HARP serves individuals who are dually diagnosed with a developmental disability as well as a serious mental illness who need medication stabilization.
Individuals admitted to HARP will receive intensive services from our psychiatry team as well as individualized and group treatments that focus on skill development.
Individuals admitted to HARP come from a community placement (ISL, Home, Waiver Home, Group Home, etc.) and then return to their sending provider in the community. If the individual is unable to return to their sending provider, an alternate placement will be found for them. It is preferred that this placement be secured prior to admission to HARP.
The primary mission of HARP is to provide psychiatric medication stabilization and return individuals to the community. It is important to note that psychiatric medications can be stabilized, and an individual may still engage in occasional challenging behaviors and mental health symptoms.
The length of stay for individuals admitted to HARP is less than three months.
- Inclusion/Exclusion Criteria
Inclusion Criteria:
- 18 years or older,
- Diagnosis of Intellectual and/or Developmental Disability (I/DD) that was established prior to age 18,
- Diagnosis of acute symptoms of serious mental illness such as a psychotic spectrum disorder, bipolar and related disorders, or other disorders characteristic of extreme mood instability,
- Current extreme behavior or psychiatric symptoms that place the individual or other at imminent risk of harm that are the primary function of acute psychiatric symptoms,
- Has at least moderate verbal skills such that they can participate in psychotherapeutic interventions with reasonable adaptations,
- Is in stable medical condition (see exclusion criteria).
Exclusion Criteria:
- Anyone court ordered for treatment as Incompetent to Stand Trial,
- Anyone confined to jail,
- Anyone civilly committed,
- Can safely be supported in a lesser-restrictive setting,
- Requires specialized medical equipment such as trachea, gastric tube, motorized mobility device, etc.,
- Requires routine medical treatment such as dialysis, chemotherapy, radiation, IV therapies, etc.,
- Current behaviors are the primary function of a personality disorder, a substance use disorder, or behavioral dysregulation resulting from an I/DD.
- Anyone that is not medically stable:
- Does not have stable vitals,
- Is experiencing delirium,
- Requires medical chemical detoxification,
- Is confined to a bed, and
- Is not able to ambulate independently.
- Anyone currently at a level of care that would be deemed a lateral transfer such as admitted to a hospital, emergency department, crisis stabilization unit, etc.
- Admission/Discharge Information
Admission
All admissions to HARP must be pre-approved and scheduled in advance. Any unplanned arrivals will be redirected to local emergency departments or crisis stabilization units.
Pre-transition calls will be completed prior to admission to facilitate open communication and information gathering. Prior to admission, HARP must receive ISP/BSP, medication lists, medical history, provider information, etc., to be best prepared to treat the individual.
Individuals must be transported to HARP on the day of admission. They are requested to arrive prior to 11:00 a.m. on their scheduled day of admission.
HARP will provide individuals with all necessary items for their stay. They are encouraged to bring their own clothing, hygiene products, and leisure items that are approved within the limits of personal belongings. Due to storage limitations, HARP is unable to store items for individuals. Any furniture, housewares, electronics, etc., will need to be stored by the individual's provider/guardian/family/etc. A comprehensive list of limits on personal belongings will be provided to the sending team prior to admission.
Throughout an individual's stay at HARP, it is expected that the provider and guardian be involved in treatment including attending bi-weekly treatment plan reviews, transition calls, consultation, etc.
Discharge
When an individual is determined to be stabilized on their medications, they must be discharged as soon as possible. Pre-transition calls will be completed in order to plan for support needs in the community.
HARP will transport the individual home along with their belongings, medications, and prescriptions. HARP team members may stay to assist with the individual’s settling in to their home. HARP may conduct trainings or provide education at any time to the staff serving the individual in the community.
Post-discharge, HARP and the receiving team will participate in 30-, 60-, and 90-day consultation calls. Receiving teams are encouraged to reach out for consultation at any time.
- Referrals
All referrals to the Hearnes Acute Rehabilitation Program are submitted to CareManager.
If you have a referral, please provide information to:
SCSpecialistConsult@dmh.mo.gov
or
Contact Information:
Program Director: Brandy Baczwaski, PhD
573-592-2229
Hearnes Psychiatric Center
Hearnes Drive
Fulton, MO 65251