First 14 years I worked as an IP floor nurse on the adult psych unit. Quickly moved to charge nurse and worked directly with the psychiatrists learning to do psycho-education classes and group therapy. I was offered the opportunity to start the adult psych partial hospitalization program. I worked as a nurse doing therapy with and under the supervision of George North PhD, Dr. Demosthene and later Dr. T. Thomas Lee. I continued my education completing my BSN and began work on my MSN. I completed Reality Therapy training. I gained experience with 12 steps and recovery model in Mercy Hall completing field placements. I started my MSW degree while doing my MSN degree. I worked extra in Home Health doing assessments and therapy on recently discharged psych pts to prevent readmission. I worked with the adolescent population in the adult partial program's expanded evening program for my social work field placement . I also did nursing field placement with the geriatric population focusing on reality groups. I became clinical manager in the adult partial program and expanded it to include IOP treatment and a focus on Cognitive Behavioral Therapy. I was asked to add the Child and Adolescent partial program to the units I managed. I reprogrammed the Child and Adolescent program to increase billable charges and strengthen documentation. I worked with a temporary child and adolescent psychiatrist on childhood obesity adding nutritional education for families to the program and changed the reward system with healthy snacks and activities. Due to results of a Medicare Audit I was asked at this time to take over management of Mercy Hall, IP and OP addiction treatment I closed the Adult and Child & Adolescent programs due to lack of psychiatrists and funding after a few years. While in Mercy Hall I changed documentation, charges, staff responsibilities and work with the physicians to have everything meet Medicare standards. Program was revised multiple times. Over time I helped to close the detox unit and eliminating any overnight stays. I was asked to take over Care Coordination for the acute side of the hospital while still doing the OP addiction program and start the psych track in this program. We were able to get the LOS to the lowest it has been and we were not penalized for readmissions. I helped transition the Care Coordination program to the new care model. This involved transitioning staff thru the change. I was asked to be the clinical manager for SBIRT, a SAMSHA funded program, but the agreement between the hospital and SAMSHA did not work out. I have done a presentation at the AABH conference on effective treatment of borderline pts using group therapy. I did training for nurses related to dealing with a pt who has an eating disorder admitted to a medical floor. I also participated, as a trainer, in the group training for our staff at the HO.
I did Christian Counseling in a group practice . I also reviewed cases for quality. I worked with community agencies and churches to bridge care for clients.
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