Adult Mental Health Program
The Adult Mental Health (AMH) Program includes three in-patient units, East, West and Central, totaling 110 inpatient beds. Each unit serves adults beginning at age 18 and up, who have a variety of psychiatric diagnoses. Consumers may be in psychiatric crisis due to new or recurring mental illness, non-compliance with medications, use of illegal drugs, psychosocial stress, or a combination of these causes. The mission of the AMH Program is to increase the functioning of persons with psychiatric disabilities. A description of each unit and the population it serves is as follows:
- East Unit: 32 bed acute unit with an adult male side and an adult female side. The average length of stay for the long term side of the unit is 67 days. As a whole the East Unit averages approximately 19 admissions per month, with an average occupancy rate of approximately 85%.
- West Unit: 42 bed acute unit with an adult male side and an adult female side. Consumers on this unit have a variety of psychiatric diagnoses. The West Unit averages approximately 70 admissions per month with an average occupancy rate of approximately 90%. The average length of stay on this unit is 18 days.
- Central Unit: 40 bed acute unit with an adult male side and an adult female side. Consumers on this unit have a variety of psychiatric diagnoses. The Central Unit averages approximately 70 admissions per month with an average occupancy rate of approximately 98%. The average length of stay on this unit is 17 days.
Adult Forensic Program
The Adult Forensic Services (AFS) Program includes two inpatient units, Secure 1 and Secure 2 and Secure 3 totaling 130 beds. Both AFS Units admit consumers who have been found Incompetent to Stand Trial or Not Guilty by Reason of Insanity by the criminal courts of the six metro Atlanta counties. Both units admit consumers with a variety of psychiatric diagnoses. Both units admit male and female consumers 18 years of age or older. Most discharges from these units are returned to jail upon discharge.
- Secure 1 Unit: Consumers admitted to this unit are generally those whose security risks are greater. Many of them are charged with crimes such as murder, rape, aggravated assault, and weapons charges and/or are known elopement risks.
- Secure 2 Unit: Consumers admitted to this unit are those individuals with security needs allowing them to be mixed in with forensic consumers who are at a point in their treatment where they can leave the locked unit for treatment on campus or in programs off campus with the court’s permission.
- Secure 3 Unit: Consumers admitted to this unit are those individuals with security needs allowing them to be mixed in with forensic consumers who are at a point in their treatment where they can leave the locked unit for treatment on campus or in programs off campus with the court’s permission.
Developmental Disabilities Program
The Developmental Disabilities Program includes one unit the Skilled Nursing Unit (SNF).
- SNF Unit: is a 53 bed unit with a current census of 25. Consumers on this unit are profound to severely developmentally disabled and have medical needs that require a skilled nursing level of care. The unit serves both male and female consumers of any age.
Admission Services provides assessment, crisis intervention and evaluation for patients referred for further voluntary or involuntary inpatient hospitalization for adult mental health services, alcohol and substance abuse services, adult forensic services, and for admission to developmentally disabled persons unit. Admission provides services as an emergency receiving facility for 24 hours, 365 days a year.
Temporary Observation Services
The Temporary Observation Area is an added component of Admission Services. This is a new and innovative approach in assessment for adult patients referred to GRHA Admission Services. It offers assessment, extended observation, acute intervention and continuity of care services under medical supervision and continuing nursing evaluation to individuals in crisis and exhibiting acute psychiatric symptoms/impairments. Specifically, the purpose of these is to provide continued an extended period of time beyond the initial psychiatric evaluation to further evaluate the patient for the most appropriate level of care. The goal is to offer assessment, extended observation, acute intervention and continuity of care services under medical supervision and continuing nursing evaluation to individuals in crisis and exhibiting acute psychiatric symptoms or impairments.
GRHA’s Dental Clinic provides inpatient and outpatient Dental Services; outpatient services are offered to developmentally disabled persons from 8 metro Atlanta counties with a population of more than 2.8 million people.
Community Homes Program
There are five state operated community services:
Adolescent Residential Group Homes: Adolescent Residential Group Homes (2): Located in Winder and Gainesville, these two homes offer residential living and work skills. It offers GED completion to boys ages 16-18, who are receiving substance abuse counseling from local Community Service Boards. These Group Homes provide a 24-7 home-like environment by teaching the boys to cook and clean, along with an environment of working and living with others.
Community Integration Homes: GRHA operates three community integration homes that offer services to individuals who were once admitted to a State Psychiatric Facility but on Conditional Release as deemed by the courts. Each home has six beds or less.
Treatment Program Services
Each treatment program is under the administrative leadership of a skilled clinical staff and is staffed by at least one physician, registered and practical nurses, social workers, psychologists, and direct service staff. Staff members also offer music, craft, and recreation activities on a group basis, as well as special activities on and off campus.
Although the hospital sets no minimum period of time for a person’s stay, the average length of stay for the Adult Mental Health treatment programs is eight days. Most consumers in these programs are discharged within two weeks, although some may spend several months. While here, consumers have the opportunity to work with the hospital’s treatment teams and the staff at the community mental health/developmental disabilities centers near their homes to schedule a suitable discharge date and formulate a post-discharge treatment plan.
Upon discharge from GRHA, most consumers are referred to a Community Mental Health Center. An initial phone call or visit to the appropriate center will help assure that the center promptly provides the necessary follow-up services to the consumer.