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AHP
AIDS
Health Project provides HIV prevention education and mental health
services for persons with or at risk of contracting HIV/AIDS. The
program sees approximately 10,000 clients per year. AHP services include
support groups, individual psychiatric counseling and evaluation, case
management services and anonymous testing, including mobile testing at
off-site locations. AHP provides consultation, training and education to
other health care providers at SFGH and to community agencies throughout
San Francisco. AHP publishes newsletters and books that support AIDS
professionals in the work of treating people with HIV disease.
BTW
Bridge
to Wellness is a non-profit psychiatric outpatient organization that
includes an adult psychiatric partial hospitalization program and an
intensive outpatient program. Bridge To Wellness is a program in
partnership with Richmond Area Multi-Services, Inc. (RAMS) and the SFGH
Department of Psychiatry. Bridge To Wellness
is JCAHO accredited and a member of the Association for Ambulatory
Behavioral Healthcare.
Bridge To Wellness provides
cost-effective, comprehensive, coordinated, multi-disciplinary,
intensive, individualized, active treatment to persons with serious and
persistent mental health issues. Our goals are to:
-
Minimize the impact of major mental
illness on a person's life
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Prevent relapse and hospitalization
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Facilitate return to social
functioning and community living
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Provide a comprehensive and
structured program based on psychosocial rehabilitation principles
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Provide a culturally sensitive
treatment program serving the diverse mental health needs of people
living in San Francisco
The Bridge To Wellness staff of
experienced and qualified mental health professionals from the fields of
psychiatry, nursing, psychology, social work, counseling, and
occupational therapy offer the following services:
-
Group, individual and family therapy
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Diagnostic and assessment services
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Case management
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Medication management
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Crisis prevention and symptom
management
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Dual Diagnosis treatment ( Mental
illness / Chemical Dependency )
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Community living skills training
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Discharge planning and coordination
Bridge To Wellness offers 24- hour
crisis support phone coverage, a low staff-patient ratio, individualized
treatment planning, on-site psychiatrist, nurse, and licensed
psychologist during weekly program hours. We offer convenient door to
door transportation. Services are culturally competent and,
additionally, the staff has extensive experience working with
populations who have the following issues:
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Chemically Dependent
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HIV / AIDS
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Geriatric
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Developmentally Disabled
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C/L
The Psychiatric Consultation Service at SFGH
provides for the psychiatric needs of medical, surgical, and obstetric
patients treated in the SFGH inpatient and ambulatory settings. This is
accomplished through consultation to primary care physicians and nurses
and direct clinical care of patients.
Services offered include assessment of
psychiatric symptoms and need for acute psychiatric treatment,
recommendations for medication and/or psychological and behavioral
interventions, and recommendations for mental health care follow-up. The
Service trains medical students as well as psychiatric and non-psychiatric
Housestaff in the development of mental health assessment, treatment, and
consultation skills.
Psychiatrists and a psychiatric social
worker who specialize in the provision of mental health consultation in
general health settings offer a wide spectrum of consultation services.
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C/LN
The Psychiatric Nurse Consultant (PNC)
provides nursing consultation to non-psychiatric nurses for supportive
patient management, direct patient care, and education in mental health
principles. The PNC also collaborates with other members of the
multidisciplinary Psychiatric Consultation Service in addressing the
nursing care needs of patients followed by the team.
The Psychiatric Consultation/Liaison
Nursing Service staff are all Clinical Nurse Specialists with special
areas of interest which include multicultural care, HIV education, and
Child and Adolescent issues such as child trauma and youth gangs. The
service provides the following services:
-
Psychological assessment
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Critical incident stress management
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Indirect consultation with hospital
staff
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Patient and staff education
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Facilitation of patient care
conferences
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Facilitation of staff groups
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Post-traumatic assessment and
intervention
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Outpatient trauma injury support group
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Coping assessment for patients with
catastrophic illness/end of life issues
-
Crisis intervention
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CAB
The Community Advisory Board consists of
mental health consumers, family members, public interest representatives,
and mental health professionals committed to improving and advocating for
the SFGH Department of Psychiatry. The Board reviews, evaluates and
recommends priorities for mental health needs, services and facilities at
the Department. Recent projects of the CAB include developing a consumer
grievance procedure, participating on a quality improvement project for
PES, researching alternatives to seclusion and restraint practices,
assisting in special volunteer projects, and upgrading the physical plant.
