Individuals seen in adult crisis services are diverse and range from persons who are severely and persistently mentally ill to those seeking assistance for acute psychiatric crisis or drug and alcohol dependence. Sixty percent of clients have a severe mental illness; the remainder are experiencing a more acute disorder. Most clients, whether on an involuntary or voluntary legal status, are highly vulnerable; they may be delusional and actively hallucinating, depressed, confused regarding the management of life situations and often have acute (and complicating) medical problems. Acute drug and alcohol intoxication is often a factor in complicating the assessment and increases the potential for danger to the client and others. Usually provider and family support systems are exhausted and have most often reached their capacity to meet the person’s needs.
Emergency services are available 24 hours a day, seven days a week. Services provided are crisis intervention and diagnostic assessment. Emergency Services Is the intake component of adult crisis services. The staff has responsibility for determining the urgency of the situation, assessing the vulnerability and/or dangerousness of a person and making decisions regarding referrals to outpatient care, crisis stabilization services or hospitals, and for providing case management to link clients to a community resource. The program operates a hotline service providing crisis counseling, phone triage and information and referral.
Services are available within Lucas County 24 hours a day, seven days a week. Services include crisis intervention and diagnostic assessment and transport.
Outreach is designed to assure treatment in the least restrictive environment and assure specialized transportation for those who are vulnerable. Assessments may be conducted in the field where the client is located. This includes the client’s residence, shelters, hospital emergency rooms, correctional facilities and other social service or health care agencies.
Services are available for admission of clients 24-hours a day, seven days a week. Services provided on this 11 bed residential unit include crisis intervention, counseling, medication management, and residential treatment. The CSU is a residential treatment program designed as a realistic alternative to inpatient care and to provide safety and security for those who are vulnerable and may or may not meet the clinical criteria for hospitalization. The program is structured to assure rapid psychiatric stabilization and timely reintegration with natural support systems. An individual treatment plan is immediately established and crisis resolution may include psychiatric evaluations, administration and monitoring of medication, medication education and individual and group interventions focused on stabilization and reintegration with community support systems. The unit is highly utilized and admits 120-140 persons per month.
