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Read About Gilead's Treatment Philosophy
In trying to deliver services to the individuals we serve, we steer
toward clinical models with the strongest empirical evidence which
are supported by measurable outcomes. A best practice is an evidence-based
treatment that provides these measuring mechanisms.
Integrated Dual-Diagnosis Treatment (IDDT)
Gilead incorporates the Integrated Dual-Diagnosis Treatment (IDDT)
from New Hampshire-Dartmouth Psychiatric Research Center Model (R.E.
Drake and K.T. Muser, 1996) of care for individuals with substance
use/abuse difficulties. This approach is a best practice model used
to work with co-occurring disorders. This model establishes
a rating scale demonstrating an individual's stage of change in
using substances. Each stage of change has a specific form of engagement
procedures on a continuum of care. For example: establishing rapport
through outreach and relationship building, use of motivational
interviewing, expression of empathy, educational groups, peer support,
relapse prevention skills, and expanding recovery to other areas
of life are skills used to create change. All staff members will
be trained in the IDDT model of care, assessment tools, participate
in group and individual discussion and will demonstrate the ability
to provide interventions according to their role in the agency.
Click
here for more information on the IDDT Model of Care.
Assertive Community Treatment Team (ACT)
Program of Assertive Community Treatment (PACT) is a service-delivery
model for providing comprehensive community-based treatment to persons
with severe and persistent mental illnesses. The PACT model evolved
out of work led by Arnold Marx, M.D., Leonard Stein, M.D., and Mary
Ann Test, PhD on an inpatient research unit of Mendota State Hospital,
Madison, Wisconsin, in the late 1960s. Noting that the gains made
by clients in the hospital often did not transfer to the community,
they hypothesized that the hospital's round-the-clock care that
helped clients lessen their symptoms of mental illness was just
as important after discharge.
To test their assumption, in 1972 they moved a hospital ward treatment
staff into the community, beginning the Program of Assertive Community
Treatment. Maintaining the multidisciplinary, 24-hour staffing
of a psychiatric inpatient ward, the PACT staff began to provide
intensive treatment, rehabilitation, and support services to clients
in their homes, on the job, and in social settings. This new model
of community-based services re-conceptualized the type of services
needed by persons with severe mental illnesses to live in the community
and the way in which services are organized and delivered to reach
them in a timely manner.
The PACT model has been investigated in Madison and at other replication
sites and has proven:
• To decrease the time persons with severe and persistent
mental illnesses spend in hospitals
• To facilitate the community living and psychosocial rehabilitation
of these individuals
For more information on PACT, click
here.
Trauma Recovery and Empowerment Model
(TREM)
Gilead also offers the Trauma Recovery and Empowerment Model (TREM)
of care from the Trauma Recovery and Empowerment: A Clinician's
Guide for Working with Women in Groups (Harris, 1998) which provides
a detailed description of 33 session groups for strengthening female's
trauma recovery skills. TREM and M-TREM are psycho educational groups
for clients who have experienced physical violence, abuse, sexual
abuse, neglect, abandonment, or other various forms of significant
and pervasive trauma occurring in family, community and institutional
settings. This group curriculum is offered by a Master's level clinician
through the Outpatient Clinic. Group curriculum varies based on
demographics of the group including gender, age, profile etc.
This TREM model is a psycho educational and skills-oriented group
divided into four parts. Empowerment, Trauma Recovery, Advanced
Trauma Recovery Issues, and Closing Rituals. The sequence of the
sections is essential to the group's effectiveness. The early focus
on empowerment in Part I of TREM groups accomplishes two goals.
First, it addresses some of the key skills helpful to people as
they begin to deal more directly with trauma specific content. Capacities
for self-protection, self-soothing, maintaining appropriate emotional
and social boundaries and self esteem are foundational for the challenging
work of trauma recovery. Second, Part I provides an opportunity
for the group to develop an atmosphere of safety, trust, and mutual
empowerment. The model has curriculum for both men and women. The
M-TREM group focuses on development of basic skills different that
of the women's TREM model. The male group focuses on emotions and
relationships with growth towards independence and self-sufficiency
addressing anger, fear, hope, and shame along with friendship, trust,
loss, sex, and intimacy.
For more information on TREM, visit the National
Mental Health Information Center, or the National
Consumer Supporter Technical Assistance Center.
Results from Gilead's Collaborative Treatment Survey
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