The Peer Counseling Program has been in
existence for more than a decade. In addition to the presence of consumers
on the Community Advisory Board, the program has grown to include paid
positions through the Independent Living Resource Center with the
Psychiatric Emergency Services and inpatient units. More recently, the
program has extended to case management positions and work on
Prevocational Programs that include such projects as The Clothing Project,
Flower Power, The Coffee Cart, and inpatient support groups. The goal of
this program is to provide job training and socialization skills
development to the members of outpatient programs in the Department of
Psychiatry. All program development in the Department has involved the
participation of consumers and family members.
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CAS
Child and Adolescent Services provides
mental health services to children and youth from birth through age 18.
Clinic services are provided at SFGH offices and in neighboring pre-school
sites for families who are seeking help for their children who may have
behavioral or emotional problems. CAS also offers services to infants,
children, and their families who have suffered psychological trauma due to
physical assault, emotional abuse or neglect, domestic violence,
catastrophic injury, or debilitating chronic disease. Staff utilize a
variety of therapeutic modalities, including individual, play, family and
group therapy. The Early Childhood Development Clinic, a component of CAS,
provides evaluations of infants and children who may have developmental
delays, behavioral problems or who are at risk of cognitive and behavioral
problems due to a variety of conditions such as prenatal drug exposure
and/or premature birth. Inpatient and outpatient psychiatric consultations
are available via our Pediatric Consult-Liaison Service.
Many children and youth experience school
difficulties and have learning problems. Due to this, an important
component of CAS is consultation and collaboration with the San Francisco
Unified School District. For clients in the Foster Care system,
consultation with DHS workers is a key component to care coordination. CAS
staff coordinate services with primary care and community providers as
needed to facilitate the full and healthy development of each child and
youth.
Services provide by Child and Adolescent
Services include:
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Testing for developmental progress and
delays
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Individual/Play Therapy
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Family Therapy
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Medication Evaluation
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Group Therapy
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Outreach to Families effected by
Trauma
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Crisis Intervention and Brief Therapy
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Consultation-Liaison Service -
Inpatient and Outpatient
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Psychological Testing
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Teen Sensitive Services
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Consultation for Child Care and
Primary Care Givers
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Assistance with Victim/Witness of
Crime Application
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Information and Referrals
Child and Adolescent Services has a range
of providers including UCSF Faculty, Child Psychologists, Child
Psychiatrist, Clinical Social Worker, Pre-doctoral and Postdoctoral
Clinical Psychology Interns and Fellows, Psychiatry Residents and Fellows,
Medical Students and Volunteers. Faculty and Staff have a wide range of
experience including areas of specialty in early childhood, trauma, teen
violence, family therapy, work with foster care children, multi-cultural
health issues, and consultation with Pediatric Primary Care Providers.
Staff work very closely with Primary Care Providers and offer services in
community settings. Languages spoken include English and Spanish and we do
have access to interpreters.
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CASARC
The Child and Adolescent Sexual Abuse
Resource Center is an agency that provides medical, forensic and mental
health services to children and adolescents who have been sexually
abused. CASARC nurses are Child Interview specialists and provide
forensic interviews for the Multidisciplinary Interview Center and for the
Department of Human Services. Psychiatry social workers provide trauma
focused psychotherapy and case management to sexually abused children,
adolescents and their families.
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CCDP
Cultural Competence and Diversity Program.
Specialized
Inpatient Programs at San Francisco General Hospital provide the highest
quality of care to individuals with severe mental illnesses who largely
depend on the public sector. Our nationally recognized Ethnic/Minority
Psychiatric Inpatient Programs won the American College of Psychiatrists
Creativity in Education Award in 1999 and the American Psychiatric
Association Certificate of Significant Achievement in 1987. Our
inpatient program is located on 5 acute diagnostic and treatment units
with a total of 97 beds. Each unit has developed a focus reflecting the
cultural diversity of both San Francisco (30% Asian, 16% Latino, 11%
Black, 15% Lesbian/Gay/Bisexual/Transgender) and the patients served by
the hospital.
Inpatient programs provide 80% of all
the public inpatient beds for the City of San Francisco as part of the
comprehensive services with the San Francisco Community Mental Health
Services. It serves severely and persistently mentally ill patients who
are often indigent, homeless, and without social or family supports.
