Addressing Re-Admission Challenges in Brown County Community Treatment Center
Identified patterns of re-admissions in Brown County's Community Treatment Center indicate alcohol-related and behavioral/homelessness issues. Challenges in limiting re-admissions due to lack of accountability and EM1 contracts. Proposed solutions include monthly meetings and engaging outpatient services to prevent inappropriate readmissions. Seeking insights on how other counties handle re-admissions and manage intoxicated individuals making suicidal comments.
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Brown County Community Treatment Center NIATx 2015
Identified pattern of re-admissions 2014- 14% 30 day re-admission rate 54% were alcohol related 32% were behavioral or due to homelessness Average length of stay was 1-3 days.
Problems with limiting re-admits Almost all the re-admits were EM1 s Brown County contracts out our Crisis Services. No accountability for the EM1 s Brown County owns the psychiatric hospital. Once crisis and police implement an EM1 we must take them.
Ideas Hold monthly meetings with outpatient, crisis center and inpatient to review re-admits to draw attention to inappropriate admits and associate a cost to these admits. Engage outpatient for those chronic re-admits and develop other safety plans.
Your ideas? We do not receive the same type of admissions from other counties. How does your county defer re-admissions? How do you handle intoxicated individuals when they are making suicidal comments?