Mind-Body Medicine in Inpatient Psychiatry. David Låg Tomasi

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Clawson, MA, OT

       John Derivan, MEd

       Theresa Emery, MSW

       Lindsay Enman, MSW

       Sheri Gates, MA

       Kevin Melo, MA

       Annie Rapaport, MA

       Emily Reyns, MA, R-DMT, MHC

       Joshua Shupp-Star, MA

       Tory Stickney, MA

       Adoria Tudor, MA

       Alixandra West, MA

      Team 2—Student Research Team “Fletcher Allen Healthcare Inpatient Psychiatry Process Improvement,” (2014) University of Vermont Business School:

       Michael Bancroft

       William Donaway

       Nicholas Freiberger

       Takara Lyons

      Team 3—Exercise Group Leaders, Staff, and UVM Department of Rehabilitation and Movement Science Students and Volunteers (2016–2017):

       Sheri Gates, MA, Group Therapist, UVMMC Inpatient Psychiatry

       Tabatha Leahy, BS, Mental Health Tech, UVMMC Inpatient Psychiatry

       Jeremy Sibold, Ed.D., ATC - Associate Dean, UVM College of Nursing and Health Sciences

       Susan Kasser, Ph.D. - Associate Professor, Interim Chair, UVM CNHS - Department of Rehabilitation and Movement Science

       Erin Curtis, MD, Psychiatrist, UVMMC Inpatient Psychiatry

       Anjali Varigonda, MD, Psychiatrist, UVMMC Inpatient Psychiatry

       James Goldsmith, Project Manager

       Alex Krupp

       Culli Pringle

      To discuss Mind-Body Medicine strategies to improve clinical outcomes in inpatient psychiatry settings, we shall start with a thorough examination of the psychotherapy and group therapy-based interventions offered on the Inpatient psychiatry units Shepardson 3 and Shepardson 6. As “psychotherapy” is a very broad term, we also need to identify the specific characteristics of such practice in this context, starting from needs and objectives: a) individual and group therapy sessions, b) exercise sessions, and c) Attendance and session standardization. Each category is described in detail below.

      Needs and Objectives:

      a) Individual and Group Therapy Sessions:

      The following terms are the descriptors used throughout this research study, as well as the exact terms utilized on the University of Vermont Inpatient Psychiatry Electronic Health Record (EHR) Epic/Prism software system.

      Group Goals:

       Developing Coping Skills; Identify Grief/Loss; Identify Feelings; Identify Stressors/Problems; Increase Activity Level; Increase Affective Range; Increase Attention Span; Increase Awareness of self in relation to others; Increase Education about Mental Illness; Increase Emotional Expression; Increase Expression of Needs; Increase Motivation; Increase Organization; Increase Relaxation; Increase Responsibility of Behavior; Increase Self-Control; Increase Self-Esteem; Increase Socialization.

      Patient Communication:

       Answered Questions; Circumstantial/Tangential; Delusional Speech; Latent; Logical; Loose; Pressured; Silent; Spontaneous verbalization.

      Patient Behavior:

       Ability to Complete Task; Angry behavior; Anxious Behavior; Appropriate; Attentive; Depressed Affect; Disorganized; Disoriented; Disruptive; Dozing off; Engaged; Inattentive; Initiation without Prompts; Intrusive; Labile affect; manic; Organized; Social Interactive; Withdrawn.

      The extended list of groups offered on the Inpatient Psychiatry Psychotherapists/Group Therapists offered on the Inpatient psychiatry units Shepardson 3 and Shepardson 6 by the Psychotherapists/group therapists is as follows:

      Affirmations & Gratitudes/Positive Affirmations

      Anger Management

      Art Therapy

      Body Awareness

      Coffee Talk

      CBT—Cognitive Behavioral Therapy & Cognitive Processes

      CFT—Compassion Focused Therapy

      Coffee Talk

      Communication Skills

      Crossword Puzzle

      DMT—Dance Movement Therapy

      DBT—Dialectic Behavioral Therapy

      Discharge & Post Crisis Plan

      Daily Goals/Check-in

      Distress Tolerance

      Drumming/Relaxation

      Effective Questions

      Exercise/Gentle Movement

      Eurhythmics

      Focus

      Games, including Board Games, Video vs. Computer Games

      Garden

      Gentle Yoga

      Grief and Anger

      Group Therapy

      Journaling

      Karaoke

      Leisure Skills

      Life Skills

      Magnetic Expression

      Meditation/Mindfulness/Relaxation

      Mind and Body Connection

      Morning Check-In

      Movie Nights

      Music & Movement

      Narrative Medicine

      Nutrition

      Open Art/Arts & Crafts

      REBT—Rational Emotive Behavior Therapy

      Recovery

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