Treatment Philosophy at Oregon State Hospital
There are four principal overarching treatment philosophies that are integrated throughout all services-the recovery model, person-centered planning model, centralized treatment services and the balance of external structure and autonomy. These approaches all represent innovative best practice service delivery models for individuals with mental health problems.
Recovery Model
A workgroup at OSH defined recovery as “the awakening of hope and reclaiming personal power and identity. It is the action that moves a person from hopelessness and learned helplessness toward becoming a willing participant in life by internalizing: choices, connections with others, self direction, empowerment, dignity, respect, responsibility, safety and independence. Persons in recovery learn skills to be successful and participate in their own path of active involvement and citizenship in their community.”
Person Centered Planning
In person centered planning, treatment and supports are tailored to meet the individual’s unique desires and needs. Services and supports are provided in a way that promotes social participation and inclusion in the community. The person is viewed holistically and is the focus of the planning.
Key characteristics of the person centered planning model include:
- The individual drives the process
- Is based on the strengths of the individual
- Variety of supports and types of treatment are available
Centralized Treatment Services
Treatment will be provided in a centralized manner where patients and staff will be engaged in treatment and other activities away from the living units for about 10 hours per day.
The centralized treatment model enables patients to have equal access to all services provided in the facility. The centralized model also provides more opportunities for healthy socialization by allowing patients from different living units to be grouped appropriately.
Concentrating active treatment allows all patients and staff to leave their living units during the day which provides motivation for all patients to participate in treatment. It also maximizes the number and types of treatment groups available, which in turn provides more opportunity to meet the needs of individualized treatment plans.Balancing of External Structure and Autonomy
People we serve may be admitted to the hospital from diverse environments including jail or prison settings, residential treatment facilities, private psychiatric hospitals or directly from the community. Our recovery efforts are best provided in an environment that successfully balances security with each individual’s recovery needs. We fulfill our security mandate while at the same time, to the extent possible, creating the least restrictive rehabilitation milieu to promote maximum autonomy and social responsibility.
