For information about the Utah State Division of Substance Abuse and Mental Health, click here: http://www.hsmh.state.ut.us/
For information about the local substance abuse and mental health providers, click here: http://www.uacnet.org/ubhn/members.php
For information on components of a high quality mental health system, consult Chapter One, "A Vision for Transforming State Public Mental Health Systems" in NAMI's Grading the States report and NAMI's new adult mental health service and support array and child and adolescent array
This section outlines NAMI Utah positions on a variety of Public Policy Issues, including Assertive Community Treatment, Supported Employment, Medication Algorithms, Integrated Dual Diagnosis Treatment, Family Pychoeducation, Self Management, Mental Health Courts, Jail Diversion Programs, Supported Housing, and Restraints and Seclusion.
To get up-to-date information on NAMI National Public Policy, please click here.
To view NAMI National's Public Platform, please click here.
ACT is defined as: a multi-disciplinary clinical team approach to provide intensive in vivo community treatment, support and rehabilitation services on a time unlimited basis to individuals who experience the most intractable symptoms of severe mental illness and who often experience the greatest functional deficits. Phillips, et.al, (2001) identifies 10 principles of ACT: (1) services are targeted to a specific group of individuals with severe mental illness; (2) rather than brokering services, treatment, support, and rehabilitation services are provided directly by the ACT team; (3) team members share responsibility for the individuals served by the team; (4) the staff-to-consumer ratios is small (approximately 1 to 10); (5) the range of treatment and services is comprehensive and flexible; (6) interventions are carried out at the locations where problems occur and support is needed rather than in hospital or clinic settings; (7) there is no arbitrary time limit on receiving services; (8) treatment and support services are individualized ; (9) services are available on a 24-hour basis; (10) the team is assertive in engaging individuals in treatment and monitoring their progress.
Learn more about the Treatment Advocacy Center and read their suggestions on how to be prepared for an emergency and what to do in a crisis.
Supported employment programs typically assist people in obtaining competitive e mployment-that is, community jobs paying at least minimum wage for which any person can apply-in accord with client choices and capabilities, without requiring extended prevocational training. Unlike other vocational approaches, supported employment programs do not screen people for work readiness, but help all who indicate they want to work; they do not provide intermediate work experiences, such as prevocational work units, transitional employment, or sheltered workshops; they actively facilitate job acquisition, often sending staff to accompany clients on interviews; and they provide ongoing support once the client is employed.
A medication algorithm translates the latest available knowledge about medications into practical pharmacotherapy suggestions and promotes the optimal recovery in the consumer population. A central objective of the algorithm is to optimize pharmacotherapy for consumers and clinicians via a consensus of patient experience, research evidence, expert advice, practitioner knowledge, and supportive technology (i.e., computer-based).
Dual diagnosis treatments combine or integrate mental health and substance abuse interventions at the level of the clinical encounter. Hence, integrated treatment means that the same clinicians or teams of clinicians, working in one setting, provide appropriate mental health and substance abuse interventions in a coordinated fashion. In other words, the caregivers take responsibility for combining the interventions into one coherent package. For the individual with a dual diagnosis, the services appear seamless, with a consistent approach, philosophy, and set of recommendations. The need to negotiate with separate clinical teams, programs, or systems disappears. The goal of dual diagnosis interventions is recovery from two serious illnesses.
Offered as part of an overall clinical treatment plan for individuals with mental illness to achieve the best possible outcome through the active involvement of family members in treatment and management and to alleviate the suffering of family members by supporting them in their efforts to aid the recovery of their loved ones. Family Psychoeducation programs may be either multi-family or single family focused. Core characteristics of family psychoeducation programs include the provision of emotional support, education, resources during periods of crisis, and problem -solving skills.
Includes a broad range of health, lifestyle, and self-assessment and treatment behaviors by the individual with mental illness, often with the assistance and support of others, so they are able to take care of themselves, manage symptoms, and learn ways to cope better with their illness. Self management includes psychoeducation, behavioral tailoring, early warning sign recognition, coping strategies, social skills training, and cognitive behavioral treatment.
