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Fulfilling the Goals of 988 Through Crisis Stabilization Care
Matthew E Hirschtritt1, Caren A Howard1, Gregory E Simon1
1Kaiser Permanente Medical Center, Oakland, California, and Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Hirschtritt); Mental Health America, Alexandria, Virginia (Howard); Kaiser Permanente Washington Health Research Institute, Seattle (Simon).
Abstract:
Recent implementation of the nationwide 988 Suicide and Crisis Lifeline has expanded telephone-based mental health crisis services and created a unified framework for crisis care in the United States. However, the infrastructure for the final step of the crisis continuum-an appropriate mental health service for persons in crisis to receive the care they need-is fragmented, unevenly distributed, underfunded, and understudied. Given the few options for individuals in crisis, most often inpatient psychiatric hospitals are the default option. In this Open Forum, the authors describe the scope of the problem and propose how clinicians, policy makers, and researchers can improve the availability of evidence-based disposition options for individuals in crisis.
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