Silver Hill Hospital | |
---|---|
Geography | |
Location | Silvermine River Valley of Fairfield County, New Canaan, Connecticut, United States |
Coordinates | 41°09′54″N73°28′08″W / 41.165°N 73.469°W |
Organization | |
Funding | Non-profit hospital |
Type | Specialist |
Services | |
Beds | 129 [1] |
Speciality | Psychiatric hospital |
History | |
Opened | 1931 |
Links | |
Website | silverhillhospital |
Lists | Hospitals in Connecticut |
Silver Hill Hospital is a non-profit psychiatric hospital in New Canaan, Connecticut [2] established in 1931. The hospital is accredited by the Joint Commission and provides behavioral health care treatment. [3] This includes psychiatric and addiction services.
From 2010 to 2018, Silver Hill Hospital hosted the annual Giving Hope Gala, a fundraiser to benefit the Patient Financial Aid Fund, which assists patients lacking funds to cover the costs for the hospital's long-term residential treatment programs. The gala was founded by Michael Cominotto and husband Dennis Basso. [4]
The Silver Hill Foundation was established by Dr. William B. Terhune in 1934 [5] as a "medical and psychotherapeutic unit to diagnose and treat functional nervous disorders". [6] Terhune was the founder of the psychiatric department at Yale University [7] and had promoted the idea that psychiatric patients not be treated differently than other patients with a medical condition. [8] The original facility was established as a non-profit, voluntary psychiatric hospital and was a member of the American Hospital Association. It could treat up to 60 patients at a time. [6]
In 1958, the foundation dedicated a community clinic building. [6]
It was located on the site of the former Silver Hill Inn as a setting to help patients described as "nervous, depressed, anxious, or malingering." [9] It was located in the Silvermine River Valley of Fairfield County, straddling the borders of Wilton and New Canaan, Connecticut. [10]
Starting in 1971, focus was placed on building the hospital's substance abuse program. By 1984, that program included a psychiatrist, an associate psychiatrist, a psychologist, substance abuse counselors, nursing staff, and a recreational and occupational therapist. [2]
The inpatient acute care unit was built in 1985 [11] to provide treatment to patients whose mental illness call for constant supervision. [9]
In 2012, The Chronic Pain and Recovery Center program launched. [12] In 2015, both an eating disorder program for adults [13] and an outpatient opioid addiction program launched. [14]
The hospital's 42-acre campus includes former family homes acquired by the hospital's board over time. [11] These include:
In addition, Dr. Terhune built a chapel on the property, which was later named in his honor. [19]
Substance abuse, also known as drug abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder. Differing definitions of drug abuse are used in public health, medical, and criminal justice contexts. In some cases, criminal or anti-social behavior occurs when the person is under the influence of a drug, and long-term personality changes in individuals may also occur. In addition to possible physical, social, and psychological harm, the use of some drugs may also lead to criminal penalties, although these vary widely depending on the local jurisdiction.
Alcohol abuse encompasses a spectrum of alcohol-related substance abuse, ranging from the consumption of more than 2 drinks per day on average for men, or more than 1 drink per day on average for women, to binge drinking or alcohol use disorder.
Substance-related disorders, also known as substance use disorders, can lead to large societal problems. It is found to be greatest in individuals ages 18–25, with a higher likelihood occurring in men compared to women, and urban residents compared to rural residents. On average, general medical facilities hold 22% of patients with substance-related disorders, possibly leading to psychiatric disorders later on. Over 50% of individuals with substance-related disorders will often have a "dual diagnosis," where they are diagnosed with the substance use, as well as a psychiatric diagnosis, the most common being major depression, personality disorder, anxiety disorders, and dysthymia.
Drug rehabilitation is the process of medical or psychotherapeutic treatment for dependency on psychoactive substances such as alcohol, prescription drugs, and street drugs such as cannabis, cocaine, heroin, and amphetamines. The general intent is to enable the patient to confront substance dependence, if present, and stop substance misuse to avoid the psychological, legal, financial, social, and medical consequences that can be caused.
Opioid use disorder (OUD) is a substance use disorder characterized by cravings for opioids, continued use despite physical and/or psychological deterioration, increased tolerance with use, and withdrawal symptoms after discontinuing opioids. Opioid withdrawal symptoms include nausea, muscle aches, diarrhea, trouble sleeping, agitation, and a low mood. Addiction and dependence are important components of opioid use disorder.
Problem gambling or ludomania is repetitive gambling behavior despite harm and negative consequences. Problem gambling may be diagnosed as a mental disorder according to DSM-5 if certain diagnostic criteria are met. Pathological gambling is a common disorder associated with social and family costs.
Substance dependence, also known as drug dependence, is a biopsychological situation whereby an individual's functionality is dependent on the necessitated re-consumption of a psychoactive substance because of an adaptive state that has developed within the individual from psychoactive substance consumption that results in the experience of withdrawal and that necessitates the re-consumption of the drug. A drug addiction, a distinct concept from substance dependence, is defined as compulsive, out-of-control drug use, despite negative consequences. An addictive drug is a drug which is both rewarding and reinforcing. ΔFosB, a gene transcription factor, is now known to be a critical component and common factor in the development of virtually all forms of behavioral and drug addictions, but not dependence.
Emergency psychiatry is the clinical application of psychiatry in emergency settings. Conditions requiring psychiatric interventions may include attempted suicide, substance abuse, depression, psychosis, violence or other rapid changes in behavior.
Pine Rest Christian Mental Health Services is a psychiatric hospital and behavioral health provider, with the main treatment campus located in Grand Rapids, Michigan. The Chief Executive Officer and President is Dr. Mark Eastburg, appointed December, 2006.
