Continuum of Care
Unlike many treatment centers where programs are organized according to diagnosis, the programs in our continuum of care are differentiated by developmental learning needs – these include our Inn Residential Programs and step-down programs that provide the opportunity for small group living with a focus on developing the skills necessary to live independently, to return to school or work, and to engage in more fulfilling relationships.
The Inn Residential Programs
Located on the main campus, the Inn is our primary residence, with 24-hour nursing availability and accommodations for approximately 40 patients. All new patients are admitted to one the Inn programs to give them the opportunity to get to know members of the nursing staff, other members of their treatment team, and the patient community. After the case conference, the treatment team may recommend a lower level of care, but many patients remain in an Inn program beyond six weeks. While living in the Inn, all patients have full access to our Therapeutic Community Program.
Resembling a New England historic inn more than a hospital, there are three floors that include mostly single rooms (a few doubles), some with private baths, others with shared bathrooms. The medication closet and nurse's station are located on the second floor. Community space includes a dining room offering gourmet buffet-style meals, a library, a fully-equipped modern gym, and many relaxing common areas where one can find nursing staff or other patients, day or night.
Patients in the Inn Residential Programs (outlined below) are developing their treatment alliance and require proximity to nursing support.
Inn Residential Program – Nursing (IRP-N): Patients in IRP-N are offered a daily meeting with the nursing staff to support self-management. Patients have access to a program group aimed at developing their abilities to turn to peers for support.
Inn Residential Program – Group (IRP-G): IRP-G is for patients who are capable of using peer support to contain and learn from their symptomatic behaviors. In addition to the other offerings of the Therapeutic Community Program, patients in IRP-G have access to two groups per day, making this the most group-intensive residential program. Though nursing support is available, it is less intensive than the support patients receive in IRP-N.
Located in renovated, historic homes, these programs offer a small group environment for continuing to develop self-management, interpersonal ability, and independent living skills, and the capacity to rejoin the social, educational, and occupational communities outside of Riggs. Patients residing in these programs (described below) continue to have available 24-hour nursing staff at the Inn in an emergency.
Elms Residential Program: Located on the Riggs campus, the Elms offers two programs in a relaxed but structured home environment. With access to the offerings of IRP-G, patients in the Elms Transition Program continue to develop peer relationships and personal resources that help them contain and learn from their experience. The Elms Residential Program emphasizes self-management, interpersonal ability, and the development of more independent living skills.
Three distinct residential programs are offered at Lavan Hall, a residence on Main Street one block from the main Riggs campus.
Lavan Residential Program: This program encourages patients to function as a working unit and develop interpersonal and relationship skills through multiple weekly group meetings.
Main Street Program: The Main Street Program supports patients’ efforts to develop social role competence through involvement in work, school, volunteering, or re-engagement in family roles. Patients take part in practical workshops, educational offerings, groups, and one-to-one support as they become involved in activities outside of Riggs.
Lavan Apartment Program: In this program, patients share an apartment with minimal staffing, and focus on consolidating the skills required to live independently and engage in activities outside of Riggs.
In both the Main Street and the Lavan Apartment Programs, patients may taper their days of involvement in the Therapeutic Community and Activities Programs from seven days to four days while still continuing in individual psychotherapy four times a week.
Day Treatment: This program provides groups, activities, and a supportive interpersonal network for patients who live independently in the local community while maintaining their treatment at Riggs. Patients in Day Treatment are encouraged to volunteer, attend school, or work. Over time, they taper their days of involvement and participation in Therapeutic Community Program offerings. This results in a lower cost per day, while still continuing in individual psychotherapy four times a week.
Aftercare: A transitional phase for patients ending their treatment at Riggs, patients who access Aftercare continue to receive individual treatment services but no longer participate in other programs.
Voluntary Hospital Program: This program is a short-term, fully open and voluntary inpatient level of care in the Inn. The program is for patients who are in need of more intensive engagement in order to re-establish their ability to work collaboratively to keep themselves safe in our open setting, or to clarify their need for the interventions available in a locked setting.
Program Assessment Status: This is a short-term transitional stay in the Inn for patients who require temporary transfer to a higher level of care with increased contact with nursing staff or peers.