Adult Services

Counseling Services - These services help people cope with life difficulties that interfere with their functioning. They include:

kitsap mental health services client
  • Brief Therapy – The Adult Outpatient department offers effective therapeutic interventions that are solution-focused and through brief individual sessions are geared toward individuals whose needs can be met effectively by time-limited interventions.
  • Longer Term Therapy – Adult Outpatient Services provides intensive and longer term 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.
  • Dialectical Behavior Therapy – Adult Outpatient Services offers a specialized treatment program for persons with Borderline Personality Disorder. The DBT program incorporates both individual and group therapy to help participants build readiness for change as they learn skills in the areas of emotional regulation, interpersonal effectiveness, mindfulness, distress tolerance, and problem-solving.

Co-Occurring Disorder Services - Pathways
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).  
 
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:
  • Assertive Recovery Treatment (ART) – This team provides intensive support to clients who have historically had multiple hospitalizations, are not actively engaging in treatment, and/or need considerable support to remain independent in the community. Using an interactive team approach and frequent client contact, the ART team’s goal is to improve the quality and duration of a client’s tenure in the community and reduce hospital recidivism. The majority of services are delivered by outreach to clients’ homes and in their community.
  • Progressive Adult Services Team – This team 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.
  • 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, group activities and case management services. 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. Employment Services staff also coordinate the Life Coach Program, which allows clients to experience the role of helper by providing peer-to-peer support and skills coaching.

    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 themachieve the highest possible level of independent living.
  • Program for Assertive Community Treatment (PACT) – This multi-disciplinary team serves clients with severe and persistent mental illnesses that have devastating effects on 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, and has been unfairly thought to resist or avoid involvement in treatment. Eighty-five percent or more of the services are provided outside of the program offices in locations that are comfortable and convenient for clients. The team’s caseload is shared by all clinicians on the team, which is comprised of Bachelor’s and Master’s level clinicians, its own medical provider and nurses, and a full-time Peer Counselor.
  • 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 nine 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. Additionally, staff members help avert crises and help handle them as they occur. Access to this program is by way of Treatment Coordinator application to the program manager.
  • Oasis Recovery Center – In addition to being the operations center for Community Integration Services and the Progressive Adult Services Team, the Oasis is a bustling hub of activity. The College of Recovery offers an array of psychoeducational classes where participants learn how to develop recovery goals, build skills, and enhance their quality of life. At the Oasis Café and drop-in resource center, clients can socialize and enjoy the snack bar while they learn about class offerings, community activities, jobs and housing options.

Jail Services - KMHS has contracted with the Kitsap County Jail to provide services intended to facilitate access to mental health services while in the jail and programs that offer follow-up upon the mentally ill offenders' release from confinement.

Those services are provided by two mental health professionals.  One provides intervention and follow-up for inmates who, because of their incarceration, are experiencing a disruption in their established mental health treatment. The second mental health professional provides routine assessment of the inmate population to identify individuals with mental illness and who have need of follow up at release from confinement. This includes efforts to expedite applications for new or re-instated Medicaid benefits.

Residential Services – Burwell House is a 15-bed residential house providing 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.

Hospital Liaison – Our 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.
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