Our new model of care, which describes how we will care for patients and clients at the Red Fish Healing Centre for Mental Health and Addiction, is the only one of its kind in North America.
Representing the most leading-edge research, knowledge and practice in treating people with complex, concurrent disorders, the Red Fish Healing Centre has been designed around this new model of care. It is purpose-built to allow us to provide the best possible care for patients and clients living with complex concurrent disorders (co-occurring mental illness and substance use disorders).
The model of care has been custom-designed by a team that includes representatives from each of B.C.’s health authorities, health care professionals, physicians, nurses, social workers, psychologists, researchers, patients, clients and family members. It is based on the best evidence gleaned from in-depth research on concurrent mental health and substance use disorders, and represents decades of specialized experience and expertise in treating the most complex client and patient populations.
Patients and clients admitted to the Red Fish Healing Centre for Mental Health and Addiction may have several of these characteristics:
- High degree of distress
- Serious mental illness
- Problems with cognitive functioning
- History of severe substance use disorders
- History of frequent overdose events
- History of trauma and adverse childhood experiences
- High levels of impulsivity
- Chronic health conditions
- History of difficulty engaging with treatment providers
- Have no fixed address
- Little recent employment or lack of high school education
- History of self-harm
Our model of care applies these guiding principles in six overlapping domains:
- Physical wellness, including self-care and the activities of daily living
- Mental wellness
- Substance-free living
- Addressing problem behaviours
- Family and intimacy
- Meaningful life
The Red Fish Healing Centre will provide several levels of care to help patients and clients with a progressive approach to their recovery and eventual reintegration into their home communities, including continued care within their home health authorities.
Each of these levels of treatment recognize that a patient or client’s recovery journey is not linear. Some people may need only one or two levels of care. Others may need different levels of care on various units during the course of their recovery.
Having several different units in the same facility enhances our ability to provide the most appropriate level of care while maintaining consistency and continuity for patients and clients.
Most patients and clients will be admitted to one of two 15-bed assessment and stabilization units to begin their recovery journey. These units are dedicated to comprehensive assessment and stabilization of acute symptoms. They feature close observation, withdrawal management, and the start of an intensive treatment program.
Clients and patients who are at the highest risk for aggression or other significant problem behaviours as a result of their complex mental health and substance use disorders will be admitted to the enhanced care unit, which provides assessment, stabilization and treatment with an additional focus on behavioural management and de-escalation of violence.
This 15-bed unit will be the first of its kind in British Columbia, filling an important gap in the province’s mental health and substance use care continuum.
Three 15-bed treatment units will provide intensive treatment based on the client’s individualized care plan.
Treatment options include both pharmacological and psychosocial interventions. Psychosocial interventions involve various kinds of therapies provided by a team of specialized mental health and substance use professionals. These therapies may include the following:
- One-on-one sessions with social workers
- Art therapy
- Music therapy
- Exercise programs
- Recreation therapy
- Life skills training
- Educational training
- Alcoholics and Narcotics Anonymous
All of these interventions will focus on helping the client regulate their emotions, maintain their recovery, manage their mental health symptoms, and learn the life skills they need to successfully live in their home communities.
One enriched treatment unit will be available for clients who have underlying cognitive impairments or brain injuries in addition to a concurrent disorder. This unit will offer all of the same assessments and treatments as the other treatment units, but with accommodations and additions tailored to patients’ and clients’ brain injuries and cognitive impairments.
No two client journeys are identical, but there are three primary clusters of mental illness among people who live with concurrent disorders:
- Mood disorders
- Psychotic disorders
- Disorders associated with substantial cognitive impairment (when a person has trouble remembering, learning new things or making decisions)
We have designed three unique clinical pathways for each of these three clusters. When clients are admitted to the Red Fish Healing Centre, we will assess and assign them to one of these three clinical pathways based on their needs. Each pathway will focus on specific aspects of assessment and treatment with elements of overlap as necessary. Each pathway will be flexible enough for personalization based on individual client needs, strengths and preferences.
The goal of treatment at the Red Fish Healing Centre is to support patients and clients with mental health, substance use, and other challenges to be able to live successfully with the support of the resources available in their home health authorities. In addition to community-based health care, two things are crucial to successfully transitioning home:
- Connection to a community support team and family members or friends
- Secure, stable housing, such as supported housing, residential care, or independent living
As part of each patient or client’s discharge plan, we will evaluate and make recommendations about housing and support arrangements that will best enable them to stay in their communities while remaining safe and healthy.
Research, education and teaching will be formally embedded into care at the Red Fish Healing Centre through BC Mental Health and Substance Use Services’ Research Institute. Researchers will work alongside care providers to help ensure not only that our practices are rooted in evidence, but also that we are contributing to mental health and substance use knowledge across the globe, and helping other professionals turn knowledge into practice.
Although virtual health has always been part of the vision for the Red Fish Healing Centre, the COVID-19 pandemic has transformed the practice of medicine worldwide. There has been a dramatic increase in the number of patients we see virtually.
We have created a robust virtual health infrastructure that allows clients to receive psychiatric and medical care via videoconference. Looking ahead to the post-pandemic period, virtual health will continue to allow flexibility when physicians and other care providers are unable to visit clients face to face at the Red Fish Healing Centre.
We will also use virtual care to extend health care beyond our walls, using our resources to partner with community care facilities so that patients and clients can continue to receive the same quality of care after they go home, and avoid relapse. In addition to caring for our patients and clients, we hope to use virtual health to build capacity and improve services in rural, remote and otherwise underserved areas of the province.
Would you like to learn more about our model of care? Contact us.