Within the Adult Outpatient department KMHS there are eight multidisciplinary teams of case managers, therapists, medical staff, chemical dependency specialists and peer specialists who utilize a team approach to provide individualized mental health treatment.
Adult Outpatient Services provides brief therapy services, situation-specific case management, and crisis intervention for persons who are in need of stabilization to prevent psychiatric hospitalization or are experiencing life difficulties that severely interfere with their functioning. Individual and group psychotherapy help clients reduce symptoms that interfere with their quality of life, and build coping skills relevant to their life situations.
Adult Outpatient also provides ongoing community-based support to help persons with severe and persistent mental illnesses recover quality of life. Clinicians help clients set recovery goals that match their own individual hopes and desires to be successful in their community. The nature, frequency and intensity of services are determined by each person's individual needs.
All program staff are trained to address the needs of individuals with co-occurring mental health and substance use disorders. Adult Outpatient clinicians embrace the philosophy of integrated treatment and "meeting clients where they are in their process of change". Treatment offerings for co-occurring disorders include the full range of adult services, in addition to specialized assessments for substance abuse and chemical dependency and co-occurring disorder (therapy, skill building and psychoeducational groups). For persons seeking treatment for opiate use, please see New Directions Recovery, where KMHS clinicians work closely with the individual and their physician to support recovery goals using medication assisted treatment.
Psychosocial Rehabilitation Services
These services are designed to help people with major mental illnesses remain in the community and enjoy a higher quality of life. Clinicians on these teams not only offer outreach, case coordination, and assistance with medication management, but also link clients to other services and activities designed to help them achieve personal fulfillment and their highest level of functionality. Services include:
Community Integration Services
– These services are designed to help clients develop the skills necessary to assure maximum independence and involvement in their surrounding community. Offerings include community-based individual services and group activities. The program is committed to participants achieving or regaining the confidence and skills necessary to lead socially-satisfying lives and develop meaningful relationships.
Two important components of community integration are Employment Services
and Clinical Housing Services. KMHS offers a variety of employment and pre-vocational assessment opportunities, as well as training and job sampling for clients. Employment readiness, motivation, skill level assessment and support are also provided. The Employment Services program provides a wide variety of job placement options, some of which involve collaboration with the Department of Vocational Rehabilitation. Clinical Housing Specialists have the important role of assisting clients in attaining and maintaining safe, affordable housing in the community. The goal for each client is to help them achieve the highest possible level of independent living.
Program for Assertive Community Treatment (PACT) Teams I and II – These trans-disciplinary teams serve clients with severe and persistent mental illnesses that severely interfere with daily functioning, and, because of the limitations of traditional mental health services, may have gone without appropriate services. Consequently, the client group is often over represented among the homeless and in jails and mental health hospitals. Eighty-five percent or more of the services are provided outside of the program offices in locations that are comfortable and convenient for clients. Caseloads are shared by all clinicians on the team, which are comprised of Bachelor’s and Master’s level clinicians, medical provider and nurses, and a full-time Peer Counselor. Specialties include vocational counseling and co-occurring disorder services.
Staff-Supported Housing Program - This program is designed to serve the most difficult to house clients. Typical factors creating difficulty in finding and maintaining housing include criminal convictions, prior evictions, and the inability to successfully live with others. The program leases 17 studio apartments, with one having been converted to a staff office. The other units are then sub-leased to clients and staffing consists of day and night shifts, seven days a week. The purpose of staff is to help teach independent living skills so that clients may "graduate” to a higher level of independence in community living, or maintain housing to avoid repeated hospitalizations. Additionally, staff members help avert crises and help handle them as they occur. Access to this program is by way of Care Coordinator application to the program manager.
Oasis Recovery Center – In addition to being the operations center for Community Integration Services, the Oasis is a hub of recovery-oriented activity. Offerings include thrice weekly trips to the Kitsap Family YMCA, walking groups and a wide variety of other recovery-oriented groups and activities. At the Oasis Café, clients can socialize while they learn about class offerings, community activities, jobs and housing options.
Hargrove Program - KMHS has contracted with the Peninsula Regional Support Network to provide programs at the Kitsap County Jail that offer follow-up with KMHS and/or other treatment providers in the community upon the mentally ill offenders’ release from confinement. These services are provided by a mental health professional. This staff provides routine assessment of the inmate population to identify mental illness and who have need of follow-up at release from confinement. The mental health professional coordinates with correctional staff, probations, prisons, families, and other ancillary community providers to help coordinate necessary follow-up at release.
Residential Services – Residential Services located at Keller House is a 16-bed unit. Along with providing 5 long-term residential beds, RS provides short-term transitional and stabilization services to individuals who suffer from severe impairment in psychosocial functioning and in need of 24-hour support and supervision. Strategic interventions will be designed and implemented for skill building in areas of identified deficits, (e.g. daily living skills, medication management, decision-making, etc.) which are barriers to independent living.
Housing: Since 1991, KMHS has managed a range of safe, affordable housing options for clients to help maintain the well-being and stability of persons with mental illness and substance use disorders. Currently the agency owns and/or manages 90 living units, solely or in partnership with the Bremerton Housing Authority, Housing Kitsap, and private landlords. The KMHS Housing Triage Committee meets weekly to select clients for available housing units. All tenants are in the low to very low-income categories, and rents are based on income (approximately 30% of income, including utilities allowances). KMHS participates in a Continuum of Care Coalition, a county-wide effort to eliminate homelessness.
Hospital Liaison – The KMHS hospital liaison ensures seamless access to services for clients admitted to state and local hospitals. This individual serves as a link between the agency and the team of professionals in the inpatient units to ensure continuity of care.
Protective Payee Services - Designated professionals provide assistance to clients in handling their finances. The extent of support encompasses a range of services that includes complete management of a client’s funds to minimal assistance that allows him or her to have more assistance with finances. This program’s objective is to help the client acquire budgeting skills that will foster more independent functioning in the community.
Medical and Nursing Services
These services provide consumer evaluation, maintenance and monitoring of clients' need for and use of psychotropic medication. In addition, the physical health of clients is monitored to help differentiate between psychiatric problems and "psychiatric like" symptoms caused by physical complications. Side effects of medication are also monitored.