33. When Inpatient Isn’t an Option. Where to Stay in a Crisis

In this episode, we delve into the crucial topic of crisis services and the importance of knowing where to turn when inpatient isn't an option. Join us as we explore various levels of care available during crises, including crisis residential, subacute, and access centers. First, we break down the differences between crisis residential and community-based crisis stabilization, and shed light on the purpose of access centers. Next, we focus on the data surrounding substance use treatment facilities and the intricacies of subacute care, clarifying its definition and scope. Lastly, we tackle the challenges faced by access centers in Iowa and discuss legislative efforts to expand the definition of subacute care. Tune in for a comprehensive discussion on navigating crises with patience and understanding.In this episode, you will be able to:Understand the roadmap for navigating behavioral health systems.Discover the options available for crisis residential treatment.Gain insights into the role and benefits of subacute care in mental health.Learn about the importance of integrating behavioral and physical health care.Explore the significance of secure residential facilities in behavioral health care.The key moments in this episode are:00:00:02 - Introduction to the Podcast 00:02:34 - Understanding Crisis Residential and Subacute 00:07:24 - Defining Subacute Care 00:10:44 - Access Centers and their Role 00:11:58 - The History of Access Centers 00:12:50 - The Purpose of Access Centers and Subacute Care 00:13:21 - Confusion and Misunderstanding 00:13:52 - Role of Crisis Residential and Stabilization Units 00:14:13 - Towards a Collaborative Care Model 00:15:24 - Challenges of Subacute Care 00:25:53 - The Shift Towards Whole-Person Healthcare Integration 00:27:01 - Secure Residential Facilities and Medicaid Funding 00:28:32 - Exploring Locked Residential Care 00:32:23 - Self-Care and Personal Boundaries 00:35:17 - Navigating Levels of Care in Behavioral Health Links:https://www.politico.com/news/2024/01/01/mental-hospitals-drug-users-congress-00132671https://bhbusiness.com/2024/02/05/cms-new-behavioral-health-model-illustrates-ongoing-effort-to-push-value-based-care-integration-forward/?euid=ffe4958e2b&utm_source=bhb-newsletter&utm_medium=email&utm_campaign=324bfbf3de&mc_cid=324bfbf3de&mc_eid=ffe4958e2bhttps://www.cms.gov/files/document/ibh-fact-sheet.pdfConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on Youtube: https://youtu.be/gZdWLc0KL5I