{"title":"The Living Room, a community crisis respite program: Offering people in crisis an alternative to emergency departments","authors":"M. Heyland, C. Emery, M. Shattell","doi":"10.7728/0403201301","DOIUrl":null,"url":null,"abstract":"Objective: To describe The Living Room, a community crisis respite center that offers individuals in crisis an alternative to obtaining services in an emergency department (ED). Methods: This article describes the problems individuals in a mental health crisis may encounter in traditional EDs and explains how The Living Room addresses these problems. The Living Room’s development, setting, staffing and procedures are described in order to promote increased use of this type of program. Results: In its first year of operation, The Living Room hosted 228 visits by 87 distinct individuals (termed “guests”). Guests were deflected from EDs on 213 of those visits – a 93% deflection rate. These deflections represent a savings of approximately $550,000 to the State of Illinois since guests of The Living Room are overwhelmingly individuals with Medicaid or no insurance of any kind. On 84% (n=192) of the occurrences in which guests were deflected from EDs, they alleviated their crises sufficiently to decide to leave The Living Room and return to the community. These guests reported an average decrease of 2.13 points on the Subjective Units of Distress Scale. Conclusions: Community crisis respite centers such as The Living Room represent an important alternative to EDs by remedying many criticisms of traditional EDs made by individuals in crisis. Outcomes from The Living Room’s first year of operation suggest that community crisis respite centers are cost-effective, effective in helping many individuals alleviate crises, and have the potential to decrease the use of EDs for mental health crisis.","PeriodicalId":87260,"journal":{"name":"Global journal of community psychology practice","volume":"47 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2013-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"12","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global journal of community psychology practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7728/0403201301","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 12
Abstract
Objective: To describe The Living Room, a community crisis respite center that offers individuals in crisis an alternative to obtaining services in an emergency department (ED). Methods: This article describes the problems individuals in a mental health crisis may encounter in traditional EDs and explains how The Living Room addresses these problems. The Living Room’s development, setting, staffing and procedures are described in order to promote increased use of this type of program. Results: In its first year of operation, The Living Room hosted 228 visits by 87 distinct individuals (termed “guests”). Guests were deflected from EDs on 213 of those visits – a 93% deflection rate. These deflections represent a savings of approximately $550,000 to the State of Illinois since guests of The Living Room are overwhelmingly individuals with Medicaid or no insurance of any kind. On 84% (n=192) of the occurrences in which guests were deflected from EDs, they alleviated their crises sufficiently to decide to leave The Living Room and return to the community. These guests reported an average decrease of 2.13 points on the Subjective Units of Distress Scale. Conclusions: Community crisis respite centers such as The Living Room represent an important alternative to EDs by remedying many criticisms of traditional EDs made by individuals in crisis. Outcomes from The Living Room’s first year of operation suggest that community crisis respite centers are cost-effective, effective in helping many individuals alleviate crises, and have the potential to decrease the use of EDs for mental health crisis.
目的:描述客厅,一个社区危机喘息中心,为危机中的个人提供在急诊科(ED)获得服务的替代方案。方法:这篇文章描述了精神健康危机的个体在传统急诊科可能遇到的问题,并解释了《客厅》如何解决这些问题。客厅的发展,设置,人员配置和程序的描述,以促进这种类型的程序的使用增加。结果:在第一年的运营中,客厅接待了来自87个不同个体(称为“客人”)的228次访问。其中有213次访客被转走了——转走率为93%。这些调整为伊利诺伊州节省了大约55万美元,因为《客厅》的客人绝大多数是有医疗补助或没有任何保险的个人。在84% (n=192)的事件中,客人被转移到ed,他们充分缓解了他们的危机,决定离开客厅,回到社区。这些客人在主观痛苦量表上平均下降了2.13分。结论:像The Living Room这样的社区危机缓解中心通过弥补危机中个人对传统急诊的许多批评,代表了一个重要的替代方案。“客厅”第一年运作的结果表明,社区危机缓解中心具有成本效益,能有效地帮助许多人缓解危机,并有可能减少急诊室对精神健康危机的使用。