Mind-Body Medicine in Inpatient Psychiatry. David Låg Tomasi
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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