The Admissions, Discharges and Planning Team (ADAPT), is part of the clinical arm of the Philadelphia Department of Behavioral Health and Intellectual disAbility Services. The primary function of ADAPT is the management of admissions to extended acute care from acute inpatient psychiatric units; this is accomplished by completion of bio-psychosocial assessments and case formulations for all referrals to Extended Acute Care Units, (EACU) and non EAC candidates. ADAPT Assessments and Case Formulations lay the groundwork for positive engagement upon admission to an EACU. This is tantamount to participant influencing treatment planning prior to admission to EACU and is not present in any other inpatient psychiatric treatment setting under DBH/IDS.
Assessment Process
- A face to face interview with the individual, review of the treatment record and collaboration with family members and the individual’s community supports, as well as involved professionals, including Community Behavioral Health care managers and physicians start the Assessment Process.
- Next a bio-psychosocial assessment is completed. The Assessment is a person-centered approach to developing case recommendations based on extensive information gathering, providing accurate information about the person’s medical, personal and mental health histories; the assessment untangles past and current controversies in the course of treatment, thus providing clarification and effecting behavioral health solutions.
Case Recommendations
- Assessments conclude with a list of engagement and treatment recommendations in one or more of the following areas: core beliefs, precipitants and activating situations, origins/working hypothesis of behaviors/symptoms, treatment planning, and predicted obstacles to treatment. In a brief narrative format, the recommendations attempts to tie together, past, present and future treatment areas with potential interventions. Recommendations also include suggestions for follow up care.
Case Formulation (CF)
- Based on the Cognitive Therapy Recovery Model, a CF is written from the point of view of the person, and seeks to identify core beliefs, feelings and thoughts associated with the person’s behavior. CFs highlights significant incidents, the person’s goals/interests, and suggestions to accomplish said goals/interests, as well as challenging behaviors. Likely core personal beliefs that underpin challenging behavior are identified, thus providing insight and entry into treatment interventions at the start of treatment.
Additional information: There were 88 referrals for EAC in calendar year 2020.
