Acute Mental Health Needs in Emergency Departments
In Minnesota, similar to nationally, the number of Emergency Department (ED) visits for mental health (including substance abuse) have increased 75% from 2010-2017, while total ED visits increased only 16.2% (MHA).
The MN Health Collaborative recognizes a critical need for improving care for people with mental health needs in Emergency Departments, and we are working with other community partners to coordinate and mobilize broader shared action to improve crisis transitions and reduce people’s lengths of stay in EDs.
MN Health Collaborative believes we need shared standards addressing mental health crisis in ED, similar to healthcare standards for people in cardiac distress or stroke. These health systems have, so far, developed and implemented shared standards for Suicide Prevention and Intervention and Medical Clearance Evaluation prior to inpatient stay. A full package of standards, containing practical implementation guidance, will be developed by the end of 2020.
Integrated Behavioral Health
Integrated behavioral health (IBH) in primary care is shown to improve access and health outcomes for those with mental health conditions, and can help maximize valuable, yet scarce, mental health resources. To further advance IBH, MN Health Collaborative partners created a Call to Action and adopted a community standard for care, including a common framework which includes both key evidence-based elements needed for improved outcomes and how they can be adapted to meet local needs. In addition, the MN Health Collaborative partners from both care delivery and health plans are working together to build a reinforcing cycle for improved sustainability for this model of care.
“Working with ICSI has definitely helped move the needle on some of the larger issues facing all health systems today, from addressing mental health crisis to opiate misuse, to gaining a better understanding of social determinants of health and their impacts. The ICSI team has been enormously helpful in pulling together critical information and convening healthcare leaders to create better solutions as we face a rapidly accelerating rate of change in our industry.”
Bruce Sutor, M.D., Mayo Clinic and Mark Williams, M.D., Mayo Clinic