Mental health courts are adult criminal courts that have a separate docket dedicated to persons with mental illnesses, divert criminal defendants from jail into treatment programs, monitor the defendants during treatment and have the ability to impose criminal sanctions for failure to comply.
Jail diversion programs are specific programs through which some type of mental health intervention places people with mental illnesses in the community instead of keeping them in jail. Individuals with mental illnesses may be identified for diversion from the criminal justice system at any point, including pre-booking interventions (before formal charges are brought) and post-booking interventions (after the individuals has been arrested and jailed).
Individuals live in their own home (room, apartment, or other location) and receive supportive clinical and psychiatric rehabilitation in order to maintain their stability in the community. Services are available at mental health facilities or can be brought to the individual in their home setting when needed. Disputes with landlords and other tenants are addressed through interventions and social skills training.
The use of involuntary mechanical or human restraints or involuntary seclusion is only justified as an emergency safety measure in response to imminent danger to a patient or others. These extreme measures can be justified only so long as, and to the extent that, an individual cannot commit to the safety of him or her-self and others.
Restraint and seclusion have no therapeutic value and should be used only for emergency safety by order of a physician with competency in psychiatry or a licensed independent mental health professional (LIP). A physician trained in psychiatry or a LIP should see the patient within one hour after restraints are initiated. Restraints should be continued only for periods of up to one hour at a time and a face-to-face examination of the patient by the physician or LIP must occur prior to each time a restraint order is renewed.
Alternatives to the use of restraint and seclusion should be used. De-escalation techniques and debriefings should be used after each restraint and seclusion incident.
For both inpatient and outpatient:
UTAH CODE ANN. § 62A –15– 631(10). The court shall order commitment of an individual who is 18 years of age or older to a local mental health authority if, upon completion of the hearing and consideration of the information presented in accordance with Subsection (9)(e), the court finds by clear and convincing evidence that:
(a) the proposed patient has a mental illness;
(b) because of the proposed patient's mental illness he poses a substantial danger, as defined in
Section 62A-15-602, of physical injury to others or himself, which may include the inability to provide the basic necessities of life such as food, clothing, and shelter, if allowed to remain at liberty;
(c) the patient lacks the ability to engage in a rational decision-making process regarding the acceptance of mental treatment as demonstrated by evidence of inability to weigh the possible risks of accepting or rejecting treatment;
(d) there is no appropriate less-restrictive alternative to a court order of commitment; and
(e) the local mental health authority can provide the individual with treatment that is adequate and appropriate to his conditions and needs. In the absence of the required findings of the court after the hearing, the court shall forthwith dismiss the proceedings.
§ 62A-15-602 (13) "Substantial danger" means the person, by his or her behavior, due to mental illness:
(a) is at serious risk to:
(i) commit suicide,
(ii) inflict serious bodily injury on himself or herself; or
(iii) because of his or her actions or inaction, suffer serious bodily injury because he or she is incapable of providing the basic necessities of life, such as food, clothing, and shelter;
(b) is at serious risk to cause or attempt to cause serious bodily injury; or
(c) has inflicted or attempted to inflict serious bodily injury on another.
§ 62A-15-602 (12) "Serious bodily injury" means bodily injury which involves a substantial risk of death, unconsciousness, extreme physical pain, protracted and obvious disfigurement, or protracted loss or impairment of the function of a bodily member, organ, or mental faculty.
We all need nutrition to support our bodies. A poor diet equals poor health, contributing to obesity, metabolic syndrome and diabetes - conditions that many people living with mental illness are at a high risk of developing. Nutrition is important for everyone. If you are living with mental illness, eating well is especially important for you, because what you eat can affect your daily life, mood and energy level. Healthy eating is not about being thin or deprivation. Healthy eating is about feeling good, having more energy, participating in your recovery and mapping out your future. Simply put, healthy eating is one of the best things you can do to improve wellness. Dietary guidelines set by the USDA state that a healthy diet is one that emphasizes fruits, vegetables, whole grains and fat free or low fat milk products. A healthy diet should include lean meats, poultry, fish, beans, eggs and nuts. Be sure to limit saturated fats, trans fats, cholesterol, sodium and added sugars. Lear more about the U.S. government's guidlelines by reveiwing the food pyramid: mypyramid.gov.