Significantly, 25-30% of our patients are medically complex patients
who, because of concomitant medical conditions, require intensive
medical and nursing care and concerted disposition planning, since
post-hospital facilities for this group is very limited. Furthermore,
the majority of our patients suffer from dual diagnosis of a major
psychiatric disorder and a substance abuse disorder. Over 95% of our
patients are involuntarily committed as a danger to self, danger to
other, or gravely disabled.
Cultural competence is at the heart of
our service delivery. Patients may request admission to one of the
Ethnic/Minority Psychiatric Inpatient Programs that provide specialized
services to Asian/Pacific Islander (Unit 7C), African-American
(Unit 6B), Latino (Unit 7A), women (Unit 7A),
HIV-seropositive/AIDS (Unit 7B), and lesbian, gay, bisexual, and transgender
clients (Unit 7B).
Each unit has both the experience and
the staff necessary for treatment of a particular ethnic/minority group.
The department is committed to recruiting and retaining staff from
diverse cultural groups, many of whom are bilingual and bicultural.
Despite their focus on different populations, the programs share a
commitment to providing care that is sensitive to the cultural
background and particular needs of their patients, to training others to
deliver such care, and to advancing research into the psychiatric
treatment of these ethnic/minority groups.
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CCS At
Compass Community Services, the Infant-Parent Program/Daycare
Consultants provide on-site clinical treatment to children and parents
identified by the Asian Women's Shelter program staff and parents as in
need of intervention.
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Mental
Health Consultation
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Child-Parent
Psychotherapy
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Parent-Child
Attachment Activities/Therapeutic Group
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Outreach/Linkage
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CF
Community Focus is an intensive assertive
case management program with an emphasis on psychosocial rehabilitation
that serves as the single point of responsibility for clients, their
families, support systems, and service providers. In the first two years
of operations, this program reduced the hospitalization rate of its
clients by 80%.
Community Focus consists of three teams,
focusing on several specialized areas. Adelante focuses on Asian/Pacific
Islanders and Latino clients, offering culturally and linguistically
competent services. Cross Currants focuses on the particular treatment
needs of women, lesbian, gay, bisexual, transgender, and HIV seropositive
clients. The Kujichagulia Project, the longest established Community Focus
team, provides services specific to African-American patients.
Clients may participate in recreational
and artistic activities and attend spiritual support groups. There is an
emphasis on supported and independent housing. Some clients may earn
stipends in job training positions in the program.
Community Focus has a wide range of
clinicians including psychiatrists, clinical social workers, psychiatry
residents, nurses, psychiatric technicians, peer counselors, and
administrators. Many staff members have special areas of knowledge and
skill in treatment of the subpopulations mentioned in the program
description. Community Focus offers psychiatric assessment, outpatient
psychotherapy (individual and group), case management, and clinical
pharmacology services. The program provides a 7-day/week, 24 hour /day
availability of staff and flexible, off-site services. Funding for
Community Focus is through a contract with the San Francisco Department of
Public Health.
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CRT
The Crisis Resolution Team was developed in 1990 to provide
service linkage for clients repeatedly visiting the Psychiatric Emergency
Services (PES) and to divert clients from acute hospitalization. It was
later expanded to include inpatient referrals. Physicians, social workers
and nurses staff the CRT, which is supplemented, when
needed, by PES staff for specialized services or disciplines. They provide
psychiatric assessment, outpatient psychotherapy (individual and group),
case management services, and medication management services.
The
CRT team structures individualized service plans during the critical
period following PES crisis visit or hospitalization. Because
services often require long waiting periods, clients may need assistance
with emergency medication prescriptions, crisis housing, and
psychotherapy
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CTRP
The Child Trauma Research Project offers
assessment and treatment to preschoolers and their mothers who have
experienced domestic violence.
The assessment offers an opportunity to
understand the mother’s feelings about the needs of her family. During
this period, staff talk with the mother about how they can be most helpful
to her and her child. The assessment also includes meeting with the child
to better understand the child’s developmental needs, readiness to learn
and emotional relationships.
Following the assessment period, the CTRP
offers one year of joint child-parent psychotherapy to mothers and their
preschoolers. During weekly visits, mothers may talk about worries that
they have about their child’s development or behavior. Visits may also
be a time for both mothers and children to talk about troubles in their
relationship with each other and to explore their feelings about their
life circumstances. Staff meet with families either in our playroom or in
their homes, as the mothers choose.
