EDITORIAL: Sacramento County gives much needed focus on care for mentally ill people
Sacramento Bee (CA)Mar 30, 2015
The biggest problem with the county's system of care is that it relies too much on hospital emergency rooms, which are the most expensive and least effective way of helping the mentally ill.
Because programs run or funded by the county are difficult to navigate and often filled to capacity, the easiest way for a person with a mental health crisis to get help is to go to an emergency room.
But that's good for neither the patient nor the system, because emergency rooms are ill equipped to deal with them and their behavior can be disruptive to others who are waiting for treatment.
Responding to this flood of patients, emergency rooms have been transferring people to local psychiatric hospitals, which are expensive and can be more than a person in distress really needs. The county pays
The county's own
What's needed are more places where people in crisis can get care and become stable in a supportive environment before returning to their homes, a homeless shelter, or even back to the streets -- if that's where they are inevitably headed.
These places are commonly known as Residential Crisis Units, and
Last week, the
The county's staff is expected to return to the board with a full plan within 90 days. That strategy is expected to include sending county mental health staff members to emergency rooms and the
All of this sounds like a healthy change. The county also should consider reopening its own Crisis Stabilization Unit, which would be one more option for intermediate-level care that would have more support than a residential facility but not be as expensive as a psychiatric hospital.
The long-term goal should be to make sense of a hodgepodge of overlapping and sometimes conflicting priorities and programs, so people in crisis can find the help they need, and the people who are expected to treat them can do so in a way that does more than just patch them up and send them back where they came from.
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