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Community Mental Health Journal

Erschienen in:

27.01.2018 | Original Paper

“Psychological Boarding” and Community-Based Behavioral Health Crisis Stabilization

verfasst von: Dhrubodhi Mukherjee, Verletta Saxon

Erschienen in: Community Mental Health Journal | Ausgabe 3/2019

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Abstract

This exploratory paper presents a case study where a community based mental health organization forging a partnership with a local hospital system to establish a crisis stabilization unit (CSU) to address behavioral health emergency care. The study takes a mixed methods case study approach to address two research questions; (a) did this approach reduce the overall length of stay in the hospital emergency departments? (b) What challenges did the taskforce face in implementing this CSU model? The paper shares recommendation from the findings.

Al, C. W., Stams, G. M., Asscher, J. J., & Laan, P. H. (2014). A programme evaluation of the Family Crisis Intervention Program (FCIP): relating programme characteristics to change. Child & Family Social Work, 19(2), 225–236. https://doi.org/10.1111/j.1365-2206.2012.00896.x.CrossRef

Alakeson, V., Pande, N., & Ludwig, M. (2010). A plan to reduce emergency room ‘boarding’ of psychiatric patients. Health Affairs, 29(9), 1637–1642.CrossRefPubMed

American Telemedicine Association. (2012). What is Telemedicine? Accessed February 12, 2015 from http://www.americantelemed.org/about-telemedicine/what-is-telemedicine#.VOzdnvnF91A.

Boscarato, K., Lee, S., Kroschel, J., Hollander, Y., Brennan, A., & Warren, N. (2014). Consumer experience of formal crisis-response services and preferred methods of crisis intervention. International Journal of Mental Health Nursing, 23(4), 287–295 9. https://doi.org/10.1111/inm.12059.CrossRefPubMed

Ginnis, K., White, E., Ross, A., & Wharff, E. (2015). Family-Based Crisis Intervention in the emergency department: A new model of care. Journal of Child and Family Studies, 24(1), 172–179.CrossRef

Helleman, M., Goossens, P. J., Kaasenbrood, A., & Achterberg, T. (2014). Experiences of patients with borderline personality disorder with the brief admission intervention: A phenomenological study. International Journal of Mental Health Nursing, 23(5), 442–450 9. https://doi.org/10.1111/inm.12074.CrossRefPubMed

Hilty, D. M., Luo, J. S., Morache, C., et al. (2002). Tele-psychiatry: An overview for psychiatrists. CNS Drugs, 16, 527–548.CrossRefPubMed

Johnson, S. R. (2014). Ruling could spur action to address psychiatric boarding crisis. Modern Healthcare, 44(35), 8.PubMed

Kanel, K. (2014). A guide to crisis intervention. Cengage Learning.

Lighter, D. (2011). Basic healthcare performance improvement: A lean Six Sigma approach. Jones and Bartlett: New York.

Manton, A. (2013). Care of the psychiatric patient in the emergency department. Accessed February, 25, 2015 from https://www.ena.org/practice-research/research/Documents/WhitePaperCareofPsych.pdf.

Maxwell, J. A. (2013). Qualitative research design: An interactive approach. Sage: New York.

Nicks, B. A., & Manthey, D. M. (2012). The impact of psychiatric patient boarding in emergency departments. Emergency Medicine International, 2012.

Niska, R., Bhuiya, F., & Xu, J. (2010). National hospital ambulatory medical care survey: 2007 emergency department summary. Natl Health Stat Report, 26(26), 1–31.

Oh, J. (2012). Average cost per inpatient day across 50 states in 2010. Retrieved February 25, 2015 from http://www.beckershospitalreview.com/lists/average-cost-per-inpatient-day-across-50-states-in-2010.html.

Oliver, J. E. (2015). Feature article: Mental health crises and hospital emergency departments. Developments In Mental Health Law, 34(1), 6–17.

Oss, M. (2014). You have to take something out, to put something in. Retrieved February, 25, 2015 from https://www.openminds.com/market-intelligence/executive-briefings/take-something-put-something.htm/.

Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 et seq. 2010.

Reese, C. S., & Stone, S. (2005). Therapeutic alliance in face-to-face versus video conferenced psychotherapy, Professional Psychology: Research and Practice, 36, 649–653.CrossRef

Rosenberg, J., & Rosenberg, S. (2012). Community mental health challenges for 21st century. New York: Rutledge.

Sample, H. N. I. (2007). Agency for healthcare research and quality, Rockville, MD, 2009.

Torrey, E. F., Entsminger, K., Geller, J., Stanley, J., & Jaffe, D. J. (2005). The shortage of public hospital beds for mentally ill persons. Virginia: Treatment Advocacy Center.

Torrey, E. F., Entsminger, K., Geller, J., Stanley, J., & Jaffe, D. J. (2008). The shortage of public hospital beds for mentally ill persons: A report of the Treatment Advocacy Center. Arlington: Treatment Advocacy Center.

Trickett, E. J. (2009). Community psychology: Individuals and interventions in community context. Annual Review of Psychology, 60, 395–419.CrossRefPubMed

Van Nieuwenhuizen, A., Henderson, C., Kassam, A., Graham, T., Murray, J., Howard, L. M., & Thornicroft, G. (2013). Emergency department staff views and experiences on diagnostic overshadowing related to people with mental illness. Epidemiology and Psychiatric Sciences, 22(3), 255–262.CrossRefPubMed

Zeller, S. L. (2010). Treatment of psychiatric patients in emergency settings. Primary Psychiatry, 17(6), 35–41.

Zeller, S., Calma, N., & Stone, A. (2014). Effects of a dedicated regional psychiatric emergency service on boarding of psychiatric patients in area emergency departments. Western Journal of Emergency Medicine, 15(1), 1–6. https://doi.org/10.5811/westjem.2013.6.17848.CrossRefPubMedPubMedCentral

Titel: “Psychological Boarding” and Community-Based Behavioral Health Crisis Stabilization
verfasst von: Dhrubodhi Mukherjee
Verletta Saxon
Publikationsdatum: 27.01.2018
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 3/2019
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-018-0237-9

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