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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
NEW MEXICO DEPARTMENT OF HEALTH
TURQUOISE LODGE HOSPITAL Presented to the Behavioral Health Collaborative
Shauna Hartley, LCSW, Hospital Administrator Babak Mirin, MD, Medical Director
March, 2017
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
EPIDEMIOLOGY OF MENTAL ILLNESS AND SUBSTANCE USE
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
NM DOH FACILITIES NMBHI, LAS VEGAS
FORT BAYARD, SILVER CITY
VETERAN’S HOME, T OR C
NMRC, ROSWELL
LOS LUNAS COMMUNITY PROGRAM, LOS LUNAS
SEQUOYAH ADOLESCENT TREATMENT CENTER, ALBUQUERQUE
TURQUOISE LODGE HOSPITAL, ALBUQUERQUE
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
TURQUOISE LODGE HOSPITAL (TLH) ESTABLISHED IN 1952
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
TLH SERVICE PROVISION MEDICAL DETOX Medical model inpatient service for adults who are interested in detoxing from drugs and/or alcohol in a safe hospital setting. The length of stay ranges from 1-6 days. SOCIAL MODEL REHABILITATION Social model inpatient services for adults who are exploring recovery options through daily programming with a multidisciplinary team approach. The length of stay is approximately 21 days. MEDICAL OBSERVATION TREATMENT UNIT (MOTU) Turquoise Lodge medical team provides assessment and treatment to adults who have been admitted into the Bernalillo County Metropolitan Assessment and Treatment (MATS) program. Clinic hours are 7:30am – 4:30pm, 365 days per year.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
TLH INNOVATIVE RECOVERY OPPORTUNITIES
UNIVERSITY OF NEW MEXICO – • 2014 – 2016: NIDA STUDY – Extended-Release Naltrexone vs. Buprenorphine
for Opioid Treatment • 2016-2017: MINDFULNESS DISSERTATION - providing tools for mindfulness • 2017: B-FIT- Utilizing Brief therapy for relationship engagement
OTHER REGULARLY SCHEDULED OPPORTUNITIES 12-step meetings DBSA/Laugh it Off Housing Programs Spiritual Services Salsa Dancing, yoga, weightlifting, line dancing, flash mob, walking club, gardening, talent show Graduation Ceremony
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
TLH PARTNERSHIPS FOR CONTINUITY OF CARE
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
PATIENT DOES NOT HAVE TO TELL THEIR STORY MULTIPLE TIMES EVERYBODY GETS THE SAME INFORMATION SHORTER TIME FROM APPROVAL TO FIRST SCHEDULING CALL SHORTER WAIT TIMES BENEFITS INFILTRATE THROUGHOUT THE PROGRAM
ACCESS SYSTEM DESIGNED TO BETTER SERVE CUSTOMER NEEDS THEN. . . 1-2 ADMISSIONS PER DAY WAIT LIST WAS 8-10 WEEKS
NOW. . . 3-5 ADMISSIONS PER DAY WAIT LIST IS 1-2 WEEKS
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
INDIVIDUAL CAN CHOOSE WHETHER THEY WANT MORE THAN DETOX INDIVIDUAL CAN ACCESS THEIR OWN COMMUNITY HEALTH PROVIDERS TLH CAN ASSESS FOR READINESS TO CHANGE PRIOR TO ADMITTING TO REHAB PROGRAM ROBUST THERAPEUTIC COMMUNITY AT TLH
INPATIENT PROGRAM DESIGN TO BETTER SERVE CUSTOMER NEEDS THEN. . .
PATIENTS ASSESSED AND ADMITTED
FOR DETOX AND REHAB
NOW . . . ASSESS AND ADMIT FOR DETOX ASSESS AND ADMIT FOR REHAB
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
OUTPATIENT PROGRAM REDESIGN TO BETTER SERVE CUSTOMER NEEDS THEN. . . VISIT #1 ASSESSMENT, DIAGNOSIS,
TREATMENT ACUTE PATIENTS PROVIDED OBSERVATION
IN CLINIC
NOW . . . VISIT #1 ASSESSMENT, DIAGNOSIS, TREATMENT VISIT #2-3+ CONTINUED MONITORING ACUTE PATIENTS ARE ADMITTED TO TLH
INCREASED QUALITY OF SERVICE IMPROVED PATIENT OVERSIGHT IMPROVED SAFETY OF OUTPATIENT DETOX PROCESS IMPROVED MATS/MOTU TEAMWORK
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
0
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400
600
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ADULT INPATIENT ADMISSIONS HAVE INCREASED BY 500%
FY13 FY14 FY15 FY16
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
HANDOFF
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
SUICIDE
NEW ILLNESS – THREE “DISEASES” OF DESPAIR DRUGS
DRINKING
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
PREDISPOSING FACTORS
PREDICTOR VARIABLES
MEDIATOR VARIABLES
OUTCOME VARIABLES
OTHER RISK FACTORS
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
MANAGEMENT – BIOPSYCHOSOCIAL APPROACH
MENTAL HEALTH INPATIENT AND OUTPATIENT SERVICES
PSYCHOPHARMACOLOGY
THERAPY
SOCIAL SUPPORT
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
MANAGEMENT – BIOPSYCHOSOCIAL APPROACH
MEDICAL
INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
MANAGEMENT – BIOPSYCHOSOCIAL APPROACH
SUBSTANCE USE DETOX
REHAB
INTENSIVE OUTPATIENT (IOP)
MEDICATION ASSISTED TREATMENT (MAT)
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
MANAGEMENT – BIOPSYCHOSOCIAL APPROACH
COORDINATION OF CARE JAIL/PRISON
CYFD
ER/URGENT CARE
OTHER COMMUNITY SERVICES
CASE MANAGEMENT
OTHER . . . .
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
ASSESSMENT OF NEEDS BY NM DOH
COMPREHENSIVE SYSTEM
EFFICIENT
AVAILABLE
OTHER . . . .
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
TURQUOISE LODGE HOSPITAL MISSION STATEMENT
We strive to provide the opportunity for those struggling with substance use to begin healing in a safe environment with compassion and kindness.
1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org
IOP SERVICES: Using the Matrix Model, will provide time-limited, outpatient treatment service for individuals who require structure and support to achieve and sustain recovery while living in their community.
INCREASE IN DETOX BEDS
NETWORKING
GRANTS
ACCREDITATION
NEXT STEPS FOR TLH
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