Facility-Based Crisis

Are you in crisis?

As part of our full continuum of services, PORT Health operates three Facility-Based Crisis units in eastern North Carolina. Our FBC units are staffed with qualified medical and clinical professionals to help individuals stabilize and recover in a safe and insulated environment. We have 25 facility-based crisis beds available for both scheduled and walk-in admissions. Prescribers, tele-medicine, and labs are located in each of our clinics so that prescribers and patients can work together effectively and efficiently.
 

PORT Health strives to deliver integrated treatment in an effective and seamless manner - from early crisis stabilization to acute symptom management, to counseling, to medication-assisted treatment (MAT). We use a patient-centered approach to create individualized treatment plans using our most up-to-date evidence-based practices.  With our three pillars of professionalism, compassion, and outcomes, each patient will receive treatment geared towards stabilization and prevention of future crises - treatment tailored to address "the whole person".
 

Contact PORT Health to start your recovery HERE.

FACILITY-BASED CRISIS CENTER

The PORT Health Services Facility-Based Crisis Center provides mental health/substance use crisis services by qualified personnel for Eastern North Carolina‘s thirty-three county region 24 hours a day, 7 days a week. The program is partially funded by the NC Division of MH/DD/SAS as a Cross Area Service Program (CASP).

The Crisis Unit provides services for individuals withdrawing from alcohol and/or other drugs, those in need of mental health/psychiatric stability, or a combination of both. Patients needing this service may be referred by:

  • Managed Care Organization (MCO)
  • Private physician‘s office
  • Emergency department
  • Private mental health/substance abuse provider
  • Self-referred within the eastern region of North Carolina
     

This service provides an alternative to hospitalization for adults who have a mental illness or substance abuse disorder. This is a 24-hour non-hospital medical facility that provides support and crisis services in a community setting. The length of stay is typically four-seven days, but will depend upon the identified crisis and what will clinically assist the patient in returning to pre-crisis status.

The program serves as an introduction to addiction education and the recovery process. The program is designed to address the following needs of the patients during their program stay:

  • Medical
  • Psychiatric
  • Social
  • Psycho-social
  • Psychological
     

While we provide clinical aid and evidence-based practices in our counseling, the importance of developing a plan for long-term recovery is emphasized. While receiving treatment, aftercare planning is a priority and information is provided to assist patients in the continuation of services following discharge from the Facility-Based Crisis Center.

A combination of treatment philosophies address the needs of the patient as they and their families seek treatment options, social supports, and prepare to reintegrate into their communities. The patients participate in a variety of therapeutic activities including but not limited to:

  • Individual counseling
  • Group counseling
  • Life skills
  • Recreational therapy
  • 12-step facilitation
  • Drug education
  • Medication management
  • Medication education

 

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.



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