Crisis Services, An Issue of Psychiatric Clinics of North America

1st Edition, Volume 47-3 - August 12, 2024
Editors: Margie Balfour, Matthew Goldman
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 0 9 - 4
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 1 0 - 0

In this issue of Psychiatric Clinics, guest editors Drs. Margie Balfour and Matthew Goldman bring their considerable expertise to the topic of Crisis Services. Crisis services are… Read more

Crisis Services, An Issue of Psychiatric Clinics of North America

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In this issue of Psychiatric Clinics, guest editors Drs. Margie Balfour and Matthew Goldman bring their considerable expertise to the topic of Crisis Services. Crisis services are specially designed for people who need immediate, same-day access to psychiatric care. In this issue, top experts keep psychiatrists well-informed on mental health crisis intervention, including recent developments and major expansions to come.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Crisis System Design & Accountability
Mental Health Crisis Responses and (In)Justice: Intrasystem and Intersystem Implications
Key points
Introduction
Highlighted groups
Discussion
Summary
Clinics care points
Multidimensional Approaches to Quality Measurement and Performance Improvement in the Ideal Crisis System
Key points
Introduction
A balanced perspective
Quality metrics within the total system of healthcare
Frameworks and perspectives in crisis metrics
Summary
Clinics care points
The Crisis Continuum
The Journey Toward 988: A Historical Perspective on Crisis Hotlines in the United States
Key points
Brief history of crisis and suicide prevention hotlines in the United States
Substance Abuse and Mental Health Services Administration grant to network and certify crisis hotlines
Lifeline evaluation findings
National standards and practices
Lifeline network expansion before 988
988 and its impact on future behavioral health systems
Summary
Clinics care points
Disclosure
Community-Based Mental Health Crisis Response: An Overview of Models and Workforce Implications
Key points
Introduction
Non-law enforcement-based response models
Law enforcement-based response models
Special considerations
Discussion: how communities choose among models
Summary
Clinics care points
Crisis Receiving and Stabilization Facilities: Designing Systems for High-Acuity Populations
Key points
Introduction
Serving people with high acuity needs
Design thinking
Matching services to acuity
Core goals and capabilities of acute crisis care
Receiving Function: Rapid Drop-Off with a “No Wrong Door” Policy
First 24 Hours: Acute Behavioral Health Emergency Care
Beyond 24 hours: high-acuity crisis stabilization
Lower acuity crisis programs
Measuring quality and outcomes
Discussion
Receiving different levels of acuity
Designing to community and population needs
Care transitions and continuity of care
Least restrictive care from a systems perspective
The need for a common taxonomy
Summary
Clinics care points
Postcrisis Follow-Up and Linkage to Community Services
Key points
Introduction
The handoff that is not
Effective postcrisis services—the services that work
Connecting people to effective postcrisis services
The “care traffic control” philosophy
Using technology and information sharing to facilitate postcrisis continuity
Summary
Clinics care points
Clinical Practice in Crisis Services
Lessons of the Boom: A Playbook for Crisis Centers to Prevent, Survive, and Respond to Active Assailants, Targeted Violence, and Mass Violence
Key points
Introduction
Crisis services are uniquely well positioned to prevent violence
Left of boom: preventing violence by helping patients and preparing your team for serious violence
Boom: crisis engagement during active assailant events
Right of boom: recovering after tragedy
Protecting access and protecting clients and staff: crisis and emergency mental health services as targets
Summary
Clinics care points
Attending to Persons with Intellectual and/or Other Developmental Disorders in Crisis Settings
Key points
Introduction
Who are persons with intellectual and/or other developmental disorders?
Clinical considerations for persons with intellectual and/or other developmental disorders in crisis settings
Legal considerations for persons with intellectual and/or other developmental disorders in crisis settings
Strategies to support persons with intellectual and/or other developmental disorders in mobile crisis services, crisis stabilization, and inpatient services
Summary
Clinics care points
Policy, Design, and Critical Reflections on Behavioral Health Crisis Services for People Experiencing Homelessness
Key points
Introduction
Structural vulnerability and homeless crisis services
Overview of the ideal crisis system design
Tailoring accountability and finance for people experiencing homelessness in crisis
Crisis continuum capacity and components for people experiencing homelessness
Ideal clinical best practices for people experiencing homelessness in crisis
Summary
Clinics care points
Youth Crisis: The Current State and Future Directions
Key points
Introduction
Populations that experience behavioral health inequities
Innovations
Considerations
Summary
Clinics care points

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Crisis Services, An Issue of Psychiatric Clinics of North America

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Margie Balfour

Matthew Goldman