FRIENDS & FAMILY GUIDEBOOK - Oregon
FRIENDS &FAMILYGUIDEBOOKFriends and Family GuidebookRevised October 2020
Oregon State Hospital – Salem Campus2600 Center St. NE Salem, OR 97301Reception: 503-945-2800Toll free: 800-544-7078Website: www.oregon.gov/oha/OSHOregon State Hospital – Junction City Campus29398 Recovery Way Junction City, OR 97448Reception: 541-465-2554Toll free: 877-851-7330Website: www.oregon.gov/oha/OSHOregon State Hospital – Ombuds and Family ServicesSalem: 503-947-8109Junction City: 541-465-2785email: ite: www.oshfriends.comFollow us on Facebook:facebook.com/oregonstatehospitalPage 2
FRIENDS AND FAMILY GUIDEBOOKTable of contentsTable of contents. . . . . . . . . . . . . . . . . . . 3Welcome. . . . . . . . . . . . . . . . . . . . . . . . . 4OSH Family Services . . . . . . . . . . . . . . . . 5OSH Ombuds Services. . . . . . . . . . . . . . . 6Introduction. . . . . . . . . . . . . . . . . . . . . . . 7Commitment types . . . . . . . . . . . . . . . . . 8Hospital programs. . . . . . . . . . . . . . . . . 10Daily life. . . . . . . . . . . . . . . . . . . . . . . . 12Treatment team. . . . . . . . . . . . . . . . . . . 15Confidentiality. . . . . . . . . . . . . . . . . . . . 16Family involvement . . . . . . . . . . . . . . . . 17Visitation. . . . . . . . . . . . . . . . . . . . . . . . 20Visitation schedule . . . . . . . . . . . . . . . . 24Contraband and prohibited Items . . . . . . 26Resources for family and friends . . . . . . 27Contact information. . . . . . . . . . . . . . . . 28Patient telephone numbers . . . . . . . . . . 29Page 3
FRIENDS AND FAMILY GUIDEBOOKWelcomeDear Family and Friends,Having a loved one admitted to Oregon StateHospital can be a challenging time. It is normalto feel confused, scared, sad, and even relieved.We expect you may have questions andconcerns. The hospital’s Family ServicesOffice is here to help. Our office will doits best to encourage and support youthroughout your loved one’s hospitalization.At Oregon State Hospital, we welcome andencourage patients’ friends and family to visitand be involved. Your relationship with andknowledge of your loved one is importantand unique. For many patients, the activeinvolvement and support of family and friendsis an essential part of their recovery process.Oregon State HospitalMissionOur mission is to provide therapeutic,evidence based, patient centered treatmentfocusing on recovery and communityreintegration, all in a safe environment.VisionWe are a psychiatric hospital that inspires hope,promotes safety, and supports recovery for all.Page 4We hope that this guidebook will answer manyof your questions and help you become morefamiliar with how the hospital works. Also, besure to visit our website, at www.oshfriends.com,for information, additional resources, news andupdates about the hospital. If you don’t find whatyou’re looking for, please contact us at the emailand phone numbers listed on the inside front cover.Thank you,Deborah HowardDeborah HowardDirector, Ombuds &Family Services
FRIENDS AND FAMILY GUIDEBOOKOSH Family ServicesThe Family Services Office is here to providefriends and family with information about thehospital. We understand for many this can bea confusing and scary time. OSH policies andprocedures can be overwhelming for familiesand are different than community-based servicesand programs such as hospitals or jails. Thisguidebook has been designed to answer manyof your questions, however, we encourage youto contact our office when we can help clarifyyour questions or address your concerns.Family orientationOSH Family Services also host the following events:Information includes:Friends and Family Day A “day in the life” at OSH.In the spring and fall, OSH hosts a “Friends andFamily Day” at each hospital location. Friends andfamily can enjoy a meal with their loved one at nocost, learn more about the hospital, meet hospitalstaff, and participate in recreational activities. Admission types and treatment team overview.Activities may include: Patient art show. Live music. Community organization information booths. OSH department information booths.Several times a year, OSH hosts an orientationto provide information to friends and family ofrecently admitted patients. OSH understandsthis can be a stressful time for you. You may beworried about your loved one, or you do not knowwhat to expect or how things work at OSH.This orientation addresses the commonquestions asked by friends and familymembers about Oregon State Hospital. Visitation process. Family involvement. Communicating with a loved one at OSH. Resources for families.This is not an event the patient may attend.Please see the inside front cover for all the waysyou can reach us. Don’t forget to follow us onFacebook or visit www.oshfriends.com for OSHannouncements of these events and more. Hospital leadership meet and greet. Hospital tours.Page 5
