Crisis Screening

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LOCATION: NEWARK

SERVICE

Crisis Services provides primary emergency and crisis evaluation and treatment, both on-and off-site, through programs at two locations: the Psychiatric Emergency Service/Screening Center located in University Hospital's Emergency Department, and the Crisis Services Clinic located at University Behavioral Health Care in Newark. The Psychiatric Emergency Service Screening Center and the Crises Services Clinic operate 24 hours a day, seven days a week. Call 973-623-2323 for more information.

ADMISSION CRITERIA

The Psychiatric Emergency Service/Screening Center and the Crisis Services Clinic provide services for all adults and children presenting to the UBHC system of behavioral care for emergency psychiatric evaluation and treatment. All individuals presenting an emergent need of evaluation and treatment are provided services regardless of residence or ability to pay. The Screening Center additionally operates a mobile outreach program that provides off-site emergency evaluations. Criteria for mobile outreach evaluations include evidence of psychiatric impairment and dangerous behavior to oneself or others.

ACCESS 1.800.969.5300

Patients may obtain services by walking in, or by calling the Access Center or the 24 hour hotline, which serves both locations (University Hospital and University Behavioral Health Care). Crisis Services maintains active coordination/liaison relationships with other UBHC departments, with the inpatient psychiatric unit and medical units of University Hospital, University Hospital's Emergency Medical Service (EMS), local area hospitals, police departments, and other agencies in order to facilitate access. Staff is able to arrange transport of a patient in crisis. A screening outreach team is available 24 hours a day, seven days a week. When possible, telephone screening of referrals is conducted to determine the type of intervention required. Patients are also screened for need of primary medical treatment. Patients who are evaluated by the mobile outreach team, or who otherwise appear to require secure management, are evaluated at the Psychiatric Emergency Service/Screening Center at University Hospital, which provides a more secure setting.

ASSESSMENT

Evaluation procedures are comprehensive and supportive of a patient in crisis. Every effort is made to achieve a full understanding of the patient's needs and to consider various intervention and disposition alternatives. Information is obtained from current or past therapists, family members, and other collateral sources. Multidisciplinary consultations are always available.

CARE

Treatment begins simultaneously with evaluation procedures, and the service offers a full range of crisis stabilization modalities. These include crisis intervention with patients and families, pharmacological therapy, and utilization of 24-hour holding beds for stabilization. A psychiatrist is always on duly to provide intervention/consultation. Mental health clinicians and specialists, certified as mental health screeners through the New Jersey Division of Mental Health Services, conduct crisis/emergency evaluations and mobile outreach evaluations. Mental health clinicians conduct brief outpatient therapy through the Crisis Services Clinic. Additional responsibilities of clinicians and specialists include supervision of patients who are held for stabilization and crisis telephone service. Supervision of clinical activities and service administration are the responsibility of the Clinician Supervisor, Clinician Administrator and Medical Director. Staff participate in numerous liaison activities with the county acute-care system and related agencies.

DISCHARGE/TRANSFER

All patients not hospitalized are linked to the appropriate community resource. All referrals are confirmed with the receiving agency. Follow-up is provided to reinforce the plan or develop alternatives. Active coordination is maintained with UBHC services to ensure priority attention and exchange of information. Dispositions are reported to referring professionals. In the event that a patient who is referred for outpatient treatment would encounter an extensive delay for an initial appointment, Crisis Services will provide brief outpatient follow-up care through the University Behavioral Health Care locations until the patient can be transferred to the appropriate agency/department. Crisis Services participates in interagency coordinating efforts through the County Systems Review Committee.

LOCATION: PISCATAWAY

SERVICE

Acute Psychiatric Services (APS) provides primary psychiatric emergency and crisis intervention, both on and off-site, for individuals of all ages, including children and adolescents. These services are located on the Rutgers Biomedical and Health Sciences Piscataway campus in the UBHC facility located at 671 Hoes Lane, and are available 24 hours a day, seven days a week. Call 732-235-5700 for more information.

ADMISSION CRITERIA

APS is funded by the New Jersey Division of Mental Health and Addiction Services (DMHAS) as the Designated Screening Center for Middlesex County. As such, it is accessible to walk-ins and referrals on a 24/7 basis. APS also provides outreach services for adults, adolescents and children throughout Middlesex County, including correctional facilities. In addition, APS manages the child and adolescent inpatient admissions for the regional designated Children's Crisis Intervention Service (CCIS) and, as such, accepts referrals of children and adolescents from Screening Centers in Mercer, Somerset and Hunterdon counties.

ACCESS 1.800.969.5300

Patients may seek services by walking in or by calling. Crisis Services maintains active coordination/liaison relationships with other UBHC departments and outside agencies and hospitals in order to facilitate access. A screening outreach team is available on a county-wide basis. Youths are referred for assessment by local agencies or professionals. When possible, telephone screening is conducted to determine the type of emergency intervention or alternative recommendation. Patients are also screened for medical clearance. The patient is triaged upon arrival. Patients who are brought to the unit on an involuntary basis or who otherwise appear to require secure management can be safely assessed and treated in a secure area.

ASSESSMENT

Evaluation procedures are comprehensive and supportive of a patient in crisis. Every effort is made to achieve a full understanding of the patient's needs and for consideration of intervention and disposition alternatives. Information is obtained from current or past therapists, family members, and other collateral sources. Multidisciplinary consultations are always available.

CARE

Treatment begins simultaneously with evaluation procedures, and the service offers a full range of crisis stabilization modalities. These include crisis intervention with patients and families, pharmacological therapy, referral for various services i.e., acute inpatient treatment, acute partial day treatment, acute intensive child partial treatment, outpatient treatment and rehabilitation services. A psychiatrist is always on duty to provide medical intervention/consultation. Mental health clinicians conduct walk-in evaluations and brief outpatient therapy. Responsibilities of nurses and certified paraprofessionals include caring for patients, screening, outreach, and crisis telephone service. Supervision of clinical activities and service administration is the responsibility of the Clinician Administrator and Medical Director. Staff participates in numerous coordination/liaison activities with county acute-care systems.

DISCHARGE

All patients not hospitalized are linked to the appropriate community resource. Follow-up may be provided to support patients awaiting outpatient treatment. Follow up is provided to reinforce the treatment plan or develop alternatives. Active coordination is maintained with UBHC services to ensure priority attention and exchange of information. Dispositions are reported to referring professionals and primary care physicians whenever possible. The Acute Psychiatric Service participates in interagency coordinating efforts through the County Systems Review Committee.

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