Core Elements

Program Components

  • Integrative Care Model

Bahia’s comprehensive care program is structured to integrate an individual’s background/experiences, with psychological/medical research, theory, and best practices. This evidence-based strategy creates well developed clinical understanding and informed treatment decisions. Our method identifies a person’s relative deficits and strengths regarding health habits, coping styles, stress moderators, and treatment prognostics. Our integrated approach navigates health ‘conversations’ and ‘capabilities’ with service members, dependents, command, military medicine and community care systems.

Our integrative care model system fosters productive interactions by cultivating:

  • Prepared / Proactive IOP Team
  • Informed / Activated Patients
  • Diagnostic Interview

A Diagnostic Interview serves as the cornerstone of our intensive outpatient services. This process is conducted by our trained clinician’s and includes symptomatology, behavioral observations/mental status/biopsychosocial history. This clinical data is part of our comprehensive system assessment that guides personalized treatment planning.

  • Functional Assessment

The Functional Assessment in our program focuses on understanding individuals’ daily life in the context of work, family, relationships and self.   It may include emotionality, memory and cognition, psychosocial and behavioral issues, communication, and physiological response to stress (e.g., pain, energy), or general health status.

  • Psychometric & Personality Assessment

The Bahia Health IOP adapts psychometric assessment to enhance the quality of clinical data. The utility of psychometric assessment includes:

Our psychometric evaluation includes:

Symptom Evaluation – Brief Symptom Inventory (BSI)

The BSI identifies self-reported clinically relevant psychological symptoms. The BSI provides an overview of a patient’s symptoms and their intensity at a specific point in time.

Benefits include:

  • Assessment at intake for psychological problems.
  • Objectively supports care management decisions.
  • Measures progress during and after treatment to monitor change.
Personality Assessment – Millon Clinical Multiaxial Inventory-IV (MCMI-IV)

The MCMI®-IV overtly conceptualizes personality patterns on a continuum, or spectrum, ranging from adaptive to maladaptive levels of functioning. The MCMI-IV personality patterns, or scale spectrums, capture the patient’s broad range of personality by way of three levels of personality functioning:

MCMI-IV provides helpful clinical insights into a patient’s personality that allow clinicians to make reliable diagnostic and treatment decisions.

Benefits are:

  • Identify deep, pervasive clinical issues.
  • Make informed treatment decisions and plans.
  • Differentiate case conceptualization based on DSM-5® and ICD-10 classification systems.
  • Access action-oriented suggestions for improvement.
  • Personality Theory in Treatment

Bahia’s IOP embraces the view that assessment and treatment of mental disorders are best understood in the context of personality or coping functioning.

The Role of Personality in Wellness
  • ‘Psychological Immune System’ and the goal is to increase ‘adaptivity’
  • Helps people to become aware of their own specific coping mechanisms, initiate goals and motivation to make coping improvements base on personality feedback and discussion
  • Value Based, Purposeful, and Practical Goals

Values are concepts that orient a person to what is personally meaningful and important to them.  They affect our attitudes, preferences, overt behaviors. Setting values-based goals gives insight about self/others and enables action towards values. Setting values-based goals can boost positive emotions and encourage an optimistic outlook.

As part of the setting value base goals clinicians work with patients to reconcile goals.

Goals are Specific, Measurable, Achievable, Relevant, and Time-bound. SMART Goals:

  • Allow for goals that are clear, attainable and meaningful.

  • Creates clarity in goal-setting and provides the motivation/focus needed to be successful.

  • Support / Encouragement / Motivation  

Creating an environment that is safe and amenable to making changes.

After identifying pts identified purposeful/valued/practical goals we ask about benefits of making change.  This method inquiries discrepancy in action around goal achievement and discusses next steps toward their attainment. This process allows for goal discovery, ownership and motivation increasing the likelihood of achievement.

  • Health Modalities / Evidenced Based Interventions

  • Physical Activity as Medicine
  • Trauma Informed Care
  • Cognitive Processing Therapy
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Mindfulness
  • Socialization
  • Medication Therapy

Results

Social and Emotional Learning (SEL) includes the following five competencies:

Competencies

  • Self-Awareness
  • Self-Management
  • Social Awareness
  • Relationship Skills
  • Responsible Decision Making

(Weissberg et al., 2015)