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Dual
Diagnosis Program | Forensic
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DUAL
DIAGNOSIS PROGRAM
The mission of the Dual Diagnosis Program is to provide an intensive
therapeutic experience for 13 to 18-year-old male youths who have been diagnosed with
severe emotional problems in addition to having mental retardation/developmental
disabilities. These youth have found it hard to function in their regular school
and home settings. The ultimate goal is to enable the youth to return to their
home communities within approximately six to nine months where they may live successfully
with the necessary supports. The program can serve seven youth at any given
time.
It is a comprehensive approach to treatment. The youth have access to a variety of therapeutic services, including psychiatric, psychological, social, occupational, speech and recreational therapies. The therapies are individualized to fulfill the needs of each youth. In addition, group therapy and family therapy are incorporated into the program. Staff of the Marshall Habilitation Center and Mid-Missouri Mental Health Center share responsibilities in serving these youth.
The youth’s educational needs are addressed while in the program. Initially each individual is enrolled in a self-contained classroom located on the Marshall Habilitation Center campus. It is a 12-month program with classes meeting throughout the year with the exception of holidays and occasional vacations for students. When sufficient progress has been achieved, the student may be referred to the Marshall School District for a half-day or whole-day school experience.
Family involvement is strongly encouraged through phone calls, visits, home visits and attendance at monthly progress meetings. A guest house located on the MHC campus may be scheduled in advance for overnight visits by family members.
The development of this program pooled the resources of three Department of Mental Health (DMH) agencies from two separate divisions within DMH, those being the Division of Developmental Disabilities and the Division of Comprehensive Psychiatric Services. The approach illustrates the vision of "breaking down silos" between the various DMH divisions and allows for the combined efforts to provide more complete seamless services.
FORENSIC SERVICES
The Marshall Habilitation Center Forensic Unit
opened in February 1998 is a 24-bed minimum-security building located in Greenwood
Apartments. The program is designed to treat individuals in need of services
and who have been committed to the Department of Mental Health as a result of
offenses against society for which they have been found NGRI, Not Guilty by
Reason of Mental Defect, Incompetent to Proceed, or for Pre-Trial Evaluation.
These people have been deemed capable of living and working in a minimum-security
setting.
The program’s habilitation process provides the individuals with specific skills training and assists in developing the supports necessary to sustain the individual re-entering the community. The habilitative team assesses each individual to determine specific abilities, needs and skills. Individual Plans are developed by professionals to address physical, mental and behavioral needs within the parameters of the legal framework.
Comprehensive assessment and evaluation leads to the ultimate goal of developing an understanding of individual behavior and providing training that will enhance each person’s independence to safely and successfully return them to the community with the necessary supports.
Forensic services are also provided by the Department of Mental Health through its Comprehensive Psychiatric Services division. You may visit either the Comprehensive Psychiatric Services division web site or the Fulton State Hospital web site.
OLDER ADULT SERVICES
Five homes in the Oak Walk area of the Marshall Habilitation Center campus
have been set aside for older adults. This section is designed to provide services
for men and women who do not present physical danger to self or others, are
55 years of age or older, and do not require intensive or continuous medical
or nursing care. This section considers the dignity of the older client and
provides programming and activities based on age, overall physical condition
and level of functioning.
COMMUNITY
HOMES
The Marshall Habilitation Center participates in the Medicaid Home and Community-Based
Waiver program and the Independent Support Living (ISL) program. These programs
offer an array of Medicaid reimbursable community-based services for people
who are mentally retarded/developmentally disabled.
These community homes house either three or four people. Seven homes in the Marshall community and two homes in the nearby town of Slater afford the opportunity for community living regardless of their competency, the severity of their disabilities, or the degree of physical or behavioral challenge. Through the waiver program a portion of the on-going training, active habilitation, and functional skill development takes place in naturally occurring settings in the community.