Mothers need to sign a consent form that
shows that they agree to participate in the research conducted as part of
evaluating the effectiveness of the treatment. CTRP staff, including
psychologists, social workers, pre- and post-doctoral psychology fellows
and psychiatric residents, offer the following services: Psychological assessment,
outpatient psychotherapy/Child-Parent
Format, and Case
management.
There is a high representation of
clinicians belonging to minority groups. Services are available in English
and Spanish.
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CWCM
Citywide Case Management clinicians work
with clients who repeatedly require psychiatric emergency and/or acute
inpatient treatment. The program has been in operation since 1981. The
average yearly reduction of acute inpatient days by registered clients is
17%.
The CWCM office is located downtown at
Market and 5th Streets. Two staff members work with clients at the Bay
View-Hunter’s Point clinic. A case manager also works at the Psychiatric
Emergency Services for clients who need to be seen in a more secure
setting, and can then receive ongoing treatment in the community. The program
offers 7-day/week coverage, seeing clients as long as intensive outpatient
services are needed.
The Citywide Case Management Team, made
up of psychiatrists, social workers, psychiatric technicians,
psychologists and peer case managers, offers case management services,
pharmacological management, crisis intervention, individual, group, and
family therapy. The multidisciplinary staff members speak Cantonese,
Korean, Spanish, and Mandarin. The program also employs consumers as peer
case managers.
A subgroup of CWCM, the Forensic Case
Management team, in collaboration with the Jail Psychiatric Services,
began working with offenders with major psychiatric illnesses several
years ago. In the first year of operation, with twenty clients, the team
was able to obtain SSI and Medi-Cal coverage for 80 percent and housing
for l00 percent of the clients. Eighty-one percent of the clients have
been free of further incarceration, with the average jail bed days before
the program being l3.9 and after the program, l.7. The program expanded in
l999-2000 with a California Board of Correction grant.
The Forensic Case Management team, made
up of psychiatrists, social workers, psychiatric technicians,
psychologists and peer case managers, offers case management services,
pharmacological management, crisis intervention, individual, group, and
family therapy.
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DSAAM
The mission of the Division of Substance Abuse and
Addiction Medicine is to improve the quality of life for clients and the
public by reducing drug abuse, addiction and their negative consequences
through integrated addiction, psychiatric and medical services in
coordination with training and research. A full range of professionals
specializing in addiction and mental health treatment provides DSAAM
services that recognize clients’ needs for safety, support, and human
dignity. Each of the DSAAM programs provide services to ethnically,
culturally, linguistically, and sexually diverse populations. DSAAM
programs include OTOP, STOP, STONEWALL, AMCATS AND MAGNET.
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EDCM
http://insidechnsf.chnsf.org/edmp/
The Emergency Department Case Management
Program was developed by the Division of Psychosocial
Medicine within the Department of Psychiatry. Its purpose is to meet the
psychosocial needs of patients with complex problems who frequently rely
on the SFGH Emergency Department to address medical, substance abuse,
social service or psychological problems.
The ED Case Management Program received
the prestigious 1998 Annual Award of the National Association of Public
Hospitals for the most innovative safety net program in the country, and
was awarded Top Honors by the California Association of Public Hospitals
in 1998.
Our goal is to identify, enroll and
engage patients by providing a thorough needs assessment and ongoing
intensive case management. Case Managers will assist patients in arranging
for housing, financial entitlements, primary medical care, mental health
and substance abuse treatment referrals, and other social services. We
will help patients establish supportive community connections. We will
coordinate treatment efforts with other involved hospital departments,
community agencies and will be available to patients’ families and
support systems. We anticipate a reduction in unnecessary ED visits and
improvement in patients’ self-determination as demonstrated by using
effective problem solving skills and improved access to services.
A multidisciplinary staff including
social workers, psychiatrists, psychologists, and nurses offer psychiatric
assessment, medical assessment, medical care, individual and group
therapy, crisis intervention, case management brokerage, substance use
assessment and counseling services.
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IPP
The Infant-Parent Program is an infant
mental health program focused on difficulties in the relationship between
children under 3 years and their parents. Established in 1979 under the
leadership of Selma Fraiberg, the program provides intensive assessment
and long-term therapy working conjointly with parents and children.
