Upstream Crisis Intervention is the fourth phase of our Alternate Destination Program which began in 2010 when our ALS ambulances began transporting low acuity patients to neighborhood healthcare centers.
It is a typical night in the Emergency Department (ED); the waiting room is crowded and a patient arrives in need of a mental health evaluation.
Emergency departments are more frequently being used for acute psychiatric emergencies and struggling to meet patient demand.
It's a common problem for many hospitals. Patients arrive in the ED who need to be admitted, but there are no available beds elsewhere in the hospital.
Grady Memorial Hospital, one of the nation's oldest and best-known public hospitals, announced last month that it would cut about 300 jobs in order to reduce 2004 costs by $11 million.
Until recently, the Regional Medical Center in Memphis (The MED) had been experiencing a crisis facing many of the nation's hospitals: ED overcrowding. But within the past year their ED throughput has been halved from eight hours to four hours.
Providing Healthcare for the Acute Mentally Ill: A Community Response
It All Began with . . . a Friendly Invitation