focus being discharge. T1 is an all male unit and has a specialized treatment wing for patients suffering from polydipsia (intoxication resulting from excess drinking of fluids). Unit Q 1 & 2 and Unit T-17 are co-ed units. Unit T2 is for all-female admissions on a forensic commitment. Unit Q11 is a unit for geriatric patients, including some under PC 1370 commitments. Unit T18 is an all-male unit for patients needing long-term care.

Program 3 provides forensic-focused treatment services to patients primarily admitted under Penal Code 1026 or 2972.

Program 3 consists of units T11, T12, T13, T14, T15, and T16; two all-male locked units (T12 & T13); two co-ed locked units (T11 & T14); and two units that focus more intensively on readiness for discharge: an all-male unit (T15); and a co-ed unit (T16). Unit T12 is the Intensive Substance Recovery Unit, providing specialized treatment services in substance recovery; Unit T13 contains an admission wing for males admitted primarily under Penal Code 1026, 2972, or TANGI 1610. In addition, the Program provides specialized treatment services to patients who have committed sexual offenses.

The goal of treatment services is to help patients control violent behaviors and assist them in effectively dealing with the forensic issues surrounding their commitment. Patients also work on developing socially responsible behaviors, independent living skills and comprehensive treatment plans for their mental illness, forensic issues and, if applicable, substance abuse issues. Services include an emphasis on Substance Recovery education, recovery-directed skills development, vocational services, job skills development, leisure and recreation skills development and individual and group psychotherapy. The Treatment Teams work closely with the Conditional Release Program (CONREP) towards returning patients to the community under CONREP supervision.

Program 4 serves patients on LPS and some forensic commitments. The Program includes eight residential units with three levels of care: two Acute Psychiatric units, one Skilled Nursing (SNF) unit, and five Intermediate Care (ICF) units.

Unit A-3 (Acute Psychiatric) serves patients with more serious physical or complicated diagnostic conditions that cannot be managed on non-medical psychiatric units. Unit A-9 accepts new admissions and provides acute psychiatric care to both male and female patients. Unit A-4 (Skilled Nursing) provides care for patients with multiple medical, as well as psychiatric problems. Long term care is given to patients with long standing and progressive debilitating conditions such as Huntington’s Chorea. The population ranges from young adults to gero-psychiatric, a large number of whom are non-ambulatory. A special milieu is provided for gero-psychiatric and ambulatory patients on the ICF unit A-2.

Three ICF units for males: A-7, A-8 and A-10, and one ICF unit for females, A-1, serves patients who manifest episodes of inadequately controlled behavior. These units provide a highly structured treatment environment for re-socialization in preparation for an open treatment setting or community placement. A-10 contains a sub-unit for Polydypsia patients.

Program 5 provides specialized rehabilitation, education, and psychiatric services for male and female patients committed under the legal classification Penal Code 1370, Incompetent to Stand Trial. The program is committed to effective treatment in a safe and secure environment. The Program is comprised of Units T3, T4, Q5/6, Q7/8, and Q9. Treatment provided is based on the principles of psychiatric rehabilitation and recovery.

The primary focus of treatment is to assist patients in attaining trial competency and return them to court for adjudication of pending charges. The Treatment Team provides a comprehensive trial competency program which includes sponsor groups and competency groups geared toward teaching trial competency information, a written competency assessment test, an opportunity to participate in Mock Trial, which simulates a competency court hearing, and dispositional staffing. In addition, patients participate in a wide range of mental health groups and therapeutic activities to assist in addressing symptoms and behaviors that may interfere with their ability to understand the court proceedings and to cooperate with their attorney in preparing a defense. The program has a special track for monolingual Spanish speaking patients.