After 9 months my internship is now over. Since I am no longer associated with the facility in any way i am free to comment on specific things I saw(as long as I am vague and not use real names)and so I will by sharing a few stories.
That being said, I was typically there from about 815(sometimes 8) and I left on a good day around 615 or so. I usually chose not to take a lunch break so i worked about 10 hours straight through.
Where to begin? Well let me start by filling in some of the murky details i could not before. I worked in a psychiatric nursing home where everyone had some sort of severe mental illness. Everyone who lived there had Schizophrenia, Schizoaffective, or were Bipolar with Psychotic features. Actually, no thats not compleltey true as there were about 52 people in the program I was working for and the nursing home had about 200 residents. Many of those residents also had personality disorders.
Now when i say psychiatric nursing home, I am sure many of yall are thinking older people, and for some of that it is true. The oldest person I personally worked with was about 97. However, the nursing home also took in much younger people as well. The youngest person in the program i was involved in was about 30 and the youngest person at the nursing home couldnt have been more then say early 20s. So it is wide range of people, needs, and illnesses.
So what would I do? Well i had a group of people who I did individual therapy. Sessions lasted either 30 mins or an hour and it would be a time to work on specific issues or discuss specific things to help the person progress towards the goals of treatment plan. These goals are set by both the therapsit as well as the individual and are created in terms of short term, middle, and long term. This way reasonable goals can be set, attained, and then progress can be shown. This was usually done 2x per week, per person.
Another thing I would do is conduct group therapy. Sometimes several people have a few common goals and it can be very useful to have the patients see things for themselves and point it out to each other. It is one thing if i say something to them, but when one of their own peers says something, it can be that much more valuable. I usually ran this group 2X per week and it was run one other day I was not there.
Having educational groups are very important in my mind and I usually ran at least 1 or two each day I was there. One of my favorites was the Medication Training Group. This is a time when i sat down with people and discussed what medications they were taking, why they were taking it, what the medications actually did, and how they worked. I thoguht this was especially important becuase if a person does not understand why they are taking something, they are more likley not to take it. ANd for these people it is extremely important they take every medication every time.
Also I ran a few social groups. This is an oppertunity to work on interpersonal skills, learning to spend time with other people in a healthy way. many times people become instituionalized and exhibit those types of behaviors and it is important to help people prevent that behavior. This is especially true when people have to live in rooms with either 1 or 3 other roomates. As is the case, little things will come up when you have to live with others, so it is important to teach good communication sklills so that the issues do not become large problems.
Well thats a decent start. Next time I will try to think up a few stories of a typical day and if yall have any specific interests in types of stories let me know.