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Long-Term Mental Health Services

Centracare

414 Bay Street
Saint John, NB
E2M 7L4
Tel: (506) 649-2550

 

In February, 1998, the 100 staff and 48 patients remaining in the 150 year old landmark overlooking the Reversing Falls moved to the modern newly constructed tertiary facility at the Ridgewood site in South Bay. Centracare is a $4.8 million, 50 bed facility providing an integral part of an institutional-community continuum of mental health care services.

Patient privacy and comfort is emphasized with large and mostly private rooms. Natural light is maximized with skylights and windows. Courtyards are accessible from the patient units and recreation areas. Other features include a chapel, meeting room, quiet room, library, family lounge, and physician and staff offices.

Long-term Mental Health Services consist of:

Outreach Program

Purpose:  To provide support to individuals who requires long-term care and their care providers. To provide a consultation service for assessment/treatment recommendations for individuals.

Behavioural Treatment Unit

This 18-bed Behavioural Unit focuses on programs for individuals who demonstrate a high level of risk to self and /or others and who have needs for care that exceed what is currently available in the community. An interdisciplinary team assesses individuals and develops/evaluates individualized programs to manage behaviours and address skill deficits. Currently the population served is primarily individuals with Developmental Delay often with concurrent mental illness and Pervasive Developmental Disorders.

Sustained Care Unit

The Sustained Care Unit is a 16-bed unit that provides care primarily to an aging population with mental illnesses who demonstrate high levels of challenging behaviours and care needs. The interdisciplinary team (psychiatry, general medicine, psychology, speech language pathology, nursing, recreation, occupational therapy, social work, dietetics and physiotherapy) provides individualized care that optimizes the level of functioning, maintains the existing skills, and contributes to quality of life.

Rehabilitation Unit

The Rehabilitation unit at Centracare is a 16 bed open unit, which provides short-term (up to 18 months) psychosocial rehabilitation based intervention on an inpatient basis. An interdisciplinary team of professionals services the unit including: psychiatry, general medicine, psychology, speech language pathology, nursing, recreation, occupational therapy, social work, dietetics and physiotherapy. These professionals work together as a team to provide client centered intervention that focuses on assisting the individual clients to reach an optimal level of functioning and successfully reintegrate into the community. Intervention programs may be discipline specific or may be provided through an interdisciplinary approach. Clients receive both individual and group interventions.

Vocational Training Program

Manager - Brian Bonner
Tel: 649-2759
Email: Bonbr@reg2.health.nb.ca

Currently we offer five vocational programs, the main program being the woodworking shop, while staining and varnishing of finished products, recycling paper, and the store front operation to sell the finished products are also offered. A fifth program is the Hospital Industries Program (HIP) for patients unable to leave the unit on a regular basis. H. I. P. offers a wage stipend by assisting unit staff with on-unit jobs. Vocational training is staffed by a Vocational Training Manager and four health care attendants. This service is accessed by referral through the Community Mental Health Service - Saint John.

The Vocational Training Program operates: Shop Two Eleven - Monday to Friday from 8:00am to 4:00 pm. The storefront operation is located at 21 Lower Cove Loop, Saint John, NB

Occupational Therapy Services

Long term care occupational therapy services are presently based at Centracare. All clients admitted to any part of the long-term care program at Centracare are screened to determine their suitability for and interest in occupational therapy services. If appropriate clients begin the occupational therapy process of – assessment, goal setting, intervention planning, intervention, re-assessment, and discharge. Occupational Therapy services may occur over a short period of time or may continue throughout and following the duration of a client’s admission to Centracare.

The focus of occupational therapy services in the long term care mental health program is skill development and access to supports which will enhance the clients ability to live and enjoy life in the community. Although the focus of occupational therapy is habilitation and rehabilitation, occupational therapy programs are also provided to clients in the psycho-geriatric (sustained care) program at Centracare.  The focus of this program is the maintenance of existing skills as well as the development of compensatory strategies to maintain independence, safety, and a satisfying quality of life.

To ensure the needs of the long term mental health clients are met, the occupational therapy department has developed programs which are offered on a regular and ongoing basis to clients living at Centracare. These programs address areas, which are typically difficult for mental health clients. One of the programs (Individual Programs) also allows for very specific, individualized treatment plans to be created to address individual clients whose needs are unique or do not fall in the realm of the other programs. The programs are adapted regularly to meet the functional levels of the clients being served. Present programs being offered through the occupational therapy department are:

  • Social Skills program Coping
  • Skills program
  • Structured Daily Living Skills program
  • Productivity program
  • Eating Skills program
  • Relaxation program
  • Individual program

Occupational Therapy Services also provides assistance with The Card Cupboard. This is a Mental Health Consumer Business inititative offering handmade cards, invitation, gift tags and more.

Recreation Therapy Services

Recreation Therapy at Centracare has adopted the philosophy of the Canadian Therapeutic Recreation Association.

“We recognize leisure, recreation and play as integral components of quality of life…Interventions are directed toward treatment, leisure education and participation opportunities. These interventions support the goal of assisting the individual to maximize independence in leisure, optimal health and the highest possible quality of life.”

We currently employ 3 full time staff:

  1. Recreation Therapist
  2. Human Service Counselors

A blanket referral system is in place for all new admissions.  Each patient has an assessment completed which may include:

  • Chart review
  • Initial interview
  • Contact family (if applicable)
  • Standardized and non-standardized testing
  • Documentation of results
  • Developing and individualized TX plan

Then, the TX-Oriented Programming (Peterson & Geun, 1984) may include one or more of the following:

  • TREATMENT
    • Physical activity
      • Creative expression
    • Stimulation
  • LEISURE EDUCATION
    • Leisure skills development
    • Community integration
    • Leisure counseling
  • RECREATION PARTICIPATION
    • Diversion and daily structure for maintenance
    • Social 5 (Dances, Pubs, Bingos, Movies, etc.)

We also provide outreach and transitional follow-up for clients living in the community.

For more information please contact Patti Darling at darpa@reg2.health.nb.ca or call (506) 649-2617