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KARE Center NIAT x Beds

KARE Center NIAT x Beds. Change Leaders: Andrea Buckley & Lauren Giannakopoulos Niat x team: Eunice Boatin, Kristin Palmer, Jeni Parkinson, & tarus Griffin. AIMS and Baseline data.

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KARE Center NIAT x Beds

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  1. KARE Center NIATx Beds Change Leaders: Andrea Buckley & Lauren Giannakopoulos Niatx team: Eunice Boatin, Kristin Palmer, Jeni Parkinson, & tarus Griffin

  2. AIMS and Baseline data • Reduce amount of Emergency Detentions that do not result in court orders. In 2017, approximately 36% of EDs did not result in court orders. • Reduce the amount of EDs on consumers who initially present seeking voluntary hospitalization but no voluntary beds available (In 2017, 25% of all unnecessary EDs were on consumers initially seeking voluntary. This accounted for approximately 7% of all EDs)

  3. Baseline Data Continued: 2018

  4. THE CHANGE  NIATx BEDS (June 1, 2018-June 30, 2018) • Utilized two additional “emergency” NIATx beds for individuals who sought voluntary hospitalization but no beds were available and would then be at risk for being detained • Implemented NIATx bed procedure and script for Adult Crisis Workers • Implemented mandatory psychiatric provider visit at the KARE Center the next business day • Offered crisis case management referral, and, if refused, Adult Crisis follow up

  5. The Results • NIATx Beds Utilized: 11 • Emergency Detentions from NIATx consumers: 1 • Average Length of stay: 3.4 days • 9 of 11 saw providers next business day • 5 referred to CCM, 1 already in CCS, 1 was detained, 3 refused and had AC follow up • One family care referral

  6. Next Steps: Adopt • KARE Center scheduled to received funding for 16 beds. KHDS should consider implementing at least 1 permanent reserved bed as an alternative to emergency detention. • Since April 2018, there were 6 instances where 5 or more consumers were unable to utilize KARE Center services due to beds being full.

  7. Emergency Detentions Data since June 2018 9 unnecessary Emergency Detentions since June

  8. Impact Costs Benefits Reimbursement for KARE Center clients who have MA Uphold right of consumer who initially sought voluntary by keeping them in the least restrictive environment Referred to KHDS programs and other community resources, additional revenue Can build trust in the agency and make consumers aware of services offered • Average cost per day at WMHI: $1,000+ • Congestion • Court scheduling • Emergency Rooms • Cost to law enforcement • Transport at time of emergency detention • Transport to court • KHDS discharge planning for consumers not on orders

  9. Next steps • Obtain approval for adoption of permanent reserved bed as an alternative to emergency detention • Continue to provide alternatives to emergency detention/hospitalization • Reviewing KHDS’ use of crisis plans as second project

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