February 27, 2015 1 Comment
Fear and guilt are the emotions Dr. Bruce Perry described after driving a patient and her family home on a cold day following a session in his office. As a fellow in Child and Adolescent Psychiatry at the University of Chicago in 1987, he knew such intrusion into a patient’s life simply was not done. It took him two weeks to work up the nerve to confess his transgression. Suprisingly, his supervisor exclaimed, “Great! We should do home visits with all of our patients!” Then he wanted to hear more about this experience, which incidentally provided Dr. Perry with more insight into his patient than he ever could have obtained in the office.
The Shift to Community-Based Services
In adult mental health, case management has become crucial, as deinstitutionalization and state hospital closings have forced reintegration and reduced options for inpatient treatment. Case managers are highly involved in the patient’s day-to-day life, including multiple visits to the home in a week, helping with anything that would increase safety and stability in the community. Read more of this post