Facility-Based Crisis

Upon the order of the attending physician, the Facility Based Crisis program shall accept for admission individuals in need of stabilization services as a result of the use or abuse of alcohol or drugs, a psychiatric crisis/mental illness, or a co-occurring illness. The following are general admission guidelines including eligibility and ineligibility:

• Patients meeting special population criteria (HIV/AIDS, IV Drug Users, and pregnant women) are given priority status during admission as well as in determining aftercare plans.
• The individual must be able to complete all activities of daily living independently.
• Patient’s medical condition must be such that he/she can be reasonably treated in a medical, non-hospital setting and does not require nursing care or emergency medical care. Certain medical conditions may require medical evaluation which may preclude or exclude certain admissions.
• Any need for hospitalization has been ruled out and the person being referred must be able to function within a non secure facility and participate in structured program activities.
• No legal restraints exist that would interfere with treatment.
• The individual must have the cognitive ability to process program information and behavioral dynamics.
• The individual served must be compliant with medications and will not require forced medications and not in need of IV medications and/or fluids.

The PHS Facility Based Crisis Programs are designed to assist individuals who may:

• Have a diagnosed mental illness or substance use disorder and in need of active professional monitoring and treatment of behavior, mood and thought disorder that may prevent de-compensation and/or hospitalization.
• Beat imminent risk of experiencing withdrawal symptoms and have a diagnosis of Dependence per current DSM.
• Have had difficulty making sufficient clinical gains within a traditional outpatient setting or may be ready for discharge from an inpatient setting, but may be in need of daily monitoring and support.
• Experience toxic effects from psychotropic drugs, alcohol, prescription, and/or illegal drugs.
• Have a need for supervised medication management.
• Have depression.
• Experience suicidal or homicidal ideations or thoughts; however individuals who are actively suicidal or homicidal or actively demonstrating suicidal or homicidal gestures are not appropriate.
• Experience a gross dysfunction in ability to care for self due to:
  • Severe anxiety
  • Panic
  • Obsessive Compulsive Behavior
  • Alcohol/Drug abuse or dependence
• Experience hallucinations.
• Experience disorientation or have memory impairment.