An intensive outpatient program (IOP), also known as an intensive outpatient treatment (IOT) program, is a structured non-residential psychological treatment program which addresses mental health disorders and substance use disorders (SUDs) that do not require detoxification through a combination of group-based psychotherapy, individual psychotherapy, family counseling, educational groups, and strategies for encouraging motivation and engagement in treatment. IOP operates on a small scale and does not require the intensive residential or partial day services typically offered by the larger, more comprehensive treatment facilities.
In the United States, a psychiatric-mental health nurse practitioner (PMHNP) is an advanced practice registered nurse trained to provide a wide range of mental health services to patients and families in a variety of settings. PMHNPs diagnose, conduct therapy, and prescribe medications for patients who have psychiatric disorders, medical organic brain disorders or substance abuse problems. They are licensed to provide emergency psychiatric services, psychosocial and physical assessments of their patients, treatment plans, and manage patient care. They may also serve as consultants or as educators for families and staff. The PMHNP has a focus on psychiatric diagnosis, including the differential diagnosis of medical disorders with psychiatric symptoms, and on medication treatment for psychiatric disorders.
Dual diagnosis is the condition of having a mental illness and a comorbid substance use disorder. There is considerable debate surrounding the appropriateness of using a single category for a heterogeneous group of individuals with complex needs and a varied range of problems. The concept can be used broadly, for example depression and alcohol use disorder, or it can be restricted to specify severe mental illness and substance use disorder, or a person who has a milder mental illness and a drug dependency, such as panic disorder or generalized anxiety disorder and is dependent on opioids. Diagnosing a primary psychiatric illness in people who use substances is challenging as substance use disorder itself often induces psychiatric symptoms, thus making it necessary to differentiate between substance induced and pre-existing mental illness.
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of deleterious mental conditions. These include various matters related to mood, behaviour, cognition, perceptions, and emotions.
Muhamad Aly Rifai is a Syrian American internist and psychiatrist who was accused by the government with fraud but exonerated in a jury trial. He is a clinician researcher known for describing the association between psychiatric disorders and hepatitis C. He co-authored a clinical report detailing the association between hepatitis C infection and psychiatric disorders. He is the President and CEO of Blue Mountain Psychiatry which has locations in Pennsylvania.
Sex Rehab with Dr. Drew is a VH1 reality television show that documents people being treated for sexual addiction by Dr. Drew Pinsky and his staff at the Pasadena Recovery Center in Pasadena, California. Premiering on November 1, 2009, Sex Rehab was a spin-off of Celebrity Rehab with Dr. Drew, in which Pinsky treats celebrities for substance abuse.
Substance use disorder (SUD) is the persistent use of drugs despite the substantial harm and adverse consequences to one's own self and others, as a result of their use. In perspective, the effects of the wrong use of substances that are capable of causing harm to the user or others, have been extensively described in different studies using a variety of terms such as substance use problems, problematic drugs or alcohol use, and substance use disorder.The National Institute of Mental Health (NIMH) states that "Substance use disorder (SUD) is a treatable mental disorder that affects a person's brain and behavior, leading to their inability to control their use of substances like legal or illegal drugs, alcohol, or medications. Symptoms can be moderate to severe, with addiction being the most severe form of SUD".Substance use disorders (SUD) are considered to be a serious mental illness that fluctuates with the age that symptoms first start appearing in an individual, the time during which it exists and the type of substance that is used. It is not uncommon for those who have SUD to also have other mental health disorders. Substance use disorders are characterized by an array of mental/emotional, physical, and behavioral problems such as chronic guilt; an inability to reduce or stop consuming the substance(s) despite repeated attempts; operating vehicles while intoxicated; and physiological withdrawal symptoms. Drug classes that are commonly involved in SUD include: alcohol (alcoholism); cannabis; opioids; stimulants such as nicotine (including tobacco), cocaine and amphetamines; benzodiazepines; barbiturates; and other substances.
Addiction psychiatry is a medical subspecialty within psychiatry that focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addiction. This may include disorders involving legal and illegal drugs, gambling, sex, food, and other impulse control disorders. Addiction psychiatrists are substance use disorder experts. Growing amounts of scientific knowledge, such as the health effects and treatments for substance use disorders, have led to advancements in the field of addiction psychiatry. These advancements in understanding the neurobiology of rewarding behavior, along with federal funding, has allowed for ample opportunity for research in the discipline of addiction psychiatry. Addiction psychiatry is an expanding field, and currently there is a high demand for substance use disorder experts in both the private and public sector.
Charles P. O'Brien is a research scientist, medical educator and a leading expert in the science and treatment of addiction. He is board certified in neurology, psychiatry and addiction psychiatry. He is currently the Kenneth E. Appel Professor of Psychiatry, and vice chair of psychiatry, in the Perelman School of Medicine at the University of Pennsylvania.
Psychiatry is, and has historically been, viewed as controversial by those under its care, as well as sociologists and psychiatrists themselves. There are a variety of reasons cited for this controversy, including the subjectivity of diagnosis, the use of diagnosis and treatment for social and political control including detaining citizens and treating them without consent, the side effects of treatments such as electroconvulsive therapy, antipsychotics and historical procedures like the lobotomy and other forms of psychosurgery or insulin shock therapy, and the history of racism within the profession in the United States.
American Addiction Centers (AAC) is a Brentwood, Tennessee–based, publicly traded for-profit addiction treatment chain.
...and Silver Hill Hospital, Inc. with 129 licensed HMIP beds in New Canaan.