Utah State Hospital (USH) is a mental hospital located in Provo, Utah, United States. The current supervisor is Dallas Earnshaw.
Video Utah State Hospital
Histori
The Utah State Hospital began as an Insane Asylum Territory in 1885 in Provo, Utah, with the purpose of housing and treating those who were considered mentally ill and trying to return them to their normal functioning level. However, due to limited knowledge about mental health care at the time, the hospital became little more than a place for the mentally ill to live. The selected location in Provo is eight blocks from the nearest residence and is separated from the city by swamp and city dumps.
In 1903, Asylum changed its name to Utah State Mental Hospital, and in 1927 adopted its current name in an attempt to eliminate the negative stigma associated with the word "mental." Long-term patients in hospitals are involved in occupational therapy, which gives them something to do and also makes self-administered USH. The hospital was originally located on 600 acres of land, and stored milk, barns of hay, and pig farms, as well as chickens, rabbits, and pigeons. The residents take care of the animals and also harvest the fruits and vegetables from the gardens and gardens on campus.
As more and more patients begin unlimited detention in hospitals, density problems arise. In 1940, USH had 700 beds, but the hospital housed more than 1,100 patients. It's not uncommon to see mattresses lining the hallway, and a large surplus of patients makes it difficult for staff members to focus their attention on the individual. Dr. Owen P. Heninger became supervisor of USH in 1942. He recognized the need for changes in the hospital, and as a result, he pioneered a new care philosophy. His new treatments include adopting smaller treatment units, involving patients in the implementation of their own care plans, and encouraging more humane care.
Other influential figures in USH history are Lucy Beth Rampton, Utah's first woman in the 60s and 70s. He is a respected member of the community who struggles with depression. An open discussion of his illness helped to alleviate some of the stigma surrounding mental illness, and his advocacy for the treatment of mental illness helped raise awareness about mental health in Utah.
In 1969, the role of USH changed. Caring for mental disorders that shift from institutional care to community-based care. Care is offered closer to home. USH has finally adopted a practice that still applies today: only those who suffer from severe mental illness are being treated for ongoing care. Now Utah State Hospital provides 324 beds for Utah people who need care in a more structured setting and are considered unable to receive adequate care in regional centers. Patients include children, adolescents, and adults. USH now provides many treatment options, as well as forensic units to rehabilitate patients who have committed criminal acts or are accused but incompetent to stand trial. Patients remain in USH for an average of six months. Hospitals have developed special programs for children, adolescents, and adults. USH offers a variety of treatments to accommodate the needs of patients. Some treatments involve physical and occupational therapy, while others, such as children's play groups, community cooking, and outdoor teenage activities, contribute to a good overall mental and emotional well-being. {}
Maps Utah State Hospital
Utah State Hospital Internal Structure
Brief Overview: The Utah Governor is responsible for UHS, but day-to-day operations are under the direction of hospital supervisors. Superintendents work mainly with the Substance Abuse and Substance Mental Utah (DSAMH).
DSAMH has created a regulatory body to oversee USH operations. These bodies include superintendents, DSAMH directors, clinical directors and president of USH medical staff, representatives from the Human Services Department, patients, and patient families. Government agencies authorize hospital staff executives to manage day-to-day operations of the hospital.
The supervisor reports all major matters concerning hospital operations to the governing body during regular meetings. The clinical director reports to the governing body the operations of hospital medical staff, professional disciplinary director, and other clinical and administrative services.
Internal Structure: The Supervisor is appointed by the director of the Department of Human Services (DHS) with the mutual consent of the DSAMH director. The inspector is responsible for building, land, and USH properties. The inspector also recommended the staff's needs to the DSAMH director and to the director of DHS.
Currently, USH has 753 employees. The states of Utah and the US government provide operational policies and procedures governing personnel issues, fiscal accounting, record purchases, and life safety. The USH on-call procedure provides 24-hour doctor and administrator services.
Employee Infrastructure: The hospital executive staff manages all USH administration and clinical services. The executive team consists of the hospital's clinical director, assistant inspector, assistant clinical director, nursing administrator, director of Forensic and Safety Services, chief financial officer, human resources director, qualified resource director, and assistant administration. The supervisor is responsible for hiring executive team members. It is also a liaison with DSAMH, DHS, courts, state legislatures, and government offices where USH interacts. In addition, supervisors may choose to delegate some of their responsibilities to staff as required.
The clinical director of the hospital is directly responsible for overseeing the assistant clinical director and director of medical services. In addition, the hospital's clinical director oversees psychiatrists, medical consultants, professional disciplinary directors, patient attorneys, doctors, and pharmaceutical contracts. The assistant inspector assists both the inspector and the clinical director. Assistant clinical directors and admissions officers help clinical directors run care centers, pastoral services, volunteer services, recreational therapy, occupational therapy, vocational rehabilitation, psychological services, social work, substance abuse rehabilitation, and other standing committees.
Nurse executives oversee the education and discipline of nursing administrators. The Director of Forensic and Safety Services assists the inspector in monitoring security, legal services, and risk management. The chief financial officer reports financial planning and budgeting to you and the executive staff. The human resources manager is responsible for the personnel. Qualified resource managers manage the quality improvement process.
Budget Process
Each year the State Legislature of Utah and the governor approve the USH budget. Over the last few years, the budget is pretty consistent. About 80 percent of the budget comes from public-state funds, backed by revenues from state taxes. The remaining 20 percent comes from Medicare and Medicaid.
