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Innovative Community-Based Crisis and Emergency Services

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Abstract

In order to appreciate the development of crisis and emergency care in psychiatry in its present form and the potential for innovations in the future, it is important to understand the evolution of psychiatric care in general. Individuals with mental illness have remained on the margins of society throughout our history. They have been subjected to various forms of mistreatment in many periods, both in community settings and in the asylum or state hospital systems. In the mid-nineteenth century, Dorothea Dix advocated for the humane treatment of the mentally ill, specifically requesting the creation of institutions that would “provide structure, security, and a healing environment” (Casher and Bess 2010) (see Chaps. 2 and 5 for details). By the late 1800s and early 1900s, many asylums were operated on the theory that moral approaches to care, characterized by staff and family support, productive activities, and a pleasant environment, was the proper way to treat insanity, and some of these ideas are reemerging today.

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References

  • Alexander, C., & Zealberg, J. J. (1999). Mobile crisis: Moving emergency psychiatry out of the hospital setting. New Directions for Mental Health Services, 82, 93–99.

    Article  PubMed  Google Scholar 

  • Allen, M., Foster, P., Zealberg, J., & Currier, G. (2002). APA Task Force on Psychiatric Emergency Services: Report and recommendations regarding psychiatric emergency and crisis services.

    Google Scholar 

  • Bengelsdorf, H., Church, J., Kaye, R., Orlowski, B., & Alden, D. (1993). The cost effectiveness of crisis intervention: Admission diversion savings can offset the high cost of service. The Journal of Nervous and Mental Disease, 181, 757–762.

    Article  PubMed  Google Scholar 

  • Berlin, S., & Fishkind, A. (2008). Structure and function of psychiatric emergency services. In R. Glick, S. Berlin, A. Fishkind, & S. Zeller (Eds.), Emergency psychiatry: Principles and practice. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Boudreaux, E., Allen, M., Claassen, C., et al. (2009). The Psychiatric Emergency Research Collaboration-01: Methods and results. General Hospital Psychiatry, 31, 515–522.

    Article  PubMed  Google Scholar 

  • Brown, J. (2005). Psychiatric emergency services: A review of the literature and proposed research agenda. Psychiatric Quarterly, 76(2), 139–165.

    Article  PubMed  Google Scholar 

  • Byatt, B., & Glick, R. (2008). Safety in the psychiatric emergency service. In R. Glick, S. Berlin, A. Fishkind, & S. Zeller (Eds.), Emergency psychiatry: Principles and practice. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Casher, M., & Bess, J. (2010). Manual of inpatient psychiatry. New York: Cambridge University Press.

    Book  Google Scholar 

  • Fenton, W., Mosher, L., Herrell, J., & Blyler, C. (1998). Randomized trial of general hospital and residential alternative care for patients with severe and persistent mental illness. The American Journal of Psychiatry, 155, 516–522.

    PubMed  Google Scholar 

  • Geller, J. L., Fisher, W. H., & McDermeit, M. (1995). A national survey of mobile crisis services and their evaluation. Psychiatric Services, 46, 893–897.

    PubMed  Google Scholar 

  • Gillig, P. (1995). The spectrum of mobile outreach and its role in the emergency service. New Directions for Mental Health Services, 67, 13–20.

    Article  PubMed  Google Scholar 

  • Greenfield, T., Stoneking, B., Humphreys, K., Sundby, E., & Bond, J. (2008). A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis. American Journal of Community Psychology, 42, 135–144.

    Article  PubMed  Google Scholar 

  • Guo, S., Biegel, D., Johnsen, J., & Dyches, H. (2001). Assessing the impact of community-based mobile crisis services on preventing hospitalization. Psychiatric Services, 52(2), 223–228.

    Article  PubMed  Google Scholar 

  • Joy, C. B., Adams, C. E., Rice, K. (2008). Crisis intervention for people with severe mental illness (review). The Cochrane Collaboration, 4, 1–57.

    Google Scholar 

  • Lloyd-Evans, B., Slade, M., & Jageilska, D. (2009). Residential alternatives to acute psychiatric hospital admission: systematic review. The British Journal of Psychiatry, 195, 109–117.

    Article  PubMed  Google Scholar 

  • McQuistion, H. L., Almeida, C., & Nossel, I. (2008). Emergency psychiatric services for people who are homeless: Intervention, linkage and recovery. In R. Glick, S. Berlin, A. Fishkind, & S. Zeller (Eds.), Emergency psychiatry: Principles and practice. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Menikoff, A. (1999). Psychiatric home care: Clinical and economic dimensions. San Diego: Academic.

    Google Scholar 

  • Patel, R. (2008). Crisis residential settings. In R. Glick, S. Berlin, A. Fishkind, & S. Zeller (Eds.), Emergency psychiatry: Principles and practice. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Scott, R. (2000). Evaluation of a mobile crisis program: Effectiveness, efficiency, and consumer satisfaction. Psychiatric Services, 51(9), 1153–1156.

    Article  PubMed  Google Scholar 

  • Stroul, B. (1988). Residential crisis services: A review. Hospital & Community Psychiatry, 39, 1095–1099.

    Google Scholar 

  • Wellin, E., Slesinger, D., & Hollister, C. D. (1987). Psychiatric emergency services: Evolution, adaptation, and proliferation. Social Science & Medicine, 24(6), 475–482.

    Article  Google Scholar 

  • Zealberg, J. J., Santos, A. B., & Fisher, R. K. (1993). Benefits of mobile crisis programs. Hospital & Community Psychiatry, 44, 16–17.

    Google Scholar 

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Correspondence to Deepika Sabnis MD .

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Sabnis, D., Glick, R.L. (2012). Innovative Community-Based Crisis and Emergency Services. In: McQuistion, H., Sowers, W., Ranz, J., Feldman, J. (eds) Handbook of Community Psychiatry. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3149-7_31

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