Services are typically delivered in the family’s home where behaviors
can be observed and discussed together.
The Program is able to address a
range of difficulties in infants and toddlers including failure-to-thrive
and other feeding/eating disorders, early post-traumatic stress disorder,
reactive attachment disorder, pervasive development disorder, separation
anxiety disorder and temper tantrums, aggressiveness, and defiant
behavior. Parental difficulties that place the infant and the parent-child
relationship at risk are also common reasons for referral (e.g. mothers
with serious psychiatric illnesses, parents in especially difficult
psychosocial situations). In addition to these clinical services, the
Program offers consultation to a range of agencies and institutions
working with infants and toddlers and their families.
Another component of the Infant-Parent
Program is the Daycare Consultants service, begun in 1988 to provide
intensive mental health consultation to childcare programs serving
children birth through five years. Consultants offer case and program
consultation, therapeutic groups in two childcare settings, and training
inservices for professionals and paraprofessionals. An additional service
available to young children seen through the Infant-Parent Program is
developmental neuropsychological assessment.
Infant-Parent Program services include:
The Infant-Parent Program / Daycare
Consultants staff consists of 7 licensed clinical psychologists, 2
clinical social workers, 3 marriage and family therapists, 1 early
childhood education specialist, and a consulting child psychiatrist. All
have special expertise in work with very young children and their parents.
Pre- and post-doctoral psychology trainees, social work students, and
psychiatric residents and child fellows also provide services.
The Infant-Parent Program also has a
longstanding training program involving 8-10 trainees each year drawn from
psychiatry, child psychiatry, psychology and social work. The training
spans one year and includes intensive individual supervision of cases and
three weekly seminars focusing on infant and toddler development,
assessment and intervention in infant-parent difficulties, and theories
underlying this work.
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LMHRP
http://www.medschool.ucsf.edu/latino/
The
Latino Mental Health Research Program is a UCSF research group
established in 1993 by the Latino Task Force at SFGH for;
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developing,
evaluating, and implementing preventive and treatment interventions
in Spanish and English;
-
conducting
culturally sensitive and linguistically appropriate research with
the Latino community in the San Francisco Bay Area and beyond;
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training
and supporting the career advancement of Latinos(as), and other
mental health professionals dedicated to working with underserved
populations in English and Spanish; and collaborating
with other researchers nationally and internationally.
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LINC
http://www.ucsf.edu/linc/training.html
Living
in a Nonviolent Community (LINC) is committed to providing resources for
children and families who have been affected by intimate partner violence.
LINC is allied with numerous local community and service groups that work
to create positive change in the lives of San Franciscans.
Maxine
Hall
Maxine
Hall Primary Care Psychiatry Program is located at the Maxine Hall
Primary Care Health Center in the Western Addition. The program
combines medical and behavioral health services in a comprehensive
manner. It provides mental health services within a medical clinic to
patients who would otherwise not avail themselves of services.
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Neuropsych
The Neuropsychology Service is a
consultation service within the Division of Psychosocial Medicine, part of
the Department of Psychiatry at San Francisco General Hospital. The staff
consists of 3 specialized neuropsychologists and 2-3 post-doctoral
trainees who see patients under the direct supervision of the clinical
staff. The Service receives more than 450 inpatient and outpatient
referrals each year from the various SFGH inpatient units, outpatient
clinics, and Public Health clinics in San Francisco.
The Neuropsychology Service provides
comprehensive neuropsychological and psychological assessments of adult
individuals with a wide range of neurological and psychiatric disorders,
as well as consultation with providers, family members and caregivers.
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Nursing
In
the acute psychiatric setting, nursing staff are the 24 hour care
providers for patients experiencing acute psychiatric and behavioral
symptoms often related to severe and persistent mental illness.
The mission of nursing services is to asses health needs and provide
competent, humanistic, and cost effective nursing care to all patients
with respect for individual sensitivity to cultural, socioeconomic,
religious, lifestyle, sexual orientation, educational and personal
limitation differences. Registered Nurses and Psychiatric
Technicians utilize a team nursing model to diagnose and treat the
responses of individuals to their mental health problems. Over 200
nursing staff including Nurse Managers and Clinical Nurse Specialists
work with patients from the time of admission through discharge.
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OTOP
The Opiate Treatment Outpatient Program
is an outpatient methadone detoxification and maintenance clinic. OTOP is
licensed by City, State, and Federal Agencies governing programs that
prescribe and administer methadone for the treatment of heroin addiction.
