How does the Office of Mental Health reconcile the seemingly contradictory emphasis upon ‘engagement versus discharge?
A primary goal for clinic services is client engagement and retention in care to assist the person in achieving his/her goals. Initial engagement activity should include the assignment of a single clinician designated as responsible for a comprehensive exploration of the client’s concerns, goals and symptoms. Treatment should be recovery oriented including a focus upon work and/or education. Treatment plan changes should be evident when an individual’s mental health deteriorates, especially if he/she is not engaged in care. Outreach and re-engagement efforts should be commensurate with updated risk assessments. Engaging family and significant others as partners and supports when an individual disengages from their established treatment plan, including medication can be critical elements to success. Specific discharge goals and objectives fashioned to meet the aims and preferences of the client should be identified early in the treatment process. Progress toward the achievement of disch
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