Osawatomie State Hospital is an inpatient psychiatric hospital for adults that is accredited by the Joint Commission, certified by the Centers for Medicare and Medicaid Services, and licensed for 176 beds. It is located just west of Kansas Highway 169 in Osawatomie, Kansas.

MISSION
Lead in Compassionate, Patient-Centered Treatment, Discovering Solutions

VISION
Every Patient Takes Charge of Their Life

CORE VALUES

•  Respect
•  Excellent Services
•  Safety
•  Therapeutic Interactions
•  Acceptance
•  Teamwork
•  Effective Communication

Osawatomie State Hospital provides services to adults diagnosed with psychiatric disorders regardless of ability to pay or legal status. The hospital serves individuals from 46 counties in Kansas through collaboration of services with 17 Community Mental Health Centers. These mental health centers refer individuals to the hospital through a screening process.

Effective January 2, 2008, Osawatomie State Hospital will be a Tobacco Free Hospital. On that date, no patient will be allowed to use any tobacco products on campus.

Osawatomie State Hospital uses the following approach to serve the acute care needs of Kansas citizens:

1. We admit the patient
We accept admissions as determined by the Community Mental Health Centers and we do this expediently, without barriers and attending to the safety and dignity of the patient.

2. Once admitted we work with the patient to define the presenting problem and set an initial discharge date
We recognize the need to focus treatment efforts on stabilizing the presenting problem for which the patient was admitted. Even though many of the people we serve have numerous issues that need to be addressed, an acute care hospital is appropriately used when the focus of treatment is the problem for which the patient was admitted. When setting the most appropriate initial discharge date, we ensure that the treatment team, the patient, and the community mental health center are all aware of this important date and goal for discharge.

3. We identify discharge criteria that relates to the presenting problem
We recognize that in order to stay focused on the presenting problem, we must define discharge criteria as it relates to the problem to be addressed. Setting discharge criteria ensures that the patient, treatment team and community service providers are clear about when and how the discharge will and should occur.

4. We recognize our limitations as an acute care treatment hospital
The consumers we serve may have a wide range of issues to address. However, the majority of these issues are best addressed in the community where the consumer lives. Our purpose is to treat the presenting problem and discharge to the community where community based partners can further address the range of issues the consumer needs addressed.

5. We actively involve the patient and family members
Natural supports are important to living in the community. As much as family wants to be involved and the patient is also wanting family and other supports involved, we will involve these key people. This means communicating with and including people who have an interest in the patient's recovery. The hope and expectation is that by sharing these clarifying points, we will be able to move to a consistent position with each other, those we serve, and those we work with in the community.

ACTIVE TREATMENT MODEL
Osawatomie State Hospital uses an active treatment model that includes the following components:

Active Treatment Is:

•  Intensive and supportive of the patient for problem ownership
    and recovery.
•  Focused towards the patient's presenting problem discovering     solutions.
•  Structured, steady paced, and systematically developed to meet     the patient's treatment plans and needs.

Active Treatment Objectives:

•  Every patient has an individualized, measurable, and a goal-
   directed treatment plan.
•  Information is presented to the patient in a simple manner, with
   direction, and based on the patient's level of motivation.
•  Every aspect of the patient's hospital experience is intentional
   and by design.

Active Treatment Elements:

•  A unified hospital wide treatment philosophy is implemented to
   provide a consistent and purposeful approach by staff,
   connecting all the treatment services for the patient.
•  Program and unit specific treatment models are designed to
   complement the overall treatment philosophy allowing for
   specialization of services and staff and to optimize resources
   towards individualized patient needs.

Active Treatment Application:

•  Clear descriptions of roles of staff members, treatment teams,
    team members, and the patient in the overall application of the     program is implemented.
•  Inclusion of individual, program, and treatment modality     outcome measures, analysis of statistical data in measuring
    patient progress, and follow-up of treatment effectiveness is
    integrated in the program design.
•  Multiple treatment offerings are provided during the day,
    evenings, and weekends.
•  Patients are expected to participate in the treatment program
    as their responsibility for recovery.
•  Discharge is based on measurable criteria related to the
    patient's progress with his/her treatment plan.
•  Peer support services are integrated offerings in the program.
•  Treatment protocols, expectations, and staff productivity
    standards are used to provide consistency and uniformity.
•  Treatment Progress is defined in developmental stages of
    recovery utilized to measure patient progress.

Active Patient Involvement:

•  Patients are actively involved in the treatment decision and
   application process and measurement of progress through
   individual treatment sessions and self measurements of
   progress.
•  Patient advocacy includes peer specialists and patient advocacy
   team meetings and groups.

Active Patient "Self Measures":

•  Daily treatment goal setting groups, reviews, and schedules are
    integrated in the program.
•  Use of patient checklists, charts, and journals to measure mood,
    emotions, attitudes, etc.
•  Self assessment forms for groups and individuals are included in
   treatment sessions.
•  Weekly self evaluation checklist and out-come measures are
    provided for self awareness.

Description of Programming

Treatment Teams

Upon admission, each individual receives a comprehensive initial assessment to assist in planning and delivering individualized treatment. The Interdisciplinary Treatment Team (IDT) which includes the patient, Psychiatrist, Registered Nurse, Social Worker, and Psychologist/Clinical Therapist, works together to develop an active treatment plan. This plan establishes criteria for discharge, goals, objectives, and treatment interventions designed to restore or improve the patient's level of functioning, address the presenting problems, to facilitate recovery, and to promote a healthy return to community living.

