The PHS Facility Based Crisis Programs are designed to assist individuals who may:
- Have a diagnosed mental illness or substance use disorder and in need of active professional monitoring and treatment of behavior, mood and thought disorder that may prevent de-compensation and/or hospitalization.
- Be at imminent risk of experiencing withdrawal symptoms and have a diagnosis of Dependence per current DSM.
- Have had difficulty making sufficient clinical gains within a traditional outpatient setting or may be ready for discharge from an inpatient setting, but may be in need of daily monitoring and support.
- Experience toxic effects from psychotropic drugs, alcohol, prescription, and/or illegal drugs.
- Have a need for supervised medication management.
- Have depression.
- Experience suicidal or homicidal ideations or thoughts; however individuals who are actively suicidal or homicidal or actively demonstrating suicidal or homicidal gestures are not appropriate.
- Experience a gross dysfunction in ability to care for self due to
- Severe anxiety
- Obsessive Compulsive Behavior
- Alcohol/Drug abuse or dependence
- Experience hallucinations.
- Experience disorientation or have memory impairment.
Admission criteria for Facility Based Crisis
Upon the order of the attending physician, the Facility Based Crisis program shall accept for admission individuals in need of stabilization services as a result of the use or abuse of alcohol or drugs, a psychiatric crisis/mental illness, or a co-occurring illness. The following are general admission guidelines including eligibility and ineligibility:
- Patients meeting special population criteria (HIV/AIDS, IV Drug Users, and pregnant women) are given priority status during admission as well as in determining aftercare plans.
- The individual must be able to complete all activities of daily living independently.
- Patient’s medical condition must be such that he/she can be reasonably treated in a medical, non-hospital setting and does not require nursing care or emergency medical care. Certain medical conditions may require medical evaluation which may preclude or exclude certain admissions.
- Any need for hospitalization has been ruled out and the person being referred must be able to function within a non secure facility and participate in structured program activities.
- No legal restraints exist that would interfere with treatment.
- The individual must have the cognitive ability to process program information and behavioral dynamics.
- The individual served must be compliant with medications and will not require forced medications and not in need of IV medications and/or fluids.
The PORT Health Services Facility-Based Crisis Center provides twenty-four hour per day mental health/substance abuse crisis services for Eastern North Carolina‘s thirty three county region. Crisis Services are provided by qualified personnel 24 hours a day, 7 days a week. The program is partially funded by the NC Division of MH/DD/SAS as a Cross Area Service Program (CASP). The Crisis Unit provides services for individuals withdrawing from alcohol and/or other drugs, those in need of mental health/psychiatric stability, or a combination of both. Patients needing this service may be referred by a Managed Care Organization (MCO), private physician‘s office, emergency department, private mental health/substance abuse provider, or self referred within eastern region of North Carolina.
This service provides an alternative to hospitalization for adults who have a mental illness or substance abuse disorder. This is a 24-hour non-hospital medical facility that provides support and crisis services in a community setting. The length of stay is typically four-seven days. Length of stay will depend upon the identified crisis and what is clinically indicated to assist the person served in returning to pre-crisis status.
The program serves as an introduction to addiction education and the recovery process. The program is designed to address the medical, psychiatric, social, psycho-social, and psychological needs of patients during their program stay. While receiving treatment, patients are provided with information designed to motivate them to continue services following discharge from the Facility Based Crisis Center.
A combination of treatment philosophies are utilized to address the needs of the patient, as they and their families seek treatment options, social supports, and prepare to reintegrate into their respective communities. The patients participate in a variety of therapeutic activities including but not limited to:
- individual counseling
- group counseling
- life skills
- recreational therapy
- 12-step facilitation
- drug education
- medication management
- medication education
To help individuals and families navigate through life’s challenges by providing effective and efficient substance abuse, mental health and intellectual/developmentally disabled services and supports.