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Adult Unit Program

Our holistic approach to person-centered care is made up of three distinct components that you will be participating in while a patient at Avera McKennan.

Comprehensive Psychological Evaluation

During your hospital stay, you will receive a comprehensive assessment of your psychological needs. Your attending psychiatrist will work with you to evaluate your diagnoses and develop a treatment plan to address your issues.

Your treatment team will also help you plan for continued psychological care as needed to help you maintain stability.

Developing a Personal Plan of Action

Developing an individual plan for how you will manage your illness is also an important goal of our program. Prior to discharge, you will be asked to complete a personal plan of action. This plan of action can help ensure continued wellness after leaving our facility and offer direction for help if you start to experience a relapse.

Group programming

Our multi-faceted treatment program is based on research-supported interventions. Group therapy allows you to share your problems and receive support from others. You should find comfort in learning that even though your situation is very unique, there may be others who are experiencing similar problems.

You may be surprised at how helpful looking at your problems from a different perspective may be. You may also realize how good it feels to be able to listen to others and offer support.

Please take time to review the weekly schedules and become familiar with our group programming. A daily schedule will also be posted and distributed which provides a brief description of each component of our programming. During your stay you are strongly encouraged to participate in all group therapies.

Wing A daily schedule example

The following is an example of a daily schedule in the Adult Program - Wing A. Specific daily schedules are available at the nurses station.

Download the schedule

Wing B daily schedule example

The following is an example of a daily schedule in the Adult Program - Wing B. Specific daily schedules are available at the nurses station.

Download the schedule

Keeping in touch with your family and friends

Telephone Contacts

For confidentiality purposes, cell phones and other camera devices are not permitted on the unit. We do value the importance of you being able to keep in touch with family and friends. Telephones are located across from the Nurses’ Station for patient use. Complimentary phone cards are available upon request for long distance calls. Please try to limit your calls to 10 minutes. We understand that sometimes calls need to be made or taken and we will work with you to accommodate such needs. Telephones are available, outside of group times, from the hours of 7 a.m. – 10:30 p.m. The patient phones are to be answered by patients, so please be sure to answer the phone and either find the individual requested or take a message. There is a designated area at the nurses’ station for phone messages.

  • Adult Wing A Nurses’ Station: (605) 322-4020
  • Adult Wing B Nurses’ Station: (605) 322-4030

Patients on Adult Wing B can also provide family members and friends with the phone numbers to our patient phones, which are: (605) 322-5925 or (605) 322-5927. *Please be aware these phones are public phones in the unit and are answered by fellow patients

Visitation Hours

We encourage visitors during the following hours:

  • Monday-Friday — 6 p.m. – 8:30 p.m.
  • Saturday & Sunday — 1 p.m. – 8:30 p.m.

If your family members and friends are unable to visit during these times, please speak with staff; these times are flexible.

Download a map with directions to Avera Behavioral Health Center

Building Security

You will notice there are two sets of locked doors at the Avera Behavioral Health Center. One is located between the public area of the building and the visitor hallway; the other is located at the door of the unit. These locked doors provide a safe, confidential, private, and therapeutic area to begin the healing process. Instructions and telephones are posted by each door for visitors to gain entry to the unit. When you leave, please use the telephones to contact the unit you came from; they can open any door in the facility for you.

Resources

NAMI Network - A Recovery Support Group

Meetings are informal and flexible. The group will be a facilitated discussion group where information will be shared and support given.

The Mission of NAMI South Dakota is: To provide education and support for individuals and families impacted by brain-based disorders (mental illnesses,) advocate for the development of a comprehensive system of services and lessen the stigma in the general public.

NAMI South Dakota
PO Box 88808, Sioux Falls, SD 57109-8808
(605) 271-1871 • (800) 551-2531

Patient and Family Education Classes

Who is invited:
Any family member or friend who would benefit from learning more about mental illness.

Learn more about:
Psychiatric illness
What is happening in the brain
Medications
Resources to help us cope

Presented by:
Garn Kuiper, CNP, MSN

Where:
Avera Behavioral Health Center
4400 West 69th Street, Suite 100, Sioux Falls
Adult Wing B Dining Room

When:
Every Monday at 7 p.m.

Questions:
Please call the unit social worker at (605) 322-4072

* Beverages and snacks will be provided

Discharge planning

Discharge planning is an ongoing process that begins at the time of admission.

Day of Discharge

On the day of discharge, your attending psychiatrist will write the discharge orders. These orders will include details about what medicines you should be taking at home and also any other follow-up needed.

