Clinical Work

Continuum of Care

The Inn Residence

The Inn ResidenceLocated on the Main Campus, the Inn is our primary residence, with 24-hour nursing availability and accommodations for about 40 patients. All new patients are admitted into an Inn program to give them close proximity to nursing staff while we get to know them and they develop their alliance with us. 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.

Many Riggs patients suffer from major mental illness or personality disorders; however, our programs are structured around people’s differing medical and social needs rather than being organized by diagnostic category.  Some people need more nursing support, others are interested in the interpersonal aspects of living together, while others wish to focus their work on integration with the community outside of Riggs. Residential programs outside the Inn place a greater focus on developing the skills necessary to live independently, to return to school or work and to engage in more fulfilling relationships.

The Inn ResidenceResembling 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 hall 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.

Inn Programs: Patients in these programs are developing their treatment alliance and require proximity to nursing support. Once patients no longer require ongoing nursing support, they can step down to a lower level of care. 

Inn Residential Program-Nursing (IRP-N): Patients in the IRP-N program are offered a daily meeting with the nursing staff in proximity to the Therapeutic Community 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): The IRP-G program 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, patients in IRP-G have access to two groups a 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. 

Step-Down Programs

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 Riggs. Patients residing in these programs continue to have available 24-hour nursing staff at the Inn in an emergency. 

The Elms ResidenceElms 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 the Inn's IRP-G program, 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 especially the development of more independent living skills.  

 

Lavan HallThree 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 the Center.

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 the Center.

In both the Main Street and the Lavan Apartment Programs, patients may taper their days of involvement in the Therapeutic Community and Activities Program from seven days to four days while still continuing in four-times-weekly individual psychotherapy. 

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 offerings. This results in a lesser cost per day, while still continuing in four- times-weekly individual psychotherapy. 

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. 

Crisis Stabilization

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 reestablish their capacity to manage their safety more independently, 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 for increased contact with nursing staff or peers. 

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