Mental illness is one of the leading disease burdens in the United States. In southeast Kansas, there are high rates of mental illness, substance abuse, and poverty, coupled with a health care provider shortage areas. The Community Health Center of Southeast Kansas (CHCSEK) in Pittsburg, Kansas, is a Federally Qualified Health Center that provides integrated healthcare in an underserved rural population area. The clinic developed the Management of Behavioral Health Emergencies procedure to help clinic staff respond and coordinate care for patients in a mental health crisis. The project objective was to assess the effectiveness, efficiency, and feasibility of a mental health crisis intervention in a rural mental health clinic. The study objectives include: a) reviewing the timeframe of a patient encounter and the timeframe for accessing emergency services and or a consultation; b) reviewing how both patient and staff safety were assured; c) evaluating if emergency services were obtained during the mental health crisis patient; and d) if CHCSEK staff collaborated with any outside emergency services and hospitals. A descriptive case study research design was used for this project. Data collection included information obtained from patient charts, incident reports, staff observations, and an anonymous online staff survey. The cases were chosen by the Behavioral Health and Addiction Services Clinic Director. Both exemplar and outlier cases of patients that presented to the Pittsburg clinic in mental health crisis occurring from November 2018 through August 2020 were chosen for this study. Data analysis followed theoretical propositions to answer the project objective. The concepts of time, safety and efficiency were analyzed. The comprehensive evaluation provided feedback and recommendations to clinic administration, behavioral health providers, and other stakeholders involved in managing patients in a mental health crisis at CHCSEK. The recommendations emphasized promoting high quality behavioral health care, patient and staff safety, and improved patient healthcare outcomes.
|School:||University of Kansas|
|School Location:||United States -- Kansas|
|Source:||DAI-B 82/7(E), Dissertation Abstracts International|
|Subjects:||Mental health, Nursing, Public health|
|Keywords:||Community health, Crisis intervention, Evaluation, Mental health crisis, Procedure|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be