The goal of treatment at OTOP is to encourage autonomy in the client,
their families and other supports, along with an increased ability to
manage their own lives without serious symptoms or functional impairment
from their addiction. The emphasis of the OTOP program is on total
rehabilitation, not an individual’s drug problem alone. Drug use is
closely linked to an individual’s environment and social situation.
Treatment goals and recovery efforts are focused on reducing drug use,
while making lifestyle changes that improve health and promote being drug
free.
OTOP provides compassionate and
comprehensive medical care and opiate replacement therapy to over 250
patients, more than half of whom are infected with HIV and/or other
serious medical conditions. OTOP offers medical, psychiatric and substance
abuse treatment in one location. Direct services to clients include:
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addiction, medical, and psychiatric
assessments
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group, individual, and family
counseling
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Tuberculosis (TB) testing and
prevention services
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HIV services
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heroin detoxification
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methadone maintenance
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referral to other community-based
programs, as needed.
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PCSUS
The Primary Care Substance Use Service
provides outpatient substance abuse and consultation services at the
designated Community Health Network (CHN) Primary Care Health Center
sites, and the SFGH Inpatient Units, Emergency Department and Wound
Clinic. The PCSUS mission involves providing services at Health Center
sites to create easier access to such services to clients who otherwise
might not access services because of a variety of barriers. PCSUS staff
provides services in close coordination with the CHN Health Care Team.
PCSUS staff, a multidisciplinary team of
substance abuse specialists including psychiatrists, nurses, clinical
social workers, substance abuse counselors/therapists, and health workers,
offer the following services:
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Substance abuse assessments
-
Substance abuse counseling services in
individual, group, and family modalities
-
Linkage services to substance abuse
and other services in the community as indicated
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Consultation and inservice
presentations to Health Care Teams as requested
Consultation and direct services are
provided by the entire PCSUS, which includes the Medical Director, two
clinical social workers, and substance abuse counselors. Pre and
postgraduate trainees in Social Work, Marriage and Family Therapy,
doctoral programs in Psychology, and trainees in Alcohol and Drug Studies
programs provide services under appropriate supervision by PCSUS staff.
PCSUS provides services to registered CHN patients only at Maxine Hall
Health Center, Castro Mission Health Center, Family Health Center, General
Medical Clinic, SFGH Emergency Department, Silver Avenue Health Center,
Potrero Hill Health Center, and Southeast Health Center.
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PES
The Psychiatric Emergency Services
at SFGH is the primary provider of crisis intervention services in the
City and County of San Francisco. The staff see approximately 8000
patients per year. The service operates 24 hours a day, seven days a week
and provides crisis stabilization, complete medical and psychiatric
assessment and evaluation services and initial treatment, if appropriate.
The staff, which is multi-disciplinary and includes Peer Counselors, has
extensive experience collaborating with a number of community agencies,
frequently incorporating patients’ systemwide treatment plans.
The
Crisis Resolution Team, an intensive case management team diverts clients
from acute hospitalization, when possible. A multidisciplinary team of
psychiatrists, psychologists, nurses, clinical social workers, psychiatric
technicians, and psychiatry residents provide crisis stabilization, crisis
intervention psychiatric assessment, outpatient psychotherapy, and
medication management services.
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PMOC
(see
also http://pmocsfgh.org)
The Psychosocial Medicine Clinic is a
primary care psychiatric interface setting that provides adult mental
health care to patients referred from all CHN primary care clinics. PMOC
provides culturally relevant mental health services to underserved
populations, who often have complex psychiatric, medical and
psychosocial problems. PMOC focuses on delivering time-limited
psychotherapeutic and pharmacological treatments to persons of diverse
ethnic and and cultural backgrounds within the City and County of San
Francisco. Services provided include intake evaluations, health
education classes, individual and group psychotherapy and medication
support services.
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PMCSRC The
Psychosocial Medicine Clinical Services Research Program was created to
help evaluate the effectiveness of clinical programs throughout the
Division of Psychosocial Medicine. The Clinical Services Research
Program helps conduct randomized clinical treatment trials, assists in
conducting Quality Improvement studies, helps to manage the Division's
database, and consults with Division Faculty and Staff on independent
research studies. [back to top of page]
Stonewall
The Stonewall Project is a harm reduction
program for men who have sex with men, who have questions about speed, who
want information about speed, and/or want help with reducing or stopping
their speed use. Clients are not required to be clean and sober, or to
have that as a goal.
