The Five Phase Treatment Programme
When researching how to create a programme that, really works, we made a worldwide search – we discovered MCLean Hospital a Harvard affiliate’s Five Phase Programme. In conjunction with MCLean we developed the programme to suite our integrative and individual approach. The first two phases are the sub-acute phase of treatment, which takes three months. The last three phases focus on reintegration, which takes another three months. We must stress however that clients vary greatly in their development – due to our individual approach we tailor the programme to suite individuals, who sometimes stay for shorter or longer periods of time.
Phase One: Immediate Post-Admission +
The first phase of treatment involves understanding and stabilising people’s illnesses. At this early stage we help them build therapeutic relationships with staff members, which is essential. Residents are also oriented to their new surroundings.
Phase Two: Promoting a Daily Routine +
People with psychotic symptoms often have difficulty establishing a daily routine and following a schedule. Our goal during this second phase is to assess people’s capabilities and engage them in setting goals. The treatment team helps residents develop and work on comprehensive treatment plans.
Phase Three: Psychosocial Education and Social Interaction +
In this third phase, residents begin to learn more about their symptoms, so they may actively participate in their own recovery. The work of treatment is balanced by a focus on enhancing social skills. In-house psychosocial educational groups, individual meetings with members of the treatment team, and outings in the community, facilitate these goals.
Phase Four: Educational and Vocational Strategising +
This is an essential phase which enables residents to attain greater independence. During this phase, we assess their ability to function in their chosen community. Residents use the new skills they have acquired to resume educational and vocational activities, including volunteer work and paid employment. Performance is monitored continually, and activities and treatment plans are modified to suit individual goals.
Phase Five: Community Reintegration +
The final phase of treatment involves helping residents solidify the gains they have achieved in their functioning and recovery. Being able to stay with a treatment programme over time is a signal that they are ready for the transition to community-based living. Some residents move to a supported-apartment situation, while others return to live with family. Residents are now prepared for a lifetime of growth and development with support from community-based providers.