The unit does not have the capacity to do seclusion and restraint, and does not provide oxygen or intravenous therapy. Most of the patients on this unit have some combination of schizophrenia, bipolar affective disorder, organic brain syndrome, and dementia. The age ranges from 40 to 101 years old. About two thirds of the patients are elderly. Many of our patients have chronic medical problems, such as chronic obstructive pulmonary disease, diabetes, hypertension, and seizures.
Length of stay is usually several months to several years.
Treatment planning is done by the interdisciplinary team with the inclusion of the patient, at least every 90 days. If possible family members are also included. The goals of treatment are to improve and maintain level of functioning and quality of life. Placement options include residential care, community nursing homes, or the VA nursing home care unit. Supportive weekly small meetings are held to encourage patients to share their concerns.