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. Author manuscript; available in PMC: 2019 Jul 1.
Published in final edited form as: Adm Policy Ment Health. 2018 Jul;45(4):611–622. doi: 10.1007/s10488-018-0849-y

Table 1. Features of psychiatric crisis care and their valued attributes.

Feature Valued characteristics
Accommodations
  • Placement in a private area/room as opposed to a public space

  • Hot blankets, pillows, windows

Basic needs and infrastructure
  • Access to food,

  • Comfortable and clean garments,

  • Adequate sleeping arrangements,

  • Hygienic bathroom spaces, and

  • Materials to support meaningful use of free time

Freedoms
  • Involuntary commitment can be appropriate for safety and to meet referral criteria

  • Transparent and open communication with providers regarding their care

  • Outside recreation

Communication
  • Clarity and timeliness of communication, so that there was a mutual understanding of the care process

  • Conversation is especially important around difficult topics, e.g. health risks, restraint, involuntary commitment

  • Common courtesies and respect are a critical foundation of fruitful conversation

  • Kindness is greatly appreciated

  • Shared decision-making and self-advocacy can be planned for ahead of time, even if it is not always possible during psychiatric crisis

Length of stay
  • Shared decision-making in length of crisis care

  • Understanding that extended stay was associated with improved treatment options, medication management, and follow-up referrals

  • Enhanced rapport with crisis staff to shorten wait time

Visitation during crisis care
  • Presence of family and friends in crisis de-escalation

  • Pre-defined visiting hours for guests

  • Opportunities to approve or exclude potential guests during crisis care stay

Follow-up care
  • Discussion of options so that referral site is matched to preferences

  • Referral set up prior to discharge, including calls and paperwork

  • Attention given to how the referral site is working for that person, so that poor-fit referral is not repeated