FRIENDS AND FAMILY GUIDEBOOKOSH Ombuds ServicesAn ombud is a neutral intermediary betweenOregon State Hospital (OSH) and a patient’sfamily or friends. As the ombuds for the hospital,we investigate complaints about the hospital.Request for a mailed copy by calling:Our office works across disciplines anddivisions within OSH and the Oregon HealthAuthority. We work to get answers andidentify the best possible resolutions.Methods to submit completed forms:An ombud’s conclusions must be fair, reasonableand firmly grounded in fact. Ombuds makerecommendations to hospital leadershipfor corrective action, as appropriate. OSHleadership supports and values the role ofthe Ombuds Office and seriously considersall recommendations for improvement. Junction City: Reception desk.How to file a complaint:The OSH Ombuds Office has staff on both theSalem and Junction City campuses. To makea verbal complaint, please contact us at: Salem Office: 503-947-8109 Junction City Office: 541-465-2785To make a written complaint: Email OSH.OmbudsServices@dhsoha.state.or.usto request an electronic copy. Visit www.OSHFriends.com to access thecompliant form online.Complaint forms are located: In the brochure racks located in the hospitallobbies. At Reception, upon request.Page 6 Salem: 503-945-2800 Junction City: 541-465-2785 Drop off in person. Salem: Reception lobby drop box labeled“Comment cards and complaint forms.” Email: OSH.OmbudsServices@dhsoha.state.or.us Mail to:OSH Ombuds2600 Center Street NESalem, OR 97301How will the ombuds handle mycomplaint?Each complaint will be screened to determineif it falls within the scope of the OSHOmbuds Office. We will assign issues thatare within scope for follow up and possibleinvestigation. We will not assign issues thatdon’t fall within scope of what this office cando. We will notify you of this decision.During an investigation, ombuds must remainimpartial and maintain confidentiality. Wecannot share documents with you that wegather and review for the investigation.The amount of time we need to reach adecision will vary from case to case, dependingon the complexity of the complaint.After an investigation, the ombuds will inform youof their conclusion or recommendations, and, ifappropriate, any action OSH has or plans to take.
FRIENDS AND FAMILY GUIDEBOOKIntroductionOregon State Hospital (OSH) provides patientcentered psychiatric treatment for adults fromthroughout the state who need hospital-levelcare. The hospital’s primary goal is to helppeople recover from their illness and return tothe community. Services include psychiatricevaluation, diagnosis and treatment, as wellas community outreach and peer support.Oregon State Hospital operates under thedirection of the Oregon Health Authority.With two campuses – one in Salem and onein Junction City – Oregon State Hospitalserves more than 1,400 people per year.Hospital-level care includes: 24-hour, on-sitenursing, psychiatric and other credentialedprofessional staff, treatment planning,pharmacy, laboratory, food and nutritionalservices, vocational and educational services.The hospital is accredited by The JointCommission and most units are certified by theCenters for Medicare & Medicaid Services.Trauma-informed careOSH promotes trauma-informed treatmentand care. Staff recognize that bad thingshappen to good people, and people canovercome the challenges they face.What is trauma?What can cause trauma? Childhood neglect or abandonment. Chronic stress. Wartime combat. Discrimination. Poverty. Homelessness. Hospitalization. Physical, emotional or sexual abuse/assault.What does trauma look like? Feeling disconnected from others. Not feeling at home in one’s body. Being unable to know what is safe and unsafe. Being unable to imagine a better tomorrow. Feeling bad, broken or unlovable. Fear of loss.What can be done?There is hope! People can and do heal fromtrauma with resilience and support. While at OSH,patients can and are encouraged to work withstaff who are trained to provide trauma-specificsupport. This might include members of theirtreatment team, or other staff within the hospital.Trauma results from an event that is observedor lived by an individual as physically oremotionally harmful or life threatening. Theevent has lasting, adverse effects on a person’sfunctioning and well-being. Untreated traumacan lead to a lack of self-worth, living in fear,depression, health issues and relational issues.Page 7
FRIENDS AND FAMILY GUIDEBOOKCommitment typesPeople are admitted to OSH under one of threecommitment types. Commitment types helpdetermine in which program a patient will liveand the services they receive. They also playa part in how long people may stay here.In some cases, a patient’s treatment team(see page 15) will determine when they areready to leave the hospital. In other cases, thePsychiatric Security Review Board (PSRB) makesthat decision. The PSRB is the agency in Oregonthat supervises people who have been found“Guilty Except for Insanity” and people who havebeen civilly committed under PSRB supervision.Forensic commitment typesPeople who come to the Oregon StateHospital through a forensic commitmenthave been charged with criminal behaviorrelated to their mental illness.Aid and assist (.370):Guilty except for insanity (GEI):People found “Guilty Except for Insanity” (GEI) of acrime are sent to Oregon State Hospital becausethe court decided that they need a hospital levelof care, due to their mental illness. People whoplead GEI are usually under the