Treatment services are provided in individual and group settings by medical and mental health professionals. Treatment is focused so that every aspect of the patient's experience at the hospital is purposeful and by design. All treatment staff function through the team model in order to promote a coordinated and active effort to provide comprehensive patient care. In addition to the Interdisciplinary Treatment Team (IDT), treatment staff serve on teams such as the Psychological and Therapy Services Team (PTS) and the Unit Services Team (US). These teams work in tandem with the patient to see that treatment is seamless throughout the hospital and coordinated effectively with the community.

Hospital Units

Osawatomie State Hospital (OSH) consists of six (6) units. The unit name describes where the patient is being served and the number of patient beds available. Each unit houses a treatment program designed for patients with individualized treatment needs and includes program specific treatment offerings and services. The Treatment Programs are as follows:

MAPS

MAPS stands for Managing And Preventing Symptoms and is housed on two units (East Biddle and West Biddle) for a total of 60 available beds. MAPS is specially designed for patients with psychotic symptoms and disorders. Treatment programming includes unique offerings designed to focus patients on reality based concepts and to assist patients in managing their symptoms that interfere with their daily functioning.

A patient's typical length of stay is approximately 25 days although some patients may need longer time in the hospital to fully prepare for the community. The treatment model includes a Reality and Social Development Theory focused on providing direction toward long term recovery. Treatment offerings include Current Events, Music, Art, and Symptoms Prevention and Management.

Continuing Care

The Continuing Care Program(CC) is on a 30 bed unit(B1). 26 of the beds are designated for the Continuing Care Patients and 4 of the beds are designated for the Detox Care and Treatment Program. The CC program is designed for patients with more longer term hospitalization needs including complex behavioral and/or criminal histories. Treatment programming includes competency evaluations and is focused on assisting patients to identify behavioral patterns and attitudes that consistently interfere with their ability to function healthily in the community.

Patient length-of- stays vary from a few weeks to years, depending on their clinical need and risk to the community. The treatment model includes a Cognitive Restructuring or "Corrective Thinking" approach utilizing principles form social learning theory. Treatment offerings include community government, corrective thinking, anger management, and stress management. Patients also participate in green house and supportive employment programs.

Detox Care and Treatment

The Detox Care and Treatment Program(DTC) has 4 designated beds on a 30 bed unit(B1) with the Continuing Care Program. The DTC program is uniquely specialized to address the initial inpatient intervention for patients who demonstrate intoxication and need for psychiatric assessment and treatment. Treatment programming includes psychiatric and substance abuse assessment, discharge planning, and referral.

A patient's length of stay is generally two or three days. Typically a patient is referred by local law enforcement. Patients are assessed by medical and treatment staff and are provided needed treatment to stabilize the patient. Assessment and treatment seeks to address coexisting disorders and includes referral to continued psychiatric care or to substance abuse treatment as the clinical need is identified.

Successful Living

The Successful Living Program (SL) is housed on a 26 bed unit(B2). The Successful Living Program is designed for Patients with multiple admissions, unsuccessful placements due to aggressive behaviors, lack of responsiveness to conventional treatments, persistent violent and sexually aggressive behaviors. This unit is primarily for males and is focused on providing safety for the patients on the unit as well as for other patients in the hospital. Patients in the SL program may have a variety of psychiatric disorders, but have a history of problems succeeding in the community.

Similar to the Continuing Care Program, patient length-of-stay can vary from a few weeks to years, depending on their clinical need and risk to the community. The treatment model includes a Cognitive Restructuring or "Corrective Thinking" approach utilizing principles form social learning theory. Specific emphasis is placed on managing aggression, boundaries, and intensive planning with the community to increase the patient's success after discharge.

HOPE

HOPE stands for Healthy Options, Plans and Experiences and is housed on 30 bed unit(C1).

The HOPE program is designed for patients struggling with mood disorders, primarily depression and anxiety. Although the majority of the patients are female, the program includes males as well. Treatment emphasizes the need for motivation and hope in recovery as well as learning healthy ways to address emotional and mental needs.

A patient's typical length of stay is approximately 20 days with specific focus on addressing the presenting problem. Patients in the HOPE program receive an intensive intervention approach dedicated to increased safety from harm (especially from self) and optimism toward the future. Treatment utilizes Cognitive Behavioral Theory primarily Dialectical Behavioral Therapy(DBT). Treatment offerings include DBT training, Wellness and Recovery development, and Co-existing Disorder treatment.

Crisis Stabilization

The Crisis Stabilization Program (CS) is housed on a 30 bed unit (C2). The CS program is designed for patients who are experiencing acute crisis and will most likely respond to intensive short term intervention. Patients are assigned to the program who are being admitted to the hospital for the first time or who are clinically determined to need brief hospitalization.

Patient length-of-stays are generally 12 to 14 days with specific emphasis on stabilizing the presenting problem and returning to the community for follow up treatment. Brief Solution Focused Therapy is the primary treatment model with focus on intensive intervention. Patients may present a variety of symptoms including acute psychosis, suicidal behaviors, aggression, and substance induced disorders and symptoms. Treatment includes groups on behavior and emotional management, Co-existing Disorders, and problem solving.

HISTORY

In 1866, the Kansas Insane Asylum was established by the legislature as a reward for the role Osawatomie, Kansas played in the Civil War. The first patient was admitted November 5, 1866 to the Lodge. The picture, to the left, was a building known as Main or "Old Main." It was built in 1868, vacated in 1986 and razed 2002. Many of the current staff worked in this building and talk about its splendor. Although it changed names more than once, in 1901, the facility was renamed Osawatomie State Hospital and has been ever since. Throughout its history, the hospital has provided mental health treatment to the citizens of Kansas.