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Heritage Oaks Hospital Case Study

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Heritage Oaks Hospital provides a less restrictive step-down treatment environment at three outpatient centers: Harbor Oaks in West Sacramento serves adults and senior adults; Roseville Oaks serves adolescents, adults, and senior adults; and Winding Oaks next to the main hospital serves adults and senior adults. According to course textbook, the goal of outpatient programs is to improve quality of life and to return clients to daily activities among family, peers, and the community (Varcarolis, 2013). The treatments available include psychiatric, emotional, behavioral, and substance abuse. These outpatient centers have partial hospitalization program (PHP) and intensive outpatient program (IOP). According to the hospital website, outpatient services include physician oversight, medication management, group therapies, educational practices such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) (heritageoakshospital.com, 2017). I was assigned to Roseville Oaks Outpatient Behavioral Health Center. It was helpful for me to …show more content…

The first two groups were mixed gender adults, the third group was available to only women, and the third group was a dual diagnosis group. Adolescent groups are available in the evenings. I attended Group 1 that was led by a psychotherapist. The topic to explore was “Powerless and Control.” The goal or objective was for the client to further recognize theirs powerlessness over addictive disorders. As I witnessed the clients share their personal feelings, I noticed that the therapist encouraged clients to solve their own problems rather than giving them what he would consider to be solutions. He also repeatedly used the effective therapeutic communication of reflection. For example, the therapist would say, “So it made you felt angry and frustrated…” when a client gave an account of a heated argument with her

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