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CALM Interventions: Behavioral Health Crisis Assessment, Linkage, and Management Improve Patient Care
Natalie A Lester1, Laura R Thompson1, Kendal Herget1
11 The Ohio State University Wexner Medical Center, Columbus, OH.
Summary
The Crisis Assessment Linkage and Management (CALM) service reduced emergency department (ED) and hospital length of stay for patients experiencing psychiatric crises. This proactive approach improved patient care and ED throughput.
Area of Science:
- Emergency Medicine
- Psychiatry
- Healthcare Management
Background:
- Rising psychiatric crises in emergency departments (EDs) contribute to patient boarding and delays.
- Effective management strategies are needed to address the increasing behavioral health needs within ED settings.
Purpose of the Study:
- To describe and evaluate the impact of a novel Crisis Assessment Linkage and Management (CALM) service.
- To assess CALM's effect on patient care and operational efficiency in managing behavioral health crises.
Main Methods:
- A comparative study analyzing ED visit data from before and after CALM implementation.
- Utilized year-to-year data comparison for 2211 pre-CALM visits and 2387 post-CALM visits.
Main Results:
- CALM implementation was associated with significant reductions in median ED length of stay (LOS) from 9.5 to 7.3 hours.
- Hospital LOS also decreased from 46.2 to 31.4 hours post-CALM.
- Mean transformed ED LOS showed a 32.4% reduction (P < .001).
Conclusions:
- The CALM service effectively manages behavioral health crises within the ED setting.
- CALM demonstrates a positive impact on patient care and critical throughput metrics.
- Proactive management of behavioral health crises through CALM improves ED operational performance.
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