Promoting mental health, demystifying mental illness, countering stigma and discrimination


Acute Home Based Treatment/Goals & Admission Criteria

Goals of Acute Home Based Treatment

  • Ongoing assessment
  • Medication education leading to adherence
  • Counselling
  • Contact with Community Agencies
  • Assessment of Competence in ADL's
  • Help with Self Care
  • Hostel Services
  • Interpersonal Contact
  • Prevention of Harm to Others
  • Structure
  • Medical Care
  • Arranging Supports in the Community
  • Service of Psychologist, Occupational Therapist, Social Worker,
  • Respite for Family/Client
  • Assess Social and Family Environment
  • Provide Hands On Practical Help with Problems of Living
  • Involve Whole Family; Educating them about the Illness, Addressing their Concerns
  • Avoid Fostering Regression and Dependence
  • Activities - Arrange in Community
  • Liaison with Outside World - Walk the Client Through Their Particular Minefield of Social Problems

 

Admission Criteria for Acute Home Based Treatment

Consideration is given to assessment, treatment and care in the least restrictive environment, consistent with the Tangata Whaiora/consumer's needs and presentation during time of crisis to ensure AHBT is the most suitable treatment option while considering the safety of staff, consumer and others. 
 

Consideration is given to consumers/Tangata Whaiora would likely require inpatient treatment in the absence of an AHBT Service.

AHBT referrals will be considered for individuals:
  • Who live in the TDHB catchment area and their abode is accessible
  • Who fit the criteria for the services provided by the Adult MHS and MHSOP
  • Who have been comprehensively assessed and are experiencing acute symptoms of mental illness and/or social system crisis. 
  • Who consents to AHBT and accepts limited duration of AHBT follow-up (generally up to 14 days) and is willing to engage with services.
  • Where the provision of early and intensive intervention by the AHBT Service is likely to prevent admission or to facilitate early discharge from Te Puna Waiora
  • Consumers with a Dual Diagnosis (Psychiatric illness and AOD addiction) will be treated in partnership with AOD Services.

 

Exclusions

  • Individuals whose physical or medical health compromise their safety in their home environment
  • Individuals unwilling or unable to safely engage with AHBT
  • Individuals who decline to consent to the treatment option
  • Individuals with unfavourable social circumstances such as homelessness
  • Individuals whose current problems/ presentation is solely due to:
- Anger, aggression, violence that may put themselves and others at risk
- Intellectual difficulties
- Learning difficulties, conduct disorder
- Eating disorders
- Criminal activities and anti-social behaviours not related to mental illness
- Alcohol and drug abuse as the primary presentation. (Consumers with a Dual diagnosis
   will be treated in partnership with the AOD Service)
- Brain damage or other organic disorders, including dementia

 



Taranaki Mental Health Sector

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