The Stonewall Project staff, a Director
and two counselors, provides a variety of outreach and early engagement
services including, but not limited to:
-
information and referral both
in-person and over the telephone;
-
education and information in drop-in
groups;
-
outreach through a variety of media,
community education, agency consultation and training.
Once engaged, each participant in the
Stonewall Project receives:
an intake assessment which include the
Addiction Severity Index (ASI), a treatment plan appropriate to the
participant’s individual needs,
individual counseling sessions
(frequency varies depending on the clinical needs of the participant),
couples and family sessions as
appropriate, limited psychiatric medication evaluation and monitoring
session if urgently needed, and quarterly ASI’s throughout the
project and continuing for one year past program completion.
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STOP
The Stimulant
Treatment Outpatient
Program provides intensive outpatient treatment for adults with cocaine,
methamphetamine or other stimulant abuse or dependence. STOP staff, a
director, psychologist and five counselors, provide group and individual
counseling five days/week, including services for clients with HIV or
psychiatric problems.
-
Substance abuse counseling
individualized according to the participant’s treatment goals
-
Group counseling 2-5 days a week
-
Individual counseling once a week
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Random urine testing
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Physical examination and referral to
ongoing medical care
-
Medical follow-up and referral for
pregnancy and for HIV
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Support for HIV medication adherence
-
HIV related individual/group
counseling and case management
-
Psychiatric/Psychological evaluation
and referral
-
Dual-diagnosis counseling/group
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Referrals and case management as
needed
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TRC/RTC The
Trauma Recovery and Rape Treatment Center is designed to increase access
to mental health and clinical case management services for victims of
crime (i.e., sexual assaults, domestic violence, victims of shootings,
family members of homicide victims). The goals of TRC include
targeting, identifying, assessing and reducing the physical,
psychological and social impact of violent crime for individuals served
by the Center. An additional goal is the development and coordination of
a full array of integrated medical, psychological and psychosocial
services for victims of interpersonal violence, in close collaboration
with existing community based agencies. Providing services in a
culturally sensitive manner is emphasized.
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UNIT 6B
Black Focus Program on Unit 6B.
Established in 1985, the Black Focus Program at SFGH is an inpatient
psychiatric unit that emphasizes the biopsychosocial-spiritual factors
affecting the African American mental health consumer. A major goal is
to study and articulate the principles and techniques of quality mental
health services delivered to people of African descent.
In
order to understand mental health issues of blacks, the mental health
profession must come to terms with practices that perpetuate racism and
serve to reinforce racial myths. Historically, blacks were erroneously
viewed by mental health professionals as non-verbal, hostile,
unmotivated, mentally inferior or possessing character disorders that
were not suitable for dynamic therapeutic intervention. Traditional
therapies that were based primarily on the middle-class white patient
were often ineffective with ethnically diverse persons living in large
urban areas. The black community, as any other racial or ethnic
group, is heterogeneous, possessing a range of behaviors.
The
mission of the Black Focus Program is to gather knowledge about the
unique origins, experiences and issues of African-Americans and to apply
this knowledge to the area of mental health in order to develop and
practice clinical skills that accurately address African-American
differences and needs.
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UNIT 7A
Established in 1983, the Latino Focus
Program provides bilingual/bicultural care to the large Latino
population of San Francisco. With a focus on Mexican and Central
American dialects, 50% of the staff on the unit speak Spanish.
Latino issues covered include health care differences, HIV issues,
process and effects of immigration, acculturation, psychiatric
assessment, psychopharmacology, use of interpreters, post-traumatic
stress disorders in political refugees, and substance abuse.
Women's Issues Consultation Team is also
on Unit 7A and established in 1983. The Women’s Issues
Consultation Team works with women needing psychiatric assessment and
treatment during pregnancy, post-partum and menopause, women dealing
with parenting issues, women experiencing past and present trauma (such
as physical and sexual abuse, rape and domestic violence) and women
diagnosed with major psychiatric disorders. This team developed
innovative treatment approaches with severely mentally ill women, first
developing the only inpatient psychiatric unit in the country treating
psychotic pregnant women, and later developing specialized treatment
approaches with women who self-mutilate, those doing sex trade work, and
women with severe drug and alcohol dependence. The unit also advocates
for gynecological care for female patients by housing a gynecological
clinic on the psychiatric unit.
