DSH - Napa: Treatment Programs & Services

Program 1 provides mental health services for patients with a forensic commitment, and for patients with civil commitments, who have been assessed to require a more secure treatment setting. Patients are both male and female adults, ambulatory, and age 18 or above. Program 1 units include T5, T6, T7, T8, T9, T10, and Q1/2. T5, T9, T10 and Q1/2 are currently coed units, all other units in Program 1 are all-male units.

Treatment services in Program 1 are person-centered, incorporating Trauma Informed Care (TIC) principles, and focused on encouraging patients to advance towards discharge. Mall Treatment services are provided both on and off units, and occur throughout the secured treatment area.

Each patient is expected to develop a Relapse Prevention Plan. Treatment services include an emphasis on symptom management, substance recovery education, coping skills development, vocational services, leisure and recreation skills development, and individual and group psychotherapy. The Treatment Teams work closely with the Conditional Release Program (CONREP) towards returning patients to the community under CONREP supervision.

Program 2 provides specialized rehabilitation, education, and psychiatric services for male and female patients committed under the legal classification Penal Code 1370, Incompetent to Stand Trial. The program is committed to effective treatment in a safe and secure environment. The Program is comprised of Units Q9, T1, T2, T16, T17, and T18. Units Q9 and T16 treat male patients. All other units treat female patients.

The primary focus of treatment is to assist patients in attaining trial competency and return them to court for adjudication of pending charges. The Treatment Team provides a comprehensive trial competency program which includes sponsor groups and competency groups geared toward teaching trial competency information, a competency assessment, and an opportunity to participate in Mock Trial, which simulates a competency court hearing. In addition, patients participate in a wide range of mental health groups and therapeutic activities to assist in addressing symptoms and behaviors that may interfere with their ability to understand the court proceedings and to cooperate with their attorney in preparing a defense. The program has a special track for monolingual Spanish speaking patients.

Program 3 provides forensic-focused treatment services to patients primarily admitted under Penal Code 1026 or 2972.Program 3 consists of units T11, T12, T13, T14, and T15.Units T11 and T14 serve both male and female patients. Unit T12 is the Intensive Substance Recovery Unit, providing specialized treatment services in substance recovery for male patients; Unit T13 treats both newly admitted and longer-term male patients admitted primarily under Penal Code 1026, 2972, or TANGI 1610. In addition, the Program provides specialized treatment services to patients who have committed sexual offenses.

Treatment services in Program 3 are person-centered, incorporating Trauma Informed Care (TIC) principles, and focused on encouraging patients to advance towards discharge. Mall Treatment services are provided both on and off units, and occur throughout the secured treatment area. Each patient is expected to develop a Relapse Prevention Plan. Treatment services include an emphasis on symptom management, substance recovery education, coping skills development, vocational services, leisure and recreation skills development, and individual and group psychotherapy. The Treatment Teams work closely with the Conditional Release Program (CONREP) towards returning patients to the community under CONREP supervision.

Program 4 serves patients on LPS and Murphy Conservatorships as well as some forensic commitments. The Program includes eight residential units with three levels of care: two Acute Psychiatric units, one Skilled Nursing (SNF) unit, and five Intermediate Care (ICF) units.

Unit A-3 (Acute Psychiatric) serves patients with more serious physical or complicated medical conditions that cannot be managed on non-medical psychiatric units. It currently serves as an isolation unit for COVID-19 positive patients. Unit A-9 accepts new admissions and provides acute psychiatric care to male patients. It also houses a wing of patients with more serious physical or complicated medical conditions that cannot be managed on non-medical psychiatric units. Unit A-4 (Skilled Nursing) provides care for male and female patients of all commitment types with multiple medical, nursing, and psychiatric care needs. Skilled nursing care is given to patients with long standing and progressive debilitating conditions such as Huntington's Chorea. The population ranges from young adults to gero-psychiatric, a large number of whom are non-ambulatory. A special milieu is provided for gero-psychiatric patients that are a bit more independent on unit A-2.

