Treatment Programs 

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Patient care and treatment at the Montana State Hospital (MSH) is organized around six primary clinical pathways collectively referred to as “pathways to recovery.” 

The purpose of these pathways is to provide individual meaningful, coordinated treatment to promote a patient’s recovery and independence to the fullest extent possible. 

Programs on each treatment unit are developed around a particular treatment methodology. The hospital supplements care and treatment available on each unit with a variety of centralized services offered on our campus:

  • Basic Medical Care
  • Dental Care
  • Dietitian Consultation
  • Group & Individual Counseling
  • Pastoral Care
  • Pharmaceutical Care
  • Recreation Therapy
  • Vocational Instruction

A and B Units

Stabilization, Coping, and Co-Occurring Pathways

A and B Units are designed to serve patients experiencing symptoms of psychosis, affective disorders, and/or maladaptive behaviors, which may impair judgment, social functioning, and/or the safe and successful ability to reside in a community setting. The goal of treatment is stabilization and safe community re-integration. 

D Unit

Continuing Recovery Pathway

D Unit provides services designed for both civil and forensic patients. Civil patients benefit from a more structured environment. Forensic patients are typically adjudicated and have advanced to a point where they would benefit from treatment in a more moderate security setting.

Treatment opportunities focus upon stabilization and assisting patients to understand and manage their symptoms and associated behaviors to promote well-being, safety, and recovery.

E Unit

Social and Independent Living Skills (SILS) Pathway

E Unit provides treatment for patients suffering from chronic mental disorders impair social and independent functioning. Unit activities are designed to enhance learning and experiences, which promote recovery and an improved quality of life. Treatment opportunities focus upon helping individuals better understand and manage their symptoms to promote personal growth, while providing opportunities to learn skills.

F Unit - Forensic Mental Health Facility

Management of Legal Issues (MLI) Pathway

The Forensic Mental Health Facility (F Unit), provides services designed for those who have criminal charges pending and are in various stages of adjudication. The unit program’s three main components are: 

  1. Evaluation of competency and related issues
  2. Treatment to restore competency and fitness to stand trial
  3. Treatment for individuals found guilty but mentally ill or not guilty by reason of mental illness in criminal proceedings

This unit also provides psychiatric evaluation and treatment for individuals transferred from facilities operated by the Montana Department of Corrections.

Spratt Building

Adaptive Living Skills (ALS) Pathway

Treatment modalities at Spratt are designed to enhance the physical, mental, and psychological well-being of individuals who have long-term psychiatric disabilities and/or significant physical limitations. Patients placed at Spratt include those who have psychiatric impairment and/or cognitive limitations, which severely interfere with daily functions.

Mental Health Group Homes

Group homes provide transitional living environments for stable patients who are stable and preparing for discharge into a community setting. Program focus is on development of independent living, vocational and self-care skills, and aiding in social adjustment from institutional care.