The Issue:
Peers have reported to the CCSM that they have had long stays in the hallways at local emergency departments across Maine. One individual spent 7 days sitting in the ED hallway. Lack of privacy and potential HIPPA violations due to hallway placement are substantial problems (for the individual in the hallway and other patients). This is not a trauma-informed process. There is a long and recurring history of this practice, and we know it can be done in a more compassionate and efficient manner.
Recommendations:
- We need to eliminate the use of emergency departments for mental health, in general, and for crises (unless attempted suicide or other emergent issues). Primary care providers or centers like express care could be better utilized for these purposes. We can enhance our current capacity to address the multidimensional and sensitive needs of peers experiencing mental health challenges.
- Problems with hallway placement include lack of consistency with timely medication dispensing, potential medication mix-ups, and other low staff-related problems.
- We need a system that allows for medical clearance and psychiatric evaluations that allow for faster admission to psychiatric facilities (where privacy and safety can be maintained).
- Preventative measures and increased accessibility to efficient help are the primary objectives of these proposed strategies.
Expected Outcomes:
To submit feedback, ideas, or a personal story relating to this issue statement, please send to the CCSM either by mail at: 219 Capitol St. Suite 7 Augusta, ME 04330, or email at [email protected].
DEADLINE TO RESPOND: Monday August 12th.
