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Dissertation/Thesis Abstract

Evaluating a Mental Health Crisis Intervention Program in a Rural Community Health Center
by Roecker, Kayla, D.N.P., University of Kansas, 2021, 39; 28002793
Abstract (Summary)

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.

Indexing (document details)
Advisor: Busenhart, Cara
Commitee: Whitney, Lucinda
School: University of Kansas
Department: Nursing
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
Publication Number: 28002793
ISBN: 9798557093651
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