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Published in: Community Mental Health Journal 3/2019

01-04-2019 | Original Paper

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

Authors: Dhrubodhi Mukherjee, Verletta Saxon

Published in: Community Mental Health Journal | Issue 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.
Literature
go back to reference Alakeson, V., Pande, N., & Ludwig, M. (2010). A plan to reduce emergency room ‘boarding’ of psychiatric patients. Health Affairs, 29(9), 1637–1642.CrossRefPubMed Alakeson, V., Pande, N., & Ludwig, M. (2010). A plan to reduce emergency room ‘boarding’ of psychiatric patients. Health Affairs, 29(9), 1637–1642.CrossRefPubMed
go back to reference 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 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
go back to reference 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 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
go back to reference Hilty, D. M., Luo, J. S., Morache, C., et al. (2002). Tele-psychiatry: An overview for psychiatrists. CNS Drugs, 16, 527–548.CrossRefPubMed Hilty, D. M., Luo, J. S., Morache, C., et al. (2002). Tele-psychiatry: An overview for psychiatrists. CNS Drugs, 16, 527–548.CrossRefPubMed
go back to reference Johnson, S. R. (2014). Ruling could spur action to address psychiatric boarding crisis. Modern Healthcare, 44(35), 8.PubMed Johnson, S. R. (2014). Ruling could spur action to address psychiatric boarding crisis. Modern Healthcare, 44(35), 8.PubMed
go back to reference Kanel, K. (2014). A guide to crisis intervention. Cengage Learning. Kanel, K. (2014). A guide to crisis intervention. Cengage Learning.
go back to reference Lighter, D. (2011). Basic healthcare performance improvement: A lean Six Sigma approach. Jones and Bartlett: New York. Lighter, D. (2011). Basic healthcare performance improvement: A lean Six Sigma approach. Jones and Bartlett: New York.
go back to reference Maxwell, J. A. (2013). Qualitative research design: An interactive approach. Sage: New York. Maxwell, J. A. (2013). Qualitative research design: An interactive approach. Sage: New York.
go back to reference Nicks, B. A., & Manthey, D. M. (2012). The impact of psychiatric patient boarding in emergency departments. Emergency Medicine International, 2012. Nicks, B. A., & Manthey, D. M. (2012). The impact of psychiatric patient boarding in emergency departments. Emergency Medicine International, 2012.
go back to reference 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. 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.
go back to reference Oliver, J. E. (2015). Feature article: Mental health crises and hospital emergency departments. Developments In Mental Health Law, 34(1), 6–17. Oliver, J. E. (2015). Feature article: Mental health crises and hospital emergency departments. Developments In Mental Health Law, 34(1), 6–17.
go back to reference Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 et seq. 2010. Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 et seq. 2010.
go back to reference 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 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
go back to reference Rosenberg, J., & Rosenberg, S. (2012). Community mental health challenges for 21st century. New York: Rutledge. Rosenberg, J., & Rosenberg, S. (2012). Community mental health challenges for 21st century. New York: Rutledge.
go back to reference Sample, H. N. I. (2007). Agency for healthcare research and quality, Rockville, MD, 2009. Sample, H. N. I. (2007). Agency for healthcare research and quality, Rockville, MD, 2009.
go back to reference 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. (2005). The shortage of public hospital beds for mentally ill persons. Virginia: Treatment Advocacy Center.
go back to reference 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. 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.
go back to reference Trickett, E. J. (2009). Community psychology: Individuals and interventions in community context. Annual Review of Psychology, 60, 395–419.CrossRefPubMed Trickett, E. J. (2009). Community psychology: Individuals and interventions in community context. Annual Review of Psychology, 60, 395–419.CrossRefPubMed
go back to reference 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 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
go back to reference Zeller, S. L. (2010). Treatment of psychiatric patients in emergency settings. Primary Psychiatry, 17(6), 35–41. Zeller, S. L. (2010). Treatment of psychiatric patients in emergency settings. Primary Psychiatry, 17(6), 35–41.
Metadata
Title
“Psychological Boarding” and Community-Based Behavioral Health Crisis Stabilization
Authors
Dhrubodhi Mukherjee
Verletta Saxon
Publication date
01-04-2019
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 3/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-018-0237-9

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