Please plan to be discharged before 12:30 p.m. on your discharge day. If you have unique circumstances that would prevent you from leaving by 12:30 p.m., please talk to your nurse to make other arrangements.

Before discharge, staff will guide you in sharing your progress on the Personal Guide for Healthy Living and Crisis Plan. You will also be asked to complete a survey about the care you received.

Your nurse will prepare your discharge instructions. This will include your scheduled appointments, a medication list and a review of your goals. Prescriptions for your medicines will also be provided at this time.

Making Follow-up Appointments

An important part of managing your illness is planning for good follow-up care with providers in your community. Your treatment team will work with you to schedule follow-up appointments to provide on-going management of your medication and individual or family therapy.

Please share your preferences for follow-up care with your social worker who can help you learn about psychiatrists, psychologists, counselors and case managers in your area.

Communicating With Your Hometown Doctors

With your written permission, we are able to provide your hometown doctors, counselors and case managers with a summary of your treatment received at Avera McKennan. Please speak to your social workers or nurse if you would like your records sent to any of your local providers.

Your medical team

We form a multi-disciplinary treatment team around you based on your individual needs.

Your Medical Team

Attending Psychiatrists: Your attending psychiatrist is a physician who leads your medical team by developing an overall strategy to manage your symptoms. They provide evaluations, prescribe medications and may offer other therapeutic interventions.

Physician Assistants and Certified Nurse Practitioners: Physician Assistants and Nurse Practitioners may partner with your attending psychiatrist to assist in your treatment.

Psychiatry Residents: As a teaching hospital partnering with the USD Sanford School of Medicine, our psychiatry residents, who are medical doctors, are receiving additional education and training in the field of psychiatry. Psychiatry residents work closely with your attending psychiatrist and medical team to assist in your treatment.

Internal Medicine Doctors: An internal medicine doctor, nurse practitioner or physician assistant may join your medical team at the request of your attending psychiatrist. Your internal medicine doctor will address any acute health issues you may have during your stay.

Your Support Team

Nursing Staff: Nursing staff oversees and orchestrates the overall functioning of the hospital unit. You will be assigned a nurse who will work with you to determine your needs. Nursing staff will also be your advocate in communicating those needs to your treatment team.

Social Workers: Social workers help you prepare for returning home by connecting you with community resources. At your request, social workers can also keep your family and professional support system updated regarding your treatment progress.

Psychologists: A psychologist may join your treatment team at the request of your attending psychiatrist. Your psychologist can provide individual and family therapy and psychological testing.

Behavioral Health Technicians: Behavioral health technicians contribute to the therapeutic environment of the hospital by organizing group sessions and encourage you to actively participate in your treatment. Behavioral health technicians also help ensure a safe environment and help make your hospital stay as comfortable as possible. All of our behavioral health technicians have specialized training in the field of behavioral medicine.

Expressive Therapists: An Art Therapist, Music Therapist and Recreational Therapist lead interactive groups during your hospital stay. These groups give you the opportunity to learn new methods of coping with your daily stressors.

Case Manager: Your case manager will contact your insurance company during your admission process to make sure your insurance company is aware of your hospitalization.

Registered Dieticians and Dietary Assistant: Our dietician’s goal is to promote optimal nutrition status for all patients and make recommendations as needed.

Health Unit Coordinator: The health unit coordinator provides secretarial support to your treatment team.

Nurse Manager: Our nurse manager and other management staff want to guarantee we are providing you with excellent care every day. We appreciate any feedback you can give us to help improve our services.

Our Facility Team

Food Service: Our food service staff, led by a professional chef, provides you with three nutritious and tasty meals per day. Menus are available to make your daily selections based on your tastes. Food service also makes a variety of snack items available through a pantry on your unit.

Housekeeping: Housekeeping staff members keep the building looking clean and tidy by keeping your room and day areas clean.

Security: Security staff are available in the building 24/7 for your safety and security.

Maintenance: Our maintenance staff works hard to maintain the appearance and functionality of the building.

Keeping our patients safe

Your safety is of utmost importance. Your treatment team’s number one goal is to ensure a safe environment in which to seek care.

Providing a Safe Environment

Your treatment team will work with you to develop a plan to maintain your safety both while you are a patient at Avera McKennan and after you are discharged from our facility. Please be honest in disclosing your thoughts and feelings so we may better serve you.

Safety Measures

Measures taken to ensure your safety at Avera McKennan include, but are not limited to, the following:

Bathroom Doors and Wardrobes
Adult Wing A: In order to assure a safe environment, all bathroom doors and patient wardrobes will be locked when not in use. When you need to use your bathroom or access your wardrobe, staff will unlock the doors for you.

