Receiving medical care amid a crisis

Essential mental health crisis response services, supporting community providers, connecting first-time seekers with suitable assistance, and enhancing community relations during crises

Crisis Navigation Mastery

Preparedness Empowerment

Proactive Engagement Strategy

Community Synergy

Stabilization Efficiency in Crisis Stabilization Units

Crisis Stabilization Units

Crisis Stabilization Units (CSU) are specialized inpatient facilities with a capacity of fewer than 16 beds. They cater to individuals experiencing a mental health crisis whose needs cannot be safely addressed in residential service settings. CSUs are designed to offer a safe and secure environment, with the flexibility of admitting individuals on either a voluntary or involuntary basis. This flexibility allows for tailored care based on the specific requirements of the person in crisis while maintaining a less restrictive atmosphere compared to a traditional hospital setting. The primary goal of CSUs is to swiftly stabilize the individual and facilitate their return to the community, emphasizing a supportive and expedited transition from the crisis situation.

Components of an Effective Mental Health Crisis Service

Familiarity and Access:

One crucial aspect of effective mental health crisis response is being familiar with the available services and knowing how to access them. Individuals facing a mental health crisis, as well as those supporting them, should be informed about the resources within their community.

Outcome Improvement:

The level of preparedness in dealing with mental health crises is directly linked to the outcomes of such situations. A well-informed and prepared individual is more likely to contribute to a positive resolution when facing a crisis.

Proactive Approach:

Taking a proactive approach to understanding and accessing mental health services is crucial. Proactive individuals are better positioned to engage with the available resources, potentially preventing crises or ensuring a swifter response when they occur.

Community Involvement:

Collaboration with community resources is a fundamental aspect of an effective mental health crisis service. Engaging with local organizations, support networks, and mental health professionals creates a more comprehensive and responsive system.

Extended Observation Units (23-Hour Beds)

Extended Observation Units (EOUs), often referred to as 23-hour beds, serve as a distinct service or may be integrated within a Crisis Stabilization Unit (CSU). These units are suitable for individuals facing a crisis that can be effectively resolved within a timeframe of less than 24 hours. EOUs provide a focused and intensive treatment environment within a safe setting that is less restrictive than a conventional hospital.

Admission to an EOU is considered appropriate when individuals require short-term, concentrated care to address their immediate needs. The design of EOUs reflects an emphasis on creating an environment that is both safe and conducive to swift resolution, offering a viable alternative to more prolonged hospital stays. This model allows for targeted intervention, supporting individuals in crisis with the aim of achieving stabilization within a brief timeframe.

Hospitalization Overview

n certain circumstances, hospitalization becomes essential for intensive treatment. Secure mental health care environments comprise private psychiatric hospitals, general hospitals with dedicated psychiatric floors, or state psychiatric hospitals. Within these facilities, individuals can receive comprehensive treatment involving observation, diagnosis, medication adjustments, ECT treatments, stabilization, and the resolution of harmful living situations.

Voluntary Inpatient Admission

When both the individual and their healthcare provider concur on the advantages of inpatient treatment, voluntary admission becomes an option. It’s noteworthy that certain private hospitals may admit individuals exclusively on a voluntary basis.

Involuntary Hospitalization

In cases where individuals are significantly unwell and resist voluntary hospitalization, involuntary admission becomes a consideration. The legal criteria for involuntary hospitalization revolve around being assessed as a “danger to self or others.” This usually leads to a brief stay, typically up to 3 days, and extensions may occur, necessitating a court hearing.

Extension of Involuntary Hospitalization

Extending involuntary hospitalization requires a court hearing, during which a judge and two healthcare providers must agree on the continued necessity for hospitalization. The criteria for extension are governed by state-level rules, commonly focusing on immediate safety risks or severe disability.

Discharge Planning

 Prior to discharge, a pivotal step is crafting a plan in collaboration with a social worker or case manager. Family involvement holds significance, particularly for individuals returning home or needing substantial support. A meticulously devised discharge plan guarantees sustained, coordinated treatment and a seamless transition back to the community.

Day Hospitalization or Partial Hospitalization

Partial hospitalization offers care and supervision for individuals experiencing acute symptoms, provided they are not a threat to themselves or others. This approach allows individuals to go home in the evenings, minimizing disruption. It can also serve as a transitional step following inpatient hospital care before a full return home.

Emergency Rooms

In instances where obtaining treatment from a mental health center or health care provider is not feasible, or when a situation intensifies into an emergency with safety considerations, visiting an emergency room may become the only available option.

Situations that may necessitate a visit to the emergency room include:

A suicide attempt

Assault or threatening actions against another person

 Experiencing symptoms like hearing voices, paranoia, confusion, etc.

Drug or alcohol use concerns

If calling 911, it’s crucial to inform the operator that it is a “mental health emergency” and request emergency responders with Crisis Intervention Team (CIT) training. First responders are often better equipped to approach mental health situations effectively when adequately informed.

Upon arrival at the emergency room, individuals can expect to undergo registration, involving paperwork and questions about insurance, medical history, etc. Medical staff will promptly assess the urgency of care needed. A psychiatric examination will establish a “working diagnosis” and determine a plan of action. Treatment typically includes medications if needed, crisis counseling, an explanation of the situation, and a referral for further treatment after discharge.

Having a crisis plan outlining steps to prevent and handle crises can be instrumental in averting the escalation of emergencies.

Navigating Mental Health Crisis

If you or someone you know is navigating a mental health crisis, Psychplus is here to empower you through every step of the journey. Our comprehensive crisis response services, ranging from community support to specialized units like Crisis Stabilization Units (CSU) and Extended Observation Units (EOUs), are designed for efficient stabilization and a smooth transition back to community life.

Get in Touch

Take control of your mental health by accessing our carefully structured crisis response system. Whether considering voluntary or involuntary hospitalization, day hospitalization, or emergency room visits, we prioritize your well-being. To enhance community relations and provide comprehensive care, Psychplus is your partner in achieving mental wellness. Don’t wait; take the proactive step towards improved mental health. Book an appointment or give us a call today. Your journey to well-being begins with Psychplus – where comprehensive care meets compassionate support.