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Updated: Feb 24, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
Highlight in Telepsychiatry and Behavioral Health Emergencies
James Rachal1, Wayne Sparks1, Christine Zazzaro2
1Department of Psychiatry, Carolinas HealthCare System, 501 Billingsley Road, Charlotte, NC 28211, USA.
Abstract:
Carolinas HealthCare System is one of the largest freestanding psychiatric emergency departments in the country. It has grown from a small community mental health center in the 1930s, to one of the largest providers of emergency mental health services in the country. It offers services in person and via telepsychiatry to other emergency departments and primary care clinics. It decreased emergency room wait times and revolutionized where and how patients get their care. This has been the work of several groups from many disciplines. The transition from community mental health center to large-scale mental health emergency department has been a model for the rest of the country.
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