Crisis Continuum

TBD Solutions is an international thought leader in furthering the dialog about how to best assist people experiencing a mental health crisis. Too often, the first and only solution offered is an inpatient admission to a psychiatric ward. This is not the best path in assisting persons to recover successfully. Well-designed crisis services can reduce recidivism and additional inpatient hospitalization while positively impacting the potential for suicidal ideation.

TBD Solutions has initiated the Crisis Residential Network website, and visited dozens of best-practice crisis centers throughout the United States. Since 2015, TBD Solutions has coordinated the formation of two important Crisis communication forums:

  • The Michigan Crisis Residential Network, a consortium providing advocacy and support for the 15 Crisis Residential programs across the state
  • The Crisis Best Practices Workgroup, a national network of over 150 providers from 43 states working together to build a Best Practices Toolkit for Crisis Residential Services

To this end, we provide comprehensive assessment of the adequacy, effectiveness and opportunities to improve the Crisis Services Continuum, assessing the presence, quality and capacity of the following services:

  • Access Centers/Crisis Call Centers
  • Mobile Crisis/Outreach
  • Psychiatric Emergency Services (23-hour Crisis Stabilization)
  • Peer Respite Centers
  • Crisis Residential Units
  • Psychiatric Hospitals

Our team can provide assessments of both the status quo and improvement opportunities through on-site interviews with persons served, providers, and stakeholders, and electronic submissions of policies, procedures, and system flow. We also review compliance expectations for both payer and provider network management expectations as well as quality expectations based on nationally adopted best practices for Crisis Services. Our focus areas include: accessibility, response times, community collaboration, clinical training and best practice utilization, and Trauma Informed/Recovery focus.