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Reducing Psychiatric Admissions Through Enhanced Mobile Response Strategies

The Rock Stars project aims to significantly reduce inpatient psychiatric admissions by 5% while increasing the frequency of mobile responses to mental health emergencies by 50%. Key changes include hiring 2.8 FTE limited term staff, transitioning to a Designated Crisis Worker model, and modifying protocols to improve efficiency. The results have shown a 58% increase in mobile crisis response rates and an annualized savings of $588,500 from decreased admissions, demonstrating improved community relations and resource leverage.

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Reducing Psychiatric Admissions Through Enhanced Mobile Response Strategies

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  1. Rock Stars Decreasing Admissions Increasing Mobility

  2. Project Aim Big Aim: Reduce Inpatient Psychiatric Admissions • Decrease inpatient costs by 5% Little Aim: Increase frequency of mobile responses to Mental Health Emergencies • Increase mobile responses by 50%

  3. Changes Hired additional 2.8 FTE limited term staff Identified “shift lead” supervisor to assign cases and direct traffic Transitioned to Designated Crisis Worker as “shift lead” Changed protocols to remove phone answering responsibilities from Crisis Workers

  4. Results

  5. Adopt Adapt Abandon Adapting the shift lead role from supervisor to CIW to Emergency Phone Worker Abandoned the use of extra LTE mobile crisis workers Adopting the designation of Psych Techs as emergency phone workers vs. Crisis Workers handling calls NEXT: Modify shift structure to maximize mobility 24 hours a day NEXT: Hire additional Emergency Phone Workers

  6. Impact 58% of mobile requests responded to by mobile Crisis Worker (58% increase) $588,500 annualized savings from decreased admissions (27% decrease) Improved relationships with community partners. Leverage of resources: additional 2.8 FTE staff in the 2012 budget as a direct result of our data

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