Who we treat

Cost

Length of Stay

Number of beds & staffing

Treatment philosophy

Program leaders

Program description

Treatment details &
clinical protocols

Adhering to treatment

Making treatment work

Program life

Family involvement

Psychoeducational groups

Discharge planning

What patients say

Admissions

Packing for your stay


Professionals in Crisis Program

Program life
The Menninger Clinic strives to offer a treatment experience that differs from a traditional hospital and helps the patient take full advantage of treatment.

Where patients reside
The Professionals in Crisis Program shares a large one-story building—one of seven buildings on the 14-acre campus shaded by tall pines—with one other program. The patient living buildings are much like a university residence hall with patient rooms along a hallway. The programs are co-ed, but roommates are the same gender.

Spacious common areas with sofas and tables, both large and small, anchor the halls. Rooms where groups meet, nursing stations with an open doorway, TV/game areas, a kitchen-snack room and laundry room round out the Program’s space. Dry cleaning can be arranged.

On the campus, lawn chairs, gazebos, a pool, a full-size gymnasium, tennis courts, walking trail along with the sounds and sights of a backyard await patients during their unscheduled time.



Atmosphere on the unit
Staff dress in business and business casual attire. Patients are encouraged to dress comfortably. Appropriate attire is required on the unit at all times.

Most of the treatment team offices are located in the building with the unit. As a result, members of the entire treatment team interact with patients both formally in treatment and informally throughout the day. Nursing staff are available on the unit around the clock when patients have questions or need support.

The patients and staff function together as a community. The patient community plays a vital part in the milieu. Patients meet weekly in a community meeting. This meeting provides a forum to welcome new patients and staff, say goodbye to those leaving and to discuss issues of interest to the patients. Each day patients and staff meet to plan the activities for evenings and for trips into the community.

The unit is left unlocked except from curfew at 9:30 pm until morning, unless the staff or patient community determines that locking the unit is best for the safety of one of the patients and the patient community.



First days in the program

  • With an Admissions coordinator, the professional and family complete the admissions paperwork.
  • Members of the treatment team greet the patient and family on the unit.
  • The staff inventories and checks the patient’s personal belongings to ensure the safety for all patients.
  • The patient moves into his/her room. Rooms are set up for double occupancy. Each offers an in-room bathroom with tub/shower, individual desks, a closet and a window. A handicapped accessible room is also available. Roommates are the same gender. Patients socialize in the common areas and not in one another’s rooms. Participants in the program live closely with as many as 25 other professionals and the staff on each shift.
  • A staff psychiatrist and an internal medicine physician see the patient within 24 hours of admission.
  • Staff introduce the patient to other staff and patients, and orient them to the program within the first few hours of admission.
  • The treatment team and patient work together to stabilize symptoms and begin assessments that help the team better understand the patient and his/her needs. During the first days, the patient may participate in a shortened version of the core programming. Initially, this stage of treatment may feel slow as the treatment team completes the assessments and organizes an individual treatment plan. This time also allows the patient who arrives in an exhausted state to prepare for what will soon become days filled with prescribed treatments.



Daily treatment
Prescribed treatments are built into the following core schedule. The treatment team may change the schedule to meet the patient’s clinical needs and update it during the patient’s course of treatment.

The patient’s schedule will also include individual psychotherapy, family therapy, psychological testing and medication management as prescribed by the treatment team. Patients with dual-diagnosis addictions are assigned specific interventions that provide education about addictions, including 12-step meetings and relapse prevention.

Monday

8 am

Treatment team rounds

9 am

Meditation group

10 am

Group therapy

11:30 am

Transition management/chemical dependency treatment review

1 pm

Spirituality group

2 pm

Depression group

3 pm

Physical fitness in the gym

4 pm

Dialectical behavior therapy (DBT) precommitment group

4 pm

DBT skills training

4 pm

DBT group

4:45 pm

Highs group (patient-led discussion about daily high points)

7 pm

Alcoholics Anonymous (AA)

9:30 pm

Stress reduction group

Tuesday

8 am

Clinician rounds

9 am

Meditation group

9:30 am

Trauma group

10:30 am

Transition management/treatment review

10:30 am

The first step group

1 pm

Coping with depression

1 pm

Progression of addictions

2 pm

Wellness group

3 pm

Physical fitness in the gym

4 pm

Interpersonal relationships

4:45 pm

Highs group

6:45 pm

Narcotics Anonymous (NA)

9:30 pm

Stress reduction group

Wednesday

8 am

Committee for change meeting with patient reps and staff

9 am

Meditation group

9:30 am

Group therapy

11 am

Psychodrama

1 pm

Anger group

2 pm

Family dynamics group

2 pm

Relapse prevention group

3 pm

Physical fitness in the gym

4 pm

Patient community meeting

4:45 pm

Highs group

6:45 pm

12-step meeting

9:30 pm

Stress reduction group

Thursday

8 am

Treatment team rounds

9 am

Meditation group

9:30 am

Leisure time assessment group

10:30 am

Mentalization group

1 pm

DBT group

1 pm

DBT skills training

2 pm

Creative self exploration group

3 pm

Physical fitness in the gym

4 pm

Roles and relationships group (RARE)

4:45 pm

Highs group

7:30 pm

AA

9:30 pm

Stress reduction group

Friday

8 am

Clinician rounds

9 am

Meditation group

9:30 am

Trauma group

10:30 am

Anxiety group

10:30 am

Pain of addiction group

1 pm

Educational video

2 pm

Managing emotions group

3 pm

Social patient community group

4:45 pm

Highs group

7:30 pm

AA

9:30 pm

Stress reduction group

Saturday

11:30 am

Group physical fitness in the gym

Noon

Leisure activity (2.5 hours)

7 pm

AA

7:30 pm

Coping strategies group

9:30 pm

Stress reduction group

Sunday

9:30 am

Step study group

10:30 am

Weekend review

1 pm

Chapel services

6:30 pm

Relational video group

9:30 pm

Stress reduction group



Unstructured time
An important component of the program is teaching individuals how to use leisure and non-structured time in their daily lives. For many professionals who enter the Professionals in Crisis Program leisure time is often out of balance and negatively affecting health and well-being.

The staff considers the use of leisure time and relaxation as important aspects of personal mental health, which is a skill that can be learned. The Professionals in Crisis Program incorporates periods of unstructured time during which the staff coaches individuals in how to use the time effectively and in ways they can use these skills following discharge.

Unscheduled time may be used to do therapy homework, socialize with other professionals—which is often valuable for self-motivation in managing your illness—relax with a hobby or activity, read or participate with other patients and staff in planned recreational activities. With approval from staff, group activities—on the unit, on the campus or in the community—may include events, games and movies.

Supervision by staff
The patient’s treatment team determines the level of supervision the patient needs. Supervision levels change throughout a patient’s stay based on the team’s assessment of the patient’s clinical needs.

The supervision levels and the activities prescribed by the treatment team aim to help the patient accomplish treatment goals and provide for the patient’s safety. As the patient attains their goals, they typically earn privileges to participate in individual and group activities on and off the campus.