190 likes | 402 Views
WESTERN MO MENTAL HEALTH CENTER. Child and Adolescent UnitDesigned for 10 beds, but staffed for fewerAcute psychiatric inpatientFront Door
E N D
1. NORTHWEST REGION CHILDREN’S SERVICES
2. WESTERN MO MENTAL HEALTH CENTER Child and Adolescent Unit
Designed for 10 beds, but staffed for fewer
Acute psychiatric inpatient
Front Door – Emergency Room typically, frequently Central or Regional Office recommendation
3. WMMHC Stats Approximately 200 admissions in a year
Mood Disorder, Not Otherwise Specified by far the most frequent diagnosis (7x more frequently given than the next diagnosis which was Psychotic Disorder, NOS)
Approximately 45% referred by family/relatives
Approximately 25% referred by courts/law enforcement
10% were involuntary commitments
4. WMMHC Stats 17% had dual diagnoses of MI/DD
Payor Sources
38% Medicaid
33% MC+ Managed Care
17% “guest of the state”
12% private insurance
5. WMMHC Statistics Average Length of Stay 11.5 days with a range from 2-126 days (10% exceeded 30 days)
Of the 10%, the classic presentation was
Dually diagnosed with MI/DD
Extreme Behavioral Presentations (typically aggression)
Co-occurring medical conditions
Multiple admissions to inpatient services
6. Complicated Medical Conditions One youth had the following medical conditions on Axis III
HYPOTHYROIDISM UNSPEC
OBESITY UNSPEC
TEAR FILM INSUFFIC UNSPEC
ALLERGIC RHINITIS UNSPEC
ESOPHAGEAL REFLUX
UNSPEC CONSTIPATION
ACUTE DERMATITIS SOLAR RAD
OBSTRUCTIVE HYDROCEPHALUS
STEVENS-JOHNSON SYNDROME
OTHER CONVULSIONS
OTHER DRUG ALLERGY
7. NW Region Inpatient Bed Capacity for Children and Adolescents
Crittenton 41
Research Psychiatric 25
Heartland –St. Joseph 0
St. Luke’s Northland 6
Two Rivers 20
___________________________
Total Beds 102
Royal Oaks 33
8. Capacity Development Based on model developed by Robert Friedman out of Southern Florida in 1987 – updated through discussions in 2003
Balanced system of care – excess or deficit in any area, impacts all other areas
Does not include services for prevention or early intervention
Public mental health services and funding, so would include schools, juvenile courts, child welfare and Medicaid
9. NW Region Capacity Development