In the last few years, nearly a dozen US states have determined it was time to end the “Not Top Ten.” This decision is leading to an investment of hundreds of millions with a new level of expectation for psychiatric crisis services; crisis stabilization facilities, crisis respite, mobile crisis and high-tech crisis call centers.
What is the “Not Top Ten?” On Super Bowl Sunday, it’s easy to think about the plays that made SportsCenter for the wrong reasons.Seattle is playing today in part because their last minute onside kick against the Packers in the NFC Championship slipped through a tight end’s hands and bounced off his head and away. Ouch.
We have our own “Not Top Ten” when it comes to crisis services and their coordination. What does it look like? SportsCenter… roll the tape.
Coming in at #10 – Shotgun Referrals…
Individuals who need more intensive residential care are referred by fax to multiple facilities all at the same time, because the crisis center/ER knows that most agencies will deny and/or not respond in a timely fashion
#9 – Who’s on First?
The first facility giving acceptance is where the individual goes without regard to the person’s preference, how far away the facility is from family supports, etc.
#8 – I’m Stuck!
There’s no way to really know if someone is stuck in an Emergency Department unless the staff make noise (squeakiest gets grease)
#7 – Cherries for Everyone
Receiving facility staff may sift through all referrals, and pick out the ones that will be easier in their milieu
#6 – Through the Cracks
No one knows how many are being sent home without care and/or walk out of the ED against medical advice
#5 – Calling & Waiting
Communication depends on numerous phone calls and faxes. ED staff and crisis facility staff make and field numerous phone calls about each case. If nurses at either facility are busy, the other must wait for call backs. No time frames are set for receiving facilities to give referral decisions
#4 – Just Following Protocol
Costly, invasive and time consuming medical tests are often required unnecessarily.
Interested in learning #3, #2 and #1 in the Not Top Ten list of crisis coordination? Join us at the National Council Conference in Orlando, April 20 – 22 and participate in our second annual Crisis Track. More importantly than revealing the bottom three, we’ll be highlighting superstar programs and showing you how to achieve similar success, with services that quantify both their outcomes and cost-avoidance.
We are in the process of confirming invited speakers for the preliminary agenda below. Also, keep on the lookout for a crisis services survey, the results of which will be shared in Orlando. Space is limited in the preconference, so reserve your slot today!
Half-Day Preconference (Sunday Afternoon, April 19)
“Supercharge Your Crisis Services to Next Generation Status in 90 Days.” Join us for the #NatCon15 crisis services pre-conference university where you will build your own rapid action plan, build your business case and improve your results quickly and inexpensively while meeting funding expectations
- National expert leadership David Covington, Vijay Ganju and Richard McKeon will partner with crisis systems leaders to give a how-to on measuring and reporting cost-avoidance
- County, state and health plan leaders will share success stories and give an inside view of what they are looking for with investments in crisis, including Larry Goldman from Value Options and Gabriella Guerra from Mercy Maricopa Integrated Care
Crisis Track Lunch & Learn
- “Where Addiction, Recovery and Crisis Services Meet Together.” John Hogeboom and Community Bridges began crisis services in 2002 with the LARC detox (Local Alcohol Reception Program), but have evolved into an industry leader with 24/7 outpatient, co-located short-term residential, a strong peer workforce and fully integrated care.
Crisis Track Town Hall
- Crisis Responders Town Hall (Moderated by David Covington and Cheryl Sharpe, with Becky Stoll). Join colleagues from around the country who are committed to improving crisis services for people with mental illnesses and substance use disorders to review a national survey of crisis services and plan next steps. Lunch provided in the room.
Crisis Track Workshops
- “Suturing in the Field: Innovative Mobile Crisis Partnerships with First Responders.” Three creative upstream collaborations with first responders and crisis systems: Tom McSherry on CPR, Inc. with Mesa Fire in Arizona, Wendy Schneider on Behavioral Health Link with Grady Memorial Hospital in Georgia and Lorraine Chamberlain with AMHC on crisis collaborations in Maine.
- “Fascinating. Star Trek’s Mr. Spock on the New Crisis Services Technologies.” With today’s advances in the area of technology Americans have come to rely on the use of smart phones, tablets, and computers to make their lives easier. Centerstone America’s Becky Stoll and @crisistextline’s Jen James will moderate a look at next generation tools for crisis systems to better serve those experiencing behavioral health emergencies.
- “Transformational Crisis Services: Peers Bring Unique Mix of New Approaches.” Sera Davidow, Western Massachusetts Recovery Learning Community and Thomas Lane, Magellan Health will overview peer-run respite, warm lines, and wellness centers as trauma-informed alternatives to hospitalization. Will include outcomes and lessons learned at Afiya House, a peer-run respite program in Massachusetts. Presenters will also discuss financing strategies and training options.
- “We’re Not the Only State with a ‘Boarding’ Problem: Community Connections and Solutions from Washington State.” Harbor View Medical Center’s Laura Collins on methods to avoid having people stay long periods in EDs, including electronic bed inventory solutions, and how to create your own plan for these community connections.
- “Here There Be Dragons: New Voices in Suicide.” Suicide Attempt Survivors Dese’Rae Stage, DeQuincy Lezine and Craig Miller who have been published and featured in the New York Times on how they lived through suicide. Moderated by David Covington.
Note: Read about the National Council’s first-ever crisis track in 2014: Time for Crisis is Now