Evidence-based Practice Activities : This facility embraces the concept of trauma-informed care which identifies the signs and symptoms of trauma, the impact of trauma on a patient, potential paths for recovery and activities to resist re- traumatization. This is achieved through safety, trustworthiness, peer support, collaboration and mutuality, empowerment as well as cultural, historical and gender issues (Trauma Informed, 2015). This facility is striving to educate all staff to trauma
informed care, implement it on all units and ensure that it is being used for every patient/family encounter. For a psychiatric facility, such as CSH, it is important to stress to staff that our patients have had many types of trauma in their lives and need additional support and understanding from those taking care of them. They need to feel safe to promote therapeutic healing, many of them having never experienced a safe, therapeutic lifestyle. Based on this evidence based practice [EBP], the facility has rolled out recovery-oriented services that help promote recovery through continued delivery of care upon discharge to the community. To facilitate this transition back into the community, CSH is currently using EBP approaches such as assertive community treatment, family psycho-education, illness management and recovery, permanent supportive housing and integrated treatment for co-occurring disorders. Based on these approaches, evidence based treatments are created based on studies that have been conducted on treatments and proven successful with the goal of achieving results and lessening the use of potentially unsafe treatments. To compare, EBP is an “approach to clinical decision making whereas EBTs are specific techniques that are just one potential operationalization of the research component of EBP (Some of the evidence based treatments are listed below) Schizophrenia Bipolar Disease Depression PTSD Social Skills Training Psycho-Education Behavioral Therapy Prolonged Exposure Family Psycho- Education Family Focused Therapy Cognitive Therapy Present-Centered Therapy
Cognitive Remediation Cognitive Therapy Interpersonal Therapy Cognitive Processing Therapy Acceptance and Commitment Therapy Social Rhythm Therapy Self- Management/Self Control Therapy Seeking Safety Social Learning/Token Economy Programs Interpersonal Therapy Cognitive Behavior Analysis Stress Inoculation Therapy Quality Improvement Projects : To overcome the stigma and stereotyping of mental illness and promote recovery, the leadership has implemented a new system for the delivery of care for all staff. Under the new Chief Nursing Executive, CSH has implemented the idea of “changing our thinking, changing our practices,” from weaknesses to strengths, problems to choices, patient cases to patient centered care and from control to partnership (Hall. T., n.d.). Stressing the importance to all facility staff from the administration down is helping to improve patient outcomes by showing
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- Spring '17