Docstoc

Emergency Psychiatric Care The State of the Nation

Document Sample
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
    needs
   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
    patients
   Great state-to-state variation in involuntary
    committal process
   Variation in ED care from facility-to-facility and
    hour-to-hour
   Lower prioritization for treatment than comparable
    illnesses & injuries
   [Insert local ED statistics – examples:]
       Current patient volumes by time of day and day of
        week
       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
   SBIRT
   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

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:1
posted:9/4/2013
language:
pages:14