Emergency Psychiatric Care The State of the Nation

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Emergency Psychiatric Care The State of the Nation Powered By Docstoc
					Suicide Shows Facility Crunch

              Patients wait days for beds

               Mentally Ill children stuck in hospital limbo
   22% of US Population has mental health
   Over 50% of adults & 70-80% of children not
    receiving any treatment for their mental illness
   Mental illness & addictive disorders leading
    causes of disability
   4.3 million mental health related
    ED visits in 2006
   Victims of disparities & fragmentation in care
   Limited access to care
   Seeking care in the ED which is not well
    resourced to provide appropriate care
-350,000 Public Inpatient Beds

+50,000 Private & General Beds
   Mental-health ED visits increased by 38%
    between 1992-2001
   Boarding twice as long as other patients – up
    to 10 days in some cases
   Impacts patient comfort, timeliness of care,
    quality of care for all
   Great state-to-state variation in involuntary
    committal process
   Variation in ED care from facility-to-facility and
   Lower prioritization for treatment than comparable
    illnesses & injuries
   [Insert local ED statistics – examples:]
       Current patient volumes by time of day and day of
       Mental illness/substance abuse diagnoses
       Admission rates
       Length of stay
       Boarding
       Current resources
       Current challenges in the provision of services
Provision of care to all emergency patients that
  meets the IOMs Six Quality Aims
   Emergency Care Psychiatric Clinical Framework
   ENA Position Statements on Mental Health &
    Substance Abuse Disorders
   ENA Advocacy Packet on Developing
    Community Collaborations for Emergency
    Mental Health Services
   ENA Educational Initiatives
   Right to access health care services in the most
    appropriate venue for condition
   Prioritization, resources and treatment based
    upon clinical presentation and equivalent to that
    provided for other illnesses and injuries
   Psychiatric and substance abuse conditions must
    be provided parity
   Emergency psychiatric services need to be
    consistent regardless of facility or time of day
   Comprehensive evaluation of available community
    intervention services
   Build a fully functional community-based mental health
    system offering a robust, effective, and well-coordinated
    balance of acute & longer-term care, inpatient and
    outpatient, community resources
   Enhance & support collaboration
   Identify & disseminate best practice models
   Support community intervention services to prevent crisis
   Support inter-operative data systems to coordinate care
   New sources of funding for demonstration
    projects in communities

   New models of public & private
    coordination of services
Our greatest weakness lies in giving up. The most
     certain way to succeed is always to try just
                  one more time.
                       -Thomas Edison

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