Adult Wing B: Bathroom doors and wardrobes will only be locked when doctors feel you may be at a high risk for self-harm. We encourage you to discuss this issue with your attending psychiatrist.

Belts and Shoes with Laces
Adult Wing A: Due to safety concerns, all patients on Adult Wing A will not wear belts or shoes with laces.

Adult Wing B: Belts and shoes with laces may not be allowed if your doctor feels you may be at a high risk for self-harm. Otherwise all patients will be allowed these items. We encourage you to discuss this issue with your attending psychiatrist.

Room Checks: Common areas and patient rooms will be checked periodically each day. Any unsafe items will be removed from the area and stored in a secure area.

Observation: Staff will monitor your safety throughout your stay. Your physician and nurse will determine which level of monitoring is necessary.

If, at any time you feel unsafe from yourself or others, please do not hesitate to inform staff. If you suspect, hear or witness any unsafe behavior, you are asked to disclose this to a staff member immediately.

Personal Belongings: For the safety and security of your belongings, staff will inventory and check your personal belongings when you are admitted. Any items deemed unsafe by the team will be kept in a secure locker designated for your items. These items will be returned to you upon discharge. Inappropriate or excessive personal belongings will be stored or sent home with your family or friends.

Unit guidelines - Wing A only

We have established these guidelines to help assure program success, maintain a positive therapeutic environment, and to provide you with outstanding care while you are a patient at Avera McKennan Behavioral Health Center. If you have any questions or comments regarding these guidelines, please discuss them with one of the staff members caring for you.

Nurses’ Station

Confidential information is communicated at the nurses’ station; therefore, please respect the privacy of everyone on the unit by utilizing the day area for social activities.

Updated Information

Please inform your health care provider about any changes in your condition.

Personal Accountability

To best implement your treatment plan, please use the medication window to receive your medications at scheduled times.

Group Programming

To assist in your treatment, therapy group will meet throughout the day in the unit. You are strongly encouraged to attend group programming and be an active participant in your own treatment. The phones and television are all turned off during group times in order to promote the therapeutic sessions.

Interpersonal Behavior

We encourage you to focus on your own treatment and treat other patients and staff with respect. Although you may feel a close connection with fellow patients, we encourage you to practice healthy boundaries, this would include, not exchanging phone numbers. Behaviors such as physical or verbal threats and inappropriate contact (e.g. sexual activity, back rubs, hand holding, etc.) cannot occur. Please refrain from using harsh, racist, offensive or inappropriate language on the unit. Please respect everyone around you.

Telephones

For confidentiality purposes, cell phones and other camera devices are not permitted on the unit. Telephones are located across from the nursing station for patient use. Complimentary phone cards are available upon requests for long distance calls. Telephones are available, outside of group times, from the hours of 7 a.m. – 10:30 p.m.

Unit cleanliness

Although housekeepers clean rooms daily, you are responsible for changing bed linens as desired and keeping your room and the day area tidy. Fresh linens and towels are available on a cart during these times: 7-10 a.m. and 7-10 p.m. To maintain cleanliness we require patients to wear socks or slip on shoes on the unit. We ask that all meals are consumed in the dining room.

Unit Safety

Room checks are performed four times daily. Any materials deemed to be potentially harmful to you or others will be stored in a secured location. For safety and privacy, we ask that you refrain from entering another patient’s room or inviting other patients into your room. For patient safety, the acute unit will refrain from using anything with cords on the unit.

Visitors

We encourage you to invite family and friends on the unit. We recommend a limited number of visitors at one time. The encouraged visiting hours are between 6 - 8:30 p.m., but visitors are welcome to come at other times if the evening hours are not convenient for them. Please keep noise and activity to an appropriate level. Children under 18 should visit in a patient room and be supervised by someone over the age of 18. In order to maintain health boundaries, no patients who have been discharged in the last 14 days are able to visit.

Sleep

Patients are asked to be in their rooms by 10:30 p.m. and remain in their rooms until 6:30 a.m. to allow for proper sleep. We are aware there may be times where patients will need to be out of their room for a period of time but in general being in your room will promote healthy sleep habits.

Meals/snacks

Snacks will be given out at 3 p.m. and 8 p.m. Meals are at 7 a.m., noon and 5 p.m. Pop will be given with meals and limited to two pops per day.

Unit guidelines - Wing B only

We have established these guidelines to help assure program success, maintain a positive therapeutic environment, and provide you with outstanding care while you are a patient on Adult B. If you have any questions or comments regarding these guidelines, please address them with your health care treatment team.

Nurses’ Station

Confidential information is communicated at the nurses’ station; therefore, please respect the privacy of everyone on the unit by utilizing the day area for social activities.

