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Round up: A look at inpatient psychiatry in
New England
CONNECTICUT

(May 2004 Issue)

There's a lot going on in Connecticut, but not so much on the inpatient scene.

According to Wayne Dailey, Ph.D., director of psychological services for the Connecticut Department of Mental Health and Addiction Services (DMHAS), there have been no closures of psychiatric programs in Connecticut since the mid 1990s, when the state closed two of its three mental health hospitals. Fairfield Hills Hospital was closed down in 1995 and Norwich Hospital was shuttered in 1996.

Aside from a reduction in beds at the Connecticut Valley Hospital's inpatient treatment addiction rehab program from 40 to 30 beds last year (brought about by cuts in the state budget) the number of beds statewide has remained basically the same, a number Dailey estimates at 600.

"Of the 30,000 people we treat in Connecticut each year for psychiatric diseases," says Dailey, "only about 600 are in state operated facilities at any time. A good part of what we do is on the outside."

Outside of those inpatient programs is where the DMHAS directs most of its attention, he adds. Along with initiatives on "Lessons Learned" (a program to share knowledge gleaned from the various treatment programs across the state), the treatment of trauma victims, a faith initiative (to work with ministry professionals in a collaborative fashion) and a HIPAA initiative among others, the department has put a lot of energy behind its newly formed program called the "Recovery Initiative."

Touted as a way to create a system of care that is oriented toward helping individuals rebuild their lives outside the mental health system, the department's Recovery Initiative is being called its "overarching theme" that should guide the department's every aspect. Working with various state and private agencies and organizations, the initiative promotes the use of peer support, community-based programs, and treatment within "natural settings" to "promote the highest degree of independent functioning and quality of life for all individuals receiving care" in the system.

"It involves a lot of different kinds of interventions," Dailey says, "that cover policy, practice guidelines, standard setting, etc. The program is going to be rolled out over the next several years."

Catherine Robertson Souter