Three ICF units for males: A-7, A-8 and A-10, and one ICF unit for females, A-1, serve patientswho have significant symptoms and behavioral challenges.. These units provide a highly structured treatment environment for stabilization, symptom management, social skills development, and community re-entry skills to prepare patients for an open treatment setting or community placement. A-10 contains a sub-unit for patients with Polydypsia.

Program 5 provides specialized rehabilitation, education, and psychiatric services for male patients committed under the legal classification Penal Code 1370, Incompetent to Stand Trial. The program is committed to effective treatment in a safe and secure environment. The Program is comprised of Units T3, T4, Q11, Q5/6, Q7/8. Unit Q11 focuses on providing treatment to geriatric patients with PC 1370 commitments.

The primary focus of treatment is to assist patients in attaining trial competency and return them to court for adjudication of pending charges. The Treatment Team provides a comprehensive trial competency program which includes sponsor groups and competency groups geared toward teaching trial competency information, a competency assessment, and an opportunity to participate in Mock Trial, which simulates a competency court hearing. In addition, patients participate in a wide range of mental health groups and therapeutic activities to assist in addressing symptoms and behaviors that may interfere with their ability to understand the court proceedings and to cooperate with their attorney in preparing a defense. The program has a special track for monolingual Spanish speaking patients.

EPS oversees compliance with Patients’ Rights requirements, including Religious Land Use and Institutionalized Persons Act (RLUIPA). Our team coordinates volunteers to augment and help meet a patient’s basic needs for social interaction, self-esteem, and self-fulfillment. Additionally, EPS coordinates and tracks fundraising activities for the purpose of supplementing the education, recreation, or entertainment needs of patients, or for activities which benefit the Hospital and/or its employees. EPS builds a connection between the Hospital and the community.

Through the Volunteer Center, members of the community can contribute to the hospital by becoming personally involved as a volunteer, and/or providing donations to enhance patients' lives here at DSH-Napa.

VOLUNTEER PLACEMENTS OPPORTUNITIES

Interested members of the community can inquire by calling (707) 253-5540. Or, by visiting in-person at the Volunteer Center, located at 2100 Napa-Vallejo Highway, Napa, CA 94558 (off Imola Avenue at Parrish Road/Cedar Gate entrance). Hours of operation are Monday - Friday from 8am - 5pm. We are closed for lunch from 12-1pm daily and on Holidays.

DSH-Napa is fortunate to have a diverse group of community members who spend their leisure hours with our patients and staff. We are able to enhance the quality of life for patients receiving services here through the generosity of a variety of volunteers, such as:

• Community Volunteers - Assist Hospital staff with special activities, social interactions and/or religious support for the patients. They are local community members who have no attachment to the Hospital.
• Donor Organizations - Local community service-oriented groups that provide monetary support to our patients' holiday festivities and monthly birthday programs.
• Community Support Groups - Alcoholics Anonymous and Narcotics Anonymous provide weekly meetings to our units. These groups offer a program of sobriety and support for our patients.
• Community Advisory Board (CAB) - Board members are local community members who operate independently as a 501(c)3 entity with a mission to obtain donations and recruit volunteers to enhance the lives of DSH-Napa patients. CAB ensures funds raised are expended directly to the patients receiving care and treatment services at DSH-Napa.
• Professional Internships/Externships - As a teaching hospital, our staff offers educational opportunities for students involved in related rehabilitation, medical and psychiatric fields. These students can fulfill their professional internships/externship's by enhancing the level of care given to patients through direct services. Affiliations with the University of California and the State University system, plus private universities, local junior colleges and vocational clinical programs provide additional treatment support volunteers.
• Former DSH-Napa patients - May volunteer with approval from the Executive Director.
• Employee Volunteers - Many of our hospital staff return during their free time and participate in various volunteer opportunities.

There are multiple categories for volunteer work, which include direct and indirect contact with our patients. A direct service volunteer is one that works directly with the patients as a student, individual or member of a group. An indirect service volunteer provides service in non-patient areas, but still benefits the hospital's ability to provide high quality care. The job duties of a volunteer vary, but always prove to be a rewarding experience. The list of direct and indirect patient placements for volunteer work are listed below.