MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY6:30-8:00a Medication/Labs/ Medication/Labs/ Medication/Labs/ Medication/Labs/ Medication/Labs/ Medication/Labs/ Medication/Labs/ Vital Signs Vital Signs Vital Signs Vital Signs Vital Signs Vital Signs Vital Signs ADLs/Oral Hygiene ADLs/Oral Hygiene ADLs/Oral Hygiene ADLs/Oral Hygiene ADLs/Oral Hygiene ADLs/Oral Hygiene ADLs/Oral Hygiene 60 min 60 min 60 min 60 min 60 min 60 min Patients Weekly Weights7:30 am Yoga (Instructor) Yoga (Instructor) Yoga (Instructor) Yoga (tape) Yoga (Instructor) Breakfast on unit Community Meeting 60 min 60 min 60 min 60 min 60 min 60 min Goal Group/ Unit and DBT orientation Grp 60 minutes8:35 am Breakfast at MDR Breakfast at MDR Breakfast at MDR Breakfast at MDR Breakfast at MDR Yoga 45 min/Breakfast Breakfast on Unit

9:30-10:30 am Meditation Mindfulness Mindfulness Paired Distress Tolerance Coping Coping DBT Goal Group/Unit DBT Goal Group/Unit Breathing (Nursing) Muscle Relaxation TIP Skills Ahead Skills Orientation Group Orientation Group 60 min (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min10:30-11:30 am DBT Goal Group/ DBT Goal Group/ DBT Goal Group/ DBT Goal Group/ DBT Goal Group/ 10:00-10:30am NAMI (Speakers every Unit Orientation Group Unit Orientation Group Unit Orientation Group Unit Orientation Group Unit Orientation Group Spiritual Meeting 3rd Sunday) (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min Distress Tolerance I Interpersonal Effectiveness (Nursing) 60 min Acceptance & change (Nursing) 60 min11:40 am Lunch Lunch Lunch Lunch Lunch Lunch Lunch

12:15 pm Medication Time Medication Time Medication Time Medication Time Medication Time Medication Time Medication Time12:30-1:30pm Managing Resentments Understanding your Managing family Group Therapy Emotion Regulation/ Distress Tolerance II Pet Therapy/Medication/ and Forgiveness Diagnosis Systems (Clinical) 60 min Dialectics (Nursing) 60 min Nutrition Education (Clinical) 60 min (Clinical) 60 min (Clinical) 60 min (Clinical) 60 min ABC Please Skills (Nursing) 60 min1:30 - 2:30 pm Group Therapy with Group Therapy Group Therapy with 1:30-3:00 pm Group Therapy with Distress Tolerance III Changing Emotional Dr. Klagsbrun (Clinical) Dr. Klagsbrun Psychodrama/Theater Dr. Klagsbrun TIP Skills/Paired Muscle Responses/Check Facts/ (Nursing) 60 min 60 min (Clinical) 60 min Group w/Andrew (Clinical) 60 min Relaxation Problem Solving (Clinical) 90 min (Nursing) 60 mins (Nursing) 60 min2:30 - 3:30 pm Distress Tolerance Focusing the Radical 3:00 pm Crisis Target Behaviors DBT Self Expression Walking The Middle Path/ STOP Skill Mind Acceptance Management Plan (Nursing) 60 min (Nursing) 60 min Mindfulness Group (Clinical) 60 min (Nursing) 60 min (Nursing) 60 min (Nursing/MHAS) 30 min 2:00 pm Art Workshop (Nursing) 60 min3:30- 4:30 pm Diary Card Group Behavior Chain Analysis Willingness and 4:00 pm Mindfulness Coping Skills Distress Tolerance IV Coping Strategies in (Nursing/MHAS) (Nursing/MHAS) Willfulness (Nursing/ Walk (Nursing)30 min (Nursing/MHAS) Pros and Cons life situations 60 min 60 min MHAS)60 min 60 min (Nursing) 60 min (Nursing) 60 min4:30 pm Medication Time Medication Time Medication Time Medication Time Medication Time Medication Time Medication Time

4:40 pm Dinner Dinner Dinner Dinner Dinner Dinner Dinner

5:00-6:00 pm DBT Assignments/Gym DBT Assignments/Gym DBT Assignments/Gym DBT Assignments/Gym DBT Assignments/Gym DBT Assignments/Gym DBT Assignments/Gym

6:00 - 6:55 pm DBT Wrap-up Group Activity Art Workshop DBT Wrap-up Group Activity Art Workshop DBT Wrap-up Group DBT Wrap-up Group DBT Wrap-up Group Diary Cards/Behavioral (Nursing) 55 min Diary Cards/Behavioral (Nursing) 55 min Diary Cards/Behavioral Diary Cards/Behavioral Diary Cards/Behavioral Analysis Analysis Analysis Analysis Analysis (Nursing) 55 min (Nursing) 55 min (Nursing) 55 min (Nursing) 55 min (Nursing) 55 min7:00 - 8:00 pm DBT Self Expression Grp DBT Self Expression Grp DBT Self Expression Grp DBT Self Expression Grp DBT Self Expression Grp DBT Self Expression Grp DBT Self Expression Grp Art (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min (Nursing)60 min (Nursing) 60 min (Nursing) 60 min (Nursing) 60 min8:00 - 8:45 pm Activity TBD DBT Wrap-up Group Activity TBD DBT Wrap-up Group Activity TBD Meditation Activity TBD (Nursing) 45 min Diary Cards/Behavioral (Nursing) 45 min Diary Cards/Behavioral (Nursing) 45 min (Nursing)45 min (Nursing) 45 min Analysis Analysis (Nursing)45 min (Nursing)45 min 8:15-9:15 pm Medications Medications Medications Medications Medications Medications Medications8:30 - 9:30 pm LeisureTime/Diary LeisureTime/Diary LeisureTime/Diary LeisureTime/Diary LeisureTime/Diary LeisureTime/Diary LeisureTime/Diary Card Card/TV off 60 min Card/TV off 60 min Card/TV off 60 min Card/TV off 60 min Card/TV off 60 min Card/TV off 60 min Card/TV off 60 min9:30- 10:15pm Quiet Time,Vital Signs, Quiet Time,Vital Signs Quiet Time,Vital Signs Quiet Time,Vital Signs Quiet Time,Vital Signs Quiet Time,Vital Signs Quiet Time,Vital Signs Snack, Showers Snack, Showers Snack, Showers Snack, Showers Snack, Showers Snack, Showers Snack, Showers10:30 pm Lights Out Lights Out Lights Out Lights Out Lights Out Lights Out Lights Out

