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CORPORATE ADDRESS:
DIAMOND / HERITAGE HEALTH SERVICES CORPORATION
4201 FM 1960 WEST,  #160
 HOUSTON, TX  77068
(281) 397-0455

elderly, mental health, Heritage, Diamond, outpatient, treatment

The Program l Treatment Plan l Discharge l Signs and Symptoms

The Program
     The Heritage Program for Senior Adults provides intensive and comprehensive mental health care to individuals 55 years of age and older.  The Program is a department of the acute care hospital (outpatient program operates Monday through Friday, 8:30 am to 5:00 pm.)
     The Program is staffed with a multi-disciplinary team of health care professionals directed by a psychiatrist.  The psychiatrist provides a thorough evaluation of the client’s treatment needs, prescribes and monitors medications, and supervises treatment.  The psychiatrist works in close collaboration with primary care physicians.
     The full time, on-site team consists of master’s level therapists/social workers, registered nurses, and mental health technicians.  The team carries out the psychiatrist’s plan of care and provide a variety of group, family, and individual therapies individualized to the needs of the client.

     As an outpatient program, Heritage focuses on maintaining and improving the client’s independent living skills and quality of life.  By working in a community-based outpatient setting, the program can offer a highly individualized plan for each individual client.  Depending on the needs of the client and the severity of symptoms, the plan can vary from a few services to daily program attendance.  Attendance and  intensity of services changes with the improvement of the client’s condition, monitored by regular treatment plan reviews by the doctor and team.

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The Treatment Plan:
     After careful evaluation by the psychiatrist and treatment team, an individualized plan of care is developed with participation and input from the client and family.  Often, a combination of medication and psychotherapy is prescribed, which is recognized as the most effective approach to full recovery.  The family is involved in the plan of care from assessment onwards, as the family is often a critical part of the social support system of the client.  The client and family are educated about the illness and prescribed medications.

     Verbal therapies are directed at educating the client about the nature of the illness, reducing the sense of stigma which often accompanies mental health problems, and improving the coping skills of the client.  Social withdrawal and isolation are frequently part of the problem, and group based therapies can alleviate the sense that the client is “all alone” in their suffering.

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Discharge:
     The Program is individualized but time limited.  A central part of the discharge plan is to engage the client in community-based activities which keep the individual involved in meaningful and pleasurable activities which can help prevent the return of symptoms.  As the client recovers, the frequency of care is reduced and discharge strategy is implemented to sustain the improvements gained in the program.  Some clients remain in a limited involvement program to maintain improvements, while others may be seen in periodic follow up visits with the doctor for medication management.

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Signs and symptoms of mental distress in the elderly:
    Mental health disorders are often under recognized and under treated, with serious consequences to the individual and family.  These disorders often co-exist with a variety of medical conditions such as diabetes, heart disease, stroke, and arthritis.  Quality of life is drastically diminished by mental health disorders, and the disorders can greatly increase risk of other medical illnesses or interfere with full recovery from these illnesses.  Following are some common signs of mental distress in the elderly:

Depression
Weight Loss/Gain/Appetite Disturbance
Anxiety
Agitation
Crying spells
Suicidal Thoughts/Plans/Actions
Unresolved Grief
Cognitive Changes
Anger/Irritability
Social Withdrawal/Isolation
Paranoia/Delusions
Loss of pleasure in ordinary activities
Frequent doctor visits or medical complaints without clear medical findings

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