24/7 Crisis Residential Services

Crisis Stabilization Units

Pathways Center’s Crisis Stabilization Units (CSUs) are medically monitored, community-based residential alternatives to hospitalization. The CSUs provide short-term crisis stabilization programs that provide psychiatric crisis stabilization and detoxification for adults and children and adolescents. The CSU provide emergency receiving, screening and evaluation services twenty-four hours a day, seven days a week and has the ability to admit and discharge seven days a week. Psychiatric stabilization and residential detoxification services are offered at a clinical intensity level which supports the level of care required by the provider agreement or contract with the Department of Behavioral Health and Developmental Disabilities (DBHDD).


The CSU has policies and procedures for identifying and managing individuals and providing a planned regimen for professionally driven evaluation, care and treatment services for individuals who meet the diagnostic criteria for a Substance Dependence Disorder. Residential detoxification services offered within the Adult and Child & Adolescent (C&A) CSU shall not exceed services described at the American Society of Addiction Medicine (ASAM) Patient Placement Criteria Level 3.7 for withdrawal management.


The CSU has policies and procedures for identifying and managing individuals at high risk of suicide or intentional self-harm. The CSU designates a specific number of beds, which may be used as crisis beds or as transitional beds, with DBHDD approval. A physician must write an order for the individuals to transfer to a transitional bed and the length of stay data is submitted to DBHDD for both crisis and transitional beds respectively.

Detoxification

Pathways Center provides sub-acute detoxification 24 hours/day, 7 days/week in a residential setting using the short term (3-7 days) medical monitoring and other support for processes associated with withdrawal from alcohol or other drugs (ASAM Level III.7-D). The program works with those who are 18 years of age or older who are voluntarily seeking or involuntarily sent by physician certificate or Probate Judge’s affidavit for detoxification treatment and have impending or emergent need for medical monitoring of withdrawal from addictive chemicals. Those 17 years of age that are emancipated minors may also be served for detoxification when the medical director or designee finds the person served does not require specialized child and adolescent services, and when their life circumstances demonstrate they are more appropriately served in an adult environment.

Intensive Treatment Residence – Adult

Pathways Center ITR program is licensed by Georgia’s Healthcare Facility Regulations division as a Community Living Arrangement (CLA) and provides 24/7 assistance to consumers in a residential setting to reintegrate clients into the community and to assist clients with their recovery and increase self-sufficiency. Client entering the ITR are generally transitioning from inpatient hospitalization and/or meet ADA criteria.
 

Services provided by the program include at a minimum the following:
* assistance to find and maintain housing
* assistance with health maintenance
* assistance with management of financial matters
* assistance with linkage with community activities
* assistance with the development of natural supports
* assistance with arrangement of transportation

 

Upon discharge from the ITR program, all consumers are referred back to the least restrictive environment possible in
the community. Natural supports are utilized whenever possible in making these arrangements. In addition, all
consumers are linked to the appropriate mental health services, which may include ACT or ICM/CM with outpatient
mental health services, as appropriate for the individual based on their needs.

Supported Living – Mental Health

Pathways Center Supported Living program provides around the clock assistance to consumers in a residential setting to assist them to successfully maintain housing stability in the community, continue with their recovery and increase self-sufficiency.


Supportive services provided by the program will include at a minimum the following:
* assistance to find and maintain housing
* assistance with health maintenance
* assistance with management of financial matters
* assistance with linkage with community activities
* assistance with the development of natural supports
* assistance with arrangement of transportation


Upon discharge from the Supported Living program, all consumers are referred back to the least restrictive environment possible in the community. Natural supports are utilized whenever possible in making these arrangements. In addition, all consumers are linked to the appropriate mental health outpatient services in their community as well as to other appropriate community resources.

Supported Living – Substance Abuse

Pathways Center Supported Living program provides a structured living environment for individuals with Substance Use Disorders (SUD) who are 18 years or older and are in need of a supportive, transitional setting in order to maintain recovery while developing independent living and relapse prevention skills. Supported Living’s Addictive Disease Independent Residential Services is designed to support individuals who meet the diagnostic criteria for a SUD as defined by the most current DSM, but who have maintained a consistent level of sobriety and does not require 24/7 supervision.


Supportive services provided by the program will include at a minimum the following:
*Referrals to individual, group and/or family counseling
* Linkage to self-help groups
* Recovery-oriented skill-building
* Referrals to Vocational, Educational and/or Job Skills training
* Social Skills training
* Case Management Services, including identification of permanent housing resources facilitation of benefits needs assessments and application for appropriate entitlements
* Random drug screens
* Monitoring of self-administration of medications

 

Natural supports are utilized whenever possible in making these arrangements.

Child & Adolescent Intensive Residential Treatment (IRT) Program – Turner Center

The Turner Center Intensive Residential Program provides intensive residential mental health treatment and education targeted at restoring the competence of youths court-referred due to incompetence to stand trial (IST). The length of stay varies based on the unique circumstances surrounding each individual’s case, including the sequence and outcomes of his or her competency evaluations. The program operates 24 hours per day, 7 days a week. The program provides room, board and watchful oversight functions in addition to competency restoration interventions in accordance with the State of Georgia’s rules and regulations for Child Caring Institutions. These intensive residential services are provided in a locked environment. The program has a designated program manager who oversees the day-to-day operations of the program. Oversight for psychiatric treatment is provided by a psychiatrist. The agency’s Behavioral Health Crisis Director provides supervision for the residential support services. Psycho-educational and other competency restoration interventions are provided by a team of qualified human service professionals and mental health workers. A minimum of five hours of week of programming and services are provided in the C&A intensive residential program. Services provided in the intensive residential program include, but are not limited to:


* Psychiatric assessment and treatment
* Medication education and management
* Behavioral health assessment
* Competency skills assessments
* Service / Treatment plan development
* Psycho-educational group training
* Group and Individual therapy
* Individualized and group-based competency training
* Life Skills Development
* Physical education and recreation
* Family education
* Crisis management
* Case management services
* Educational / Vocational services


All services listed above are provided by Pathways Center. Competency evaluations are provided by an independent, court-appointed professional.

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