Spending Group
About 80 percent of the total USH budget includes personnel costs, and another 15 percent is used for medication and food. The remaining 5 percent covers other overhead costs, which mostly consist of facility maintenance.
Patient Services
The services provided by USH can be divided into three main categories: adult mental health, mental health of children, and forensic services.
The adult services division provides an environment in which the patient is treated with dignity and respect. Through individual treatment, patients can finally return to the community to continue their lives.
The pediatric services division serves approximately 25 boys and girls aged 6 to 13. These children face mental, emotional, and behavioral problems. The pediatric services division also serves about 50 teenagers aged 14 to 18. The most commonly used therapies with this age group fall under the category of abuse treatment, anger management, emotional management, and recreational therapy.
The forensic services division consists of four units of maximum safety psychiatric care and serves about 100 male and female patients. These patients were treated in USH by mandate from the Utah District Court. Treatments for such patients include treatment, individual, group, and family therapy, job opportunities, physical therapy, and occupational therapy.
In addition to ongoing mental illness treatments, USH also provides pastor services, health clinics, diet services, nursing services, occupational therapy, psychiatric services, psychological services, physical therapy, social services, therapeutic recreational services, and vocational rehabilitation.
Challenges
Financial and Personnel Challenges: Most USH budgets include full and part-time employee salaries. Supervisors have the responsibility of recruiting, training, and retaining qualified employees. Because USH can not compete with private sector salaries, hospitals must be creative in offering incentives to their employees.
Social Stigma Surrounding Mental Health: Although public awareness has increased in recent years, there is still a negative stigma attached to mental health problems. Sometimes, because of this stigma, mentally ill people are embarrassed to seek the care they need. In addition, stigma can affect the amount of funding received by hospitals compared to other state agencies and projects.
Limited Public Awareness: USH is probably one of the safest facilities in the state, apart from state prisons. Because it is so inaccessible to the public, members in the community often do not understand what is going on inside the hospital. Some Provo residents do not even know the hospital exists. This lack of awareness makes it difficult to educate the public about mental health and the resources available to victims of mental illness.
Working with Third Parties
USH works with other organizations every day. These organizations include mental health centers, state and federal governments, district courts, and the National Alliance on Mental Illness.
Mental Health Centers: In addition to USH, Utah has 13 community mental health centers across Utah. This community center is the entrance for patients who need medical care for mental illness. The first patient receives treatment at one of the community care centers. Patients requiring extended care are sent to USH.
The hospital also works with acute care facilities such as the University Neuropsychiatric Institute and Salt Lake Behavioral Health. These institutions provide temporary care for the mentally ill. As with community care centers, if patients need long-term care, they are transferred to USH.
State and Federal Legislatures: State legislatures are important USH watchdogs. The state legislature must approve the budget, reallocate resources, and all other major decisions.
The federal policy surrounding Medicaid is an important regulatory aspect of patient care. USH can not provide care without Medicaid funding, so it's important that the administrator understands and complies with the rules.
District Court: Utah District Court judges decide who should be admitted to USH and when they are ready to leave. Social workers are also involved in the patient care plan.
National Alliance on Mental Illness (NAMI): The National Alliance on Mental Illness (NAMI) initiated public awareness campaigns and other initiatives. As a supervisor, you and your colleagues must decide which NAMI initiatives you want to adopt and the extent to which DSAMH and USH should apply them.
Haunted Castle
Beginning in October 1971, Utah State Hospital started a "frightening alley" entitled Haunted Castle, because the stone-composed amphitheater located behind the hospital where the tug was assembled. The Haunted Castle began as a "closed" Halloween celebration event developed by the patients, but success with the event eventually led to it growing into a more public performances. The attraction is operated in a joint effort by patients and staff. Patient participation is privileged and based on individual patient behavior and only those who are determined to be a minimal risk for themselves or others are allowed access to the public. In addition many patients who can not interact with the public are allowed to assist with construction/deconstruction facilities used for scary passages. Utah State Hospital uses the popularity of the event to help raise public awareness about mental illness. All proceeds from Haunted Castle enter the recreational therapy program of Utah State Hospital to subsidize a better activity that directly benefits the patient.
October 1997 is the final production conducted by the State Hospital. This activity was permanently closed largely due to efforts by the National Alliance on Mental Illness (NAMI) who objected to the activity as they felt it served to stereotype patients by connecting mental illness with monsters and violence in the public mind. Some doctors, therapists, and patients at the hospital say that the activity produces therapeutic results that can not be elicited elsewhere to be reckoned with, but the State of Utah Legislature stipulates that NAMI's objections are guaranteed.
External links
- Utah State Hospital's website
- Photos of Utah State Hospital
References
Utah's Department of Human Services. Utah State Hospital. 2008.
- http://www.ush.utah.gov/mission_vision_value.html (accessed 2nd October,
2014).
Utah's Department of Human Services. Utah State Hospital. 2013.
- http://www.ush.utah.gov/dvd_the_utah_state_hospital.html (accessible October
25, 2014).
Utah's Department of Human Services. Utah State Hospital. 2013.
- http://hspolicy.utah.gov/ush (accessed October 26, 2014).
Wawancara pribadi dengan Dallas Earnshaw, Superintendent of Utah State Hospital
Source of the article : Wikipedia
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