jurisdiction ofthe Psychiatric Security Review Board (PSRB)for the maximum time they would have beensentenced to jail if they had been convicted. ThePSRB will decide how long someone will be atOSH, based on their level of safety and recovery.Under a GEI commitment, patients may be granteda “conditional release.” This means the personis released from the hospital to a facility in thecommunity, but is still under the jurisdiction of thePSRB for the entire length of time set by the court.The PSRB determines the “conditions” the personmust agree to and comply with while living inthe community.People under the “Aid and Assist” or “.370”commitment are ordered to OSH by the courtsunder Oregon Law (ORS 161.370). Treatmentfocuses on stabilizing the symptoms of theirmental illness, so they can understand thecriminal charges against them and assist in theirown defense. Under this commitment, patientsreceive “competency evaluations” to determine ifthey are “fit to proceed” with the legal process.Many seasonal events happen in the West Plazaof the Salem campus.Page 8
Commitment types continuedCivil commitment typesCivil commitmentAs defined by ORS 426.130, people who are civillycommitted to Oregon State Hospital require ahospital level of care in a physically secure settingthat is not available through community programs.Because of a mental illness, a court determinedthey were a danger to themselves or others.Civil commitment under thejurisdiction of the PSRBOne of the Therapy dogs on the Salem Campus.The Psychiatric Security Review Board (PSRB) (seepage 8) also supervises a small number of peoplewho have been civilly committed by the court.As defined by ORS 426.701, to commitsomeone under this section, the court mustfind, by clear and convincing evidence: (1)The person is “extremely dangerous”; (2) Theperson suffers from a mental disorder that isresistant to treatment; and (3) Because of themental disorder, the person committed oneof the serious crimes listed in the statute.Staff and patients play volleyball in the East Plaza.Voluntary admission by guardian:If the court determines an individual lackscapacity to make decisions for themselves,it may legally appoint a responsible adult astheir guardian. Guardians need to provideOSH with a copy of the court order thatgives them legal guardianship status.Guardians must work with the local communitymental health provider and Oregon State Hospital’sAdmissions Office. Together, they will determineif the individual’s needs can be met in thecommunity, or if OSH level of care is needed.Staff and patients play checkers at theSjolander Empowerment Center.Page 9
FRIENDS AND FAMILY GUIDEBOOKHospital programsDepending on their commitment type and treatmentgoals, staff place patients in the treatment programthat will best meet their needs. Each of the sixprograms consists of several units where patientslive while at the hospital. As they progress withtreatment, and as their needs change, patientsmay move from one unit or program to another.No matter which program someone is in,the hospital’s goal is to help them get wellso they can leave the hospital and achievethe goals they have set for themselves.For program, unit and patient contact information,see pages 28 and 29 under Contact Information.HarborsThe Harbors Program mostly serves people whoare under aid and assist court orders (.370) or whoplead guilty except for insanity (GEI) for a crime.Patients in the Harbors Program receivetreatment designed to help them prepare toreturn to court and move to a unit or programwhere they will have more choices.During their stay, patients learn how tomanage their symptoms and medications,and they attend “treatment mall” groups todevelop coping, vocational and legal skillssee page 12. Patients may also receiveeducational assistance, psychotherapy, spiritualcare and help for alcohol and drug abuse.Page 10ArchwaysArchways serves people under aid and assist(.370) court orders. In this program, staff helppatients stabilize their illness, gain the ability towork with their attorney, understand the chargesagainst them, and participate in their own defense.All patients are enrolled in a legal skills groupwhere they learn basic legal terminology.Other treatment groups and resources include a lawlibrary, legal assistance, symptom management,anger management, mindfulness (such as tai chi),physical fitness, medication management and drugand alcohol education. During their stay, patientsare periodically evaluated to determine if they areable, not yet able, or never able to stand trial.Pathways/BridgesPeople in the Pathways/Bridges Program belong tothe GEI population. Pathways serves patients fromthe Harbors Program who have progressed in theirrecovery. Bridges serves patients who are preparingto transition back to the community. The goal of thetransition program is to help patients achieve theirhighest level of health, safety and independenceas they prepare for discharge or conditionalrelease to a less-restrictive community setting.Patients work on living skills through dailytreatment mall activities, classes and approvedoutings. They also participate in dischargeplanning with their treatment team members.
