About
23-Hour Crisis Stabilization provides ongoing assessment, crisis intervention and clinical determination for level of care to individuals experiencing a behavioral health crisis. Services are provided for a period of up to 23 hours in a community and center-based crisis stabilization setting including outpatient hospital settings that have an Outpatient Crisis Stabilization license. This service must be accessible 24/7 and is indicated for those situations wherein an individual is experiencing a behavioral health crisis and requires a safe environment for observation and assessment prior to determination of the next level of care. Although not required, 23-Hour Crisis Stabilization services typically co-locate with RCSUs as part of a continuum of crisis care.
23-Hour Crisis Stabilization is appropriate for individuals who have urgent behavioral health needs including but not limited to significant emotional dysregulation, disordered thought processes, substance use and intoxication resulting in behavioral crisis and environmentally de-stabilizing events that require multi-disciplinary crisis intervention and observation to stabilize the immediate crisis and determine the next appropriate step in the plan of care.
The goals of this service include but are not limited to:
• Opportunity for thorough assessment of crisis and psychosocial needs and supports throughout the full 23 hours of service to determine the best resources available for the individual to prevent unnecessary hospitalization.
• Assessment:
- Psychiatric evaluation
- Further diagnostic testing (drug screens, lab tests and monitoring for emergent medical needs), - Level of care determination
• Care Coordination:
- Screening and referral for appropriate behavioral health services and community resources.
• Crisis Intervention:
- Improvement of acute symptoms,
- Resolution of acute intoxication,
- Safety planning
• Health Literacy Counseling:
- Provision of medication (if clinically indicated) and monitoring of response
- Targeted education concerning diagnosis and treatments