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UNIT 7B
Lesbian/Gay/Bisexual/Transgender
(L/G/B/T) and HIV/AIDS Focus Programs are on Unit 7B. Established in
1992, the L/G/B/T Focus Program provides care for this large population
in San Francisco with a focus on stigma, domestic violence, and
spirituality. The treatment team endeavors to provide a safe and
welcoming environment with sensitive and appropriate treatment for
lesbians and gay men with psychiatric needs. The program strives
to be one that is sensitive to issues of gender and sexual orientation,
and recognizes the ethnic and cultural diversity within the LGBT
community.
The HIV/AIDS Focus Program provides
multidisciplinary care to HIV/AIDS patients with a particular focus on
consultation/liaison with the world-renown SFGH AIDS medical services
and the Sojourn multi-faith chaplaincy at SFGH.
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UNIT 7C
Established in 1980, the Asian Focus
Program offers specialized treatment to Asian/Pacific Island patients on
Unit 7C. The unit’s staff share common linguistic and cultural
backgrounds with the patients, speaking 14 Asian languages and dialects
of Chinese including Cantonese, Mandarin, Toishanese, Tagalog, and
Vietnamese in addition to English.
Earlier
immigrants to San Francisco were primarily Chinese, Japanese and
Filipino. Recently, the dramatic increase in population has been
brought about by large increases in Korean, Indochinese and East Indian
migration. Although Asians share important cultural similarities, the
program takes into account the differences as well. For example,
Chinese, Japanese, Koreans, and Vietnamese may share the influences of
ancient Chinese traditions, whereas Laotians and Cambodians are deeply
influenced by the Indian Civilization and Theravada Buddhism. Also
Filipino and Samoans are influenced by Polynesian/Melanesian
cultures. Linguistically each group has at least one official
language with several dialects.
Asians,
like other racial or ethnic groups, manifest behaviors which may be
labeled as non-compliant or pathological. The Focus Program is
dedicated to develop and practice skills that are responsive to the
specific mental health needs of each distinct population group.
Considerations of generation, history of immigration, degree of
utilization, level of education and socioeconomic statuses are provided
during treatment.
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UNIT 7L
Established in1985, the Forensic Focus
program provides a full range of inpatient psychiatric services to
individuals in custody of the San Francisco Sheriff’s Department. We
conduct our services in concert with the Jail Psychiatric Services and
community based case management programs.
The
Forensics Unit staff is committed to providing humane and high-quality
medical, psychiatric, educational, and social services to our patients
who are in legal custody. Unit 7L is an acute psychiatric
emergency evaluation and short term treatment unit for the San Francisco
City and County Jail System. All incarcerated individuals in the
San Francisco County Jail system who have been evaluated by the Jail
Psychiatric Service and meet criteria for a "5150" hold are
referred to 7L. These patients are generally acute and require
further evaluation and stabilization of their psychiatry
disorders. Our fundamental goal is to provide the same level of
psychiatry care to patients involved in the criminal justice process as
that available to patients in the community. Our Program staff
work closely with deputies from the San Francisco Sheriff's Department. The
Forensics Unit Program uses short-term, crisis-oriented approach
involving families and other support systems. The Unit's Treatment
Team consists of a full compliment of disciplines, including a social
worker, psychiatric nursing staff, attending psychiatrist, resident
psychiatrist, occupational therapist and a clinical nurse specialist
(CNS). The CNS also functions as the unit's nurse practitioner and
assists with physical exams and medical consultation. Patient
participation in the therapeutic milieu is encouraged in a variety of
focused group activities together with intensive one-to-one client
contact with staff. Patient education, including teaching related
to psychiatric, legal and health issues is emphasized. These
patients have been traditionally underserved and since all of our
patients are incarcerated, they suffer a double stigmatization -- mental
illness and "crimination of the mentally ill." As a
staff, we strive to provide care in a compassionate and non-judgmental
fashion. In addition, we attempt to be advocates for our patients
to the general public, the San Francisco Courts and other health care
providers. This advocacy includes finding appropriate alternatives
to incarceration as well as building and maintaining linkages with
mental health, substance abuse, and medical care delivery systems in the
community.
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