Correct & Full Information

For us to partner with you in recovery, it is important you share information with your health care providers about symptoms, past illnesses, hospitalizations, medications or other pertinent information. Please inform your health care providers about any changes in your condition.

Personal Accountability

It is our goal to provide excellent care while promoting your independence. We encourage you to ask questions about your care, including medication orders and pain management. Please use the medication windows to receive your medications at scheduled times. We also encourage you to be accountable for your hygiene, your personal laundry and informing staff of any special dietary needs. Assistance is available as needed.

Group Programming

To assist in your treatment, therapy groups will meet throughout the day in the unit. You are strongly encouraged to attend group programming and be an active participant in your own treatment. Confidentiality is stressed in all therapy treatment groups. The phones, computer and television are all turned off during group times in order to promote attendance.

Interpersonal Behavior

At Avera Behavioral Health Center, we strive to promote healthy emotional and physical boundaries. We encourage you to focus on your own treatment and treat other patients and staff with respect. Although you may feel a close connection with fellow patients, we encourage you to practice healthy boundaries. Behaviors such as physical or verbal threats and inappropriate physical contact (sexual activity, hugging, massage, handholding, styling hair/makeup/nails etc.) cannot occur.

Telephones / Personal Electronic Device Use

For confidentiality purposes, cell phones and other camera devices are not permitted on the unit. Personal electronic devices (without a camera) are to be used outside of group times. We do value the importance of you being able to keep in touch with family and friends. Telephones are located across from the nursing station for patient use. Complimentary phone cards are available upon request for long-distance calls. Telephones are available, outside of group times, from the hours of 7 a.m. – 10:30 p.m. The patient phones are to be answered by patients, so please be sure to answer the phone and either find the individual requested or take a message. There is a designated area at the nursing station for phone messages.

Unit Cleanliness

Although housekeepers clean rooms daily, you are responsible for changing bed linens as desired and keeping your room and the day area tidy. Recycling and trash bins are located in the dining room. Fresh linens and towels are available on a cart near the nursing station in the morning and at bedtime. If linens are needed outside of these times, please ask staff for assistance. A hamper for soiled linens is located in the day area. Staff assistance is available as needed.

Unit Safety

To ensure your safety and the safety of the unit, room checks are performed twice daily. Any materials deemed to be potentially harmful to you or others will be stored in a secure location. If you need to use these items, please ask staff for assistance and return items when you are finished. For safety and privacy, we ask that you refrain from entering another patient’s room or inviting other patients into your room.

Visitors

We encourage you to invite family and friends to visit in the unit. We recognize this is a very important part of your healing. Because we encourage a healing and calming environment, we recommend a limited number of visitors at one time. Please keep noise and activity to an appropriate level. For the comfort of all patients, children under 18 should visit in a patient room and be supervised by a guardian. In order to maintain healthy boundaries, patients who have been discharged in the last 14 days are unable to visit the unit.

Sleep

Patients are asked to be in their rooms by 10:30 p.m. and remain in their rooms until 6:30 a.m. to allow for proper sleep. We are aware there may be times where patients will need to be out of their room for a period of time but in general being in your room will promote healthy sleep habits.

Paying for your stay

We will provide you with assistance in navigating your insurance coverage and will also help establish a plan to pay for your hospital stay.

Insurance Pre-certification

When you are admitted to Avera McKennan, we start working for you by verifying your insurance benefits and calling your insurance company to preauthorize your admission.

Our case manager will continue to follow up with your insurance company periodically to make sure you are covered throughout your stay. If you have any concerns about your insurance coverage, please ask to speak to your case manager.

Questions About Your Bill

If you do not have any insurance coverage or have balances due after your insurance has paid your claim, Avera McKennan will work with you to make appropriate financial arrangements. Contact the Avera McKennan Business Office by calling (605) 322-6400.

We understand concern about your personal financial responsibilities can adversely affect your mental health. Our office staff is trained to help alleviate that concern.

Contact us at:

Avera McKennan Business Office:
(605) 322-6400 • 8 a.m.-5 p.m. Monday – Friday

Additional Customer Service Numbers:
Medicare: (800) 247-2267
SD Division of Insurance: (605) 773-3653

Please be aware that you may receive a separate bill from your psychiatrist for psychologist’s clinic (Avera University Psychiatry Associates or Avera Midwest Psychiatry) and for individual services or group therapy.

Avera Medical Minute: TMS Therapy

Watch Dr. Matt Stanley and a patient discuss TMS Therapy.

National Institute of Mental Health Outreach Partnership Program

View updates regarding our partnership program and other available resources.