Adult Inpatient ProgramCore Psychiatric Treatment at Lodge 1-800-528-6624

revi

sed

kl 4

/12/

2016

Therapy Groups:12-Step Study Group/Emotion Regulation - Patients gain a basic understanding of 12 step principlesusing dialectics.

Activities/Leisure - May include walks around the hospital grounds, outdoor activities such as volley-ball/basketball and/or dance.

Alcoholics Anonymous (AA) - Alcoholics Anonymous groups give the patients 12 step supports.

Art Workshop - Go to art workshop and focus on DBT skills and principles using different mediums.

Community Meeting - Group for all patients to discuss living together in the milieu.

Compulsive Behavior – Patients learn to manage compulsive behaviors.

Crisis Planning - Patients will learn how to identify relapse triggers and warning signs and acquirepractical tools.

Diary Card Group - Patients learn how to fill out their Diary Cards.

Family Systems - Patients explore family of origin issues, the biosocial theory, and how the family system roles affect their current functioning and other relationships in their lives.

Forgiveness - Patients explore their ability to forgive themselves and others.

Group Therapy - With the guidance of a Clinician patients explore their common problems and workout solutions.

Leisure Time - Includes staff coaching, making phone calls, visits, socializing and laundry.

Maladaptive Thinking and Behaviors - Patients learn how their beliefs and thoughts affect their emotions and behaviors.

Group DescriptionsAdult Inpatient Program

Core/Co-Occurring Psychiatric Treatment

Medication Education - Patients are educated about their medications and side effects.

NAMI (National Alliance on Mental Illness) To empower and educate patients to address theirissues.

Nutrition Education - Patients are educated in the positive interactions between nutrition and activity.

Pet Therapy - Offers a soothing opportunity for patients to interact with pets.

Positive Emotion – Patients learn to accumulate positive emotions.

Psychodrama/Theater - Patients work on issues related to their admission using role-play, DBT andCBT in a group setting.

Resentments - Patients will explore resentments towards self and others, and how resentmentsimpact their daily lives.

Spirituality – Non-denominational voluntary spiritual meeting that focuses on positive life choices.

Topics in Recovery - Patients explore various topics as they relate to their recovery and treatment.

Understanding your Diagnosis - Patients will discuss various signs and symptoms of their illness-es and their ability to manage them.

Yoga - Postures and breathing exercises focused on stress management, anxiety reduction and relaxation.

DBT GroupsBehavioral Chain Analysis - Patients discuss how to analyze their problem behaviors.

Coping Skills Group - Patients identify their personal strengths and supports necessary to build a setof skills they can use to maintain treatment gains. ncuding coping IN ADVANCE.

Diary Card - Explores how to identify urges, obstacles, and solutions daily.

Emotion Regulation - Explains the meaning of internal and external emotions, check the facts, chang-ing emotional responses, problem solving, accumulating positive emotions, reducing emotional vulnerabil-ity through the ABC PLEASE Skills , and Coping ahead to practice strategies in Advance of LifeSituations.

Focusing the Mind - Explores various forms of mindfulness, breathing, meditation, the how and whatskills, and walking the middle path. Includes how to burn bridges and build new ones.

Goal Group - Explores how to decide on a goal for the day and follow through with it.

Interpersonal Effectiveness includes DEARMAN getting your goals and needs met, keeping a rela-tionship, keeping your self-respect while finding and building relationships, and balancing acceptanceand change.

Mindfulness – Explores various levels of observation and awareness.

New Patient DBT - Patients gain an understanding of an overall view of DBT. How to fill outDiary Cards and how to complete a Behavioral Analysis.

Orientation Group - Explains what Dialectical Behavior Therapy (DBT) is and how DBT isused throughout the Adult Inpatient Program.

Radical Acceptance – Patients learn to utilize Radical Acceptance skills.

Self-Expression - Patients learn various forms of positive communication.

Target Behaviors - Patients explore their target behaviors to gain insight into the solutions.

Walking the Middle Path - Patients learn about dialectics, validation, acceptance, and change.

Wrap Up Group - explores how following the goal for the day went and what obstacles wereobserved.

Distress Tolerance I - Explains the meaning of ACCEPTS, Self-Soothe, and IMPROVE Skills.

Distress Tolerance II - Explains the meaning of Radical Acceptance, Willingness and

Willfulness and Turning the Mind

Distress Tolerance III – Explains the meaning of paired muscle relaxation and the TIP skills.

Distress Tolerance IV – Explores when to use pros and cons.

Distress Tolerance V – The STOP skill explains when to stop, take a step back and proceed.