Hospital programs continuedCrossroadsJunction CityThe Crossroads Program serves people who arecivilly committed or voluntarily committed by aguardian, as well as people who are under aidand assist orders.The Junction City Program provides care for peoplewho have been found guilty except for insanity(GEI) of a crime, who have been civilly committedor who were voluntarily committed by a guardian.Patients receiving a hospital level of care and thoseliving within the secure residential treatment facility(SRTF) attend treatment mall groups and participatein individual and group therapy offerings. Patientswho are nearing discharge also participate indischarge planning with their treatment team.People who have been civilly committed orvoluntarily committed by a guardian attendtreatment mall groups to learn how to managetheir symptoms and medications, develop copingskills, and work toward returning to the community.People under aid and assist court orders receivetreatment designed to help them prepare toreturn to court.SpringsThe Springs Program serves people of anycommitment type who are older or who mayhave complex medical needs. These patientsoften experience co-occurring mental andphysical illnesses that require hospital-levelcare for dementia or organic brain injuries.Treatment includes sensory and behavioraltherapy. In addition, patients learn dailyliving, coping and problem-solving skills.Rivers RunThe Rivers Run portion of the Junction Cityprogram serves people under civil commitments,voluntary and voluntary-by-guardian status.Residents are housed in two suites on the hospitalgrounds. They have access to treatment andservices on and off campus to better meet theirindividual needs. Services focus on preparingpeople for a successful transition to a placementin the community. Hospital staff, communitypartners and friends and family will work withresidents, so they are prepared to move to aless restrictive and more integrated setting.Patients and staff talk on the Sjolander Empowerment Center porch.Page 11
FRIENDS AND FAMILY GUIDEBOOKDaily lifeOregon State Hospital works to provide care basedon a patient’s individual needs. A typical dayusually includes a combination of treatment mallgroups, recreational activities, and opportunitiesfor building skills that patients will need for asuccessful transition to a community setting.A typical schedule for a patient at OSH includes*:7:30-9 a.m.Breakfast is served in acentral dining area10 a.m.-noon Treatment mall participationNoon-1 p.m.Lunch and break timeTreatment mallsThe treatment mall is where people go for classesand activities.Treatment malls are customized to offer differentlevels of care to meet every patient’s individualneeds. Patients work with their treatmentteam to decide which classes are the right fit.Participation in treatment mall is an importantpart of progressing toward discharge.Most treatment malls are open for at least fourhours per day.Classes vary by program and can includethings like:1-3 p.m.Treatment mall participation3-5 p.m.Relaxation, recreationaland social activities Medication management.5-6 p.m.Dinner Substance use treatment and support.6-10 p.m.Relaxation, recreationaland social activities Legal understanding.*Actual meal and group times may varydepending on the program and unit. Art and music therapy. Animal-assisted therapy. Fitness and healthy cooking. Computer skills. Coping skills.Sjolander Empowerment Center andThe Welcome CenterThe patient library in Junction CityPage 12Supported by Peer Recovery Services, theSjolander Empowerment Center in Salem and theWelcome Center in Junction City were createdto give patients a respite from the hospitalenvironment. Patients have the chance to relax,build long-lasting, supportive friendships withtheir peers, and engage in peer-led recreational,social and therapeutic activities. This includes:
Daily life continued Guest speaker workshops. Peer-to-peer problem solving. Support from community organizations. Play games, listen to musi
Staff and patients play checkers at the Sjolander Empowerment Center. One of the Therapy dogs on the Salem Campus. Staff and patients play volleyball in the East Plaza. Commitment types continued Civil commitment types Civil commitment As defined by ORS 426.130, people who are civilly committed to Oregon State Hospital require a
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