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A Profile of Mental Health Crisis Response in a Rural Setting

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Abstract

Systems of crisis intervention are frequently difficult to operationalize; they are often described as crisis components rather than systems, fail to differentiate levels of crisis acuity, provide very limited fundamental utilization data, and are almost exclusively implemented in urban areas. A system of rural crisis intervention differentiating levels of acuity and fundamental utilization information was profiled. Implications for clinicians and administrators are presented. This system of crisis intervention was highly effective in reducing inpatient utilization with the help of crisis residential beds and partial hospitalization. Mobile response was infrequently used in this setting. Age and gender were important variables in mental health emergency situations. Use of acute crisis level services was rarely more than once. More systematic descriptions of crisis systems of care were encouraged.

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References

  • InstitutionalAuthorNameAmerican Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV) EditionNumber4 APA Washington D.C.

    Google Scholar 

  • InstitutionalAuthorNameAmerican Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders(DSM-III) EditionNumber3 APA Washington D.C.

    Google Scholar 

  • N. Brimblecombe G. O’Sullivan B. Parkinson (2003) ArticleTitleHome treatment as an alternative to inpatient admission: Characteristics of those treated and factors predicting hospitalization Journal of Psychiatric & Mental Health Nursing 10 683–687

    Google Scholar 

  • J. Callahan (1994) ArticleTitleDefining crisis and emergency Crisis 15 164–171 Occurrence Handle7729148

    PubMed  Google Scholar 

  • L. J. Cornelius G. M. Simpson L. Ting E. Wiggins S. Lipford (2003) ArticleTitleReach out and I’ll be there: Mental health crisis intervention and mobile outreach services to urban African Americans Health & Social Work 28 74–78

    Google Scholar 

  • W. S. Fenton J. S. Hoch J. M. Herrell L. Mosher L. Dixon (2002) ArticleTitleCost and cost-effectiveness of hospital vs residential crisis care for patients who have a serious mental illness Archives of General Psychiatry 59 357–364 Occurrence Handle10.1001/archpsyc.59.4.357 Occurrence Handle11926936

    Article  PubMed  Google Scholar 

  • L. E. Ferris K. L. Shulman J. I. Williams (2001) ArticleTitleMethodological challenges in evaluating mobile crisis psychiatric programs Canadian Journal of Program Evaluation 16 27–40

    Google Scholar 

  • L. E. Ferris C. DeSiato J. Sandercock J. I. Williams K. I. Shulman (2003) ArticleTitleA descriptive analysis of two mobile crisis programs for clients with severe mental illness Canadian Jouranl of public Health 94 IssueID3 233–237

    Google Scholar 

  • J. L. Geller J. H. Fisher M. McDermeit (1995) ArticleTitleA national survey of mobile crisis services and their evaluation Psychiatric Services 46 893–897 Occurrence Handle7583498

    PubMed  Google Scholar 

  • W. B. Hawthorne E. E. Green J. B. Lohr R. Hough P. G. Smith (1999) ArticleTitleAcute care in short term residential treatment and psychiatric hospital settings Psychiatric Services 50 401–406 Occurrence Handle10096647

    PubMed  Google Scholar 

  • M. Horvitz-Lennon S. T. Normand P. Gaccione R. G. Frank (2001) ArticleTitlePartial versus full hospitalization for adults in psychiatric distress: A systematic review of published literature American Journal of Psychiatry 158 676–685 Occurrence Handle10.1176/appi.ajp.158.5.676 Occurrence Handle11329384

    Article  PubMed  Google Scholar 

  • C. Munizza P. M. Furlan A. d’Elia M. R. D’Onofrio P. Leggero F. Punzo N. Vidini V. Villari (1993) ArticleTitleEmergency psychiatry: A review of the literature Acta Psychiatrica Scandinavica 88 IssueIDSuppl. 374 1–51

    Google Scholar 

  • G. R. Reding M. Raphelson (1995) ArticleTitleAround-the-clock mobile psychiatric crisis intervention: Another effective alternative to psychiatric hospitalization Community Mental Health Journal 31 179–187 Occurrence Handle10.1007/BF02188767 Occurrence Handle7789125

    Article  PubMed  Google Scholar 

  • A. M. Sullivan J. Rivera (2000) ArticleTitleProfile of a comprehensive psychiatric emergency program in a New York City municipal hospital Psychiatric Quarterly 71 123–138 Occurrence Handle10.1023/A:1004624319072 Occurrence Handle10832155

    Article  PubMed  Google Scholar 

  • M. J. Tacchi J. Suresh J. Scott (2003) ArticleTitleEvaluation of an emergency response service Psychiatric Bulletin 27 130–133 Occurrence Handle10.1192/pb.27.4.130

    Article  Google Scholar 

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Bonynge, E.R., Lee, R.G. & Thurber, S. A Profile of Mental Health Crisis Response in a Rural Setting. Community Ment Health J 41, 675–685 (2005). https://doi.org/10.1007/s10597-005-6427-2

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