Rapid Access Center

Rapid Access Center

Serving the Northwest Indiana area, the Rapid Access Center  is comprised of an Immediate Psychiatric Care Center (IPCC) and Short-Term Residential unit are aimed to meet the needs of Adults  in a Behavioral Health crisis.

This program offers a variety of services including:

  • Crisis Stabilization
  • Discharge Planning
  • Medication Evaluation
  • Assessment of resources, family support and community placement
  • Short-term Residential

CRISIS SERVICE
  • Divert adults in a mental health crisis from the Emergency Rooms to a program designed to meet their specific needs.
  • Provide a mid-level of care for adults who need  services urgently however there are few resources available 24 hours a day, beyond  the Emergency Room.
  • Save the community resources.

SUPPORTIVE SERVICE

This service is to improve access while allowing a rapid stabilization of psychiatric conditions, and then return the individual back to their environment with resources and a plan for the future.

Providing a medically-supervised environment allows for the individual to be fully-assessed and to have chronic medical conditions addressed as a part of the care.

Participants will be assessed to determined eligibility for government programs and enrolled when possible. This will assist with access to future services for medical and mental health needs.


ADMISSION CRITERIA AND CONTINUED STAY CRITERIA

The program will admit all meeting criteria, regardless of their ability to pay. Exceptions include medically-acute conditions, aggressiveness, capacity, etc.

Admission Criteria

  • Age: At least 18 years of age
  • Risk Level: Serious ideation/recent act, willingness to contract no harm day-to-day.
  • Severity of Symptoms:  Severe, acute symptoms, such as delusions, hallucinations, depression, mania, of high frequency, intensity and/or duration.
  • Participation/Benefit:  An expectation of ability to attend, participate and benefit from treatment services within a reasonable length of time and/or under court ordered treatment.
  • Self-Care: Able to dress, bathe and feed with prompts/assistance/encouragement.
  • Severity of Stressors:  Experiencing severe stressors accompanied by signs of relapse.
  • Physical Health: Medically stable sufficient to ensure absence of acute health risks, does not require intensive nursing services.
  • Degree of Impairments: Severe impairments in 3 or more domains (e.g., social, residential, familial, occupational, cognitive functioning).
  • Potential for Progress: Reasonable expectation of timely improvement as a result of treatment provided.
  • Intensity of Service Need: Not able to be adequately treated in a less intensive level of care and does not require a more intensive level of care.
  • Diagnosis: Meets DSM criteria for a mental disorder.
  • Catchment Area: Resident of Lake County.

Continued Stay Criteria

  • Risk Level: Continued serious ideation/recent act, remains willing to contract no harm day-to-day.
  • Severity of Symptoms: Continued severe, acute symptoms such as delusions, hallucinations, depression, mania, of high frequency, intensity and/or duration.
  • Participation/Benefit: Is attending, participating and benefiting and/or remains under court ordered treatment.
  • Self Care: Able to dress, bathe and feed with prompts/assistance/encouragement.
  • Severity of Stressors: Continues to experience severe stressors accompanied by signs of relapse.
  • Physical Health: Remains medically stable sufficient to ensure absence of acute health risk, does not require intensive nursing services.
  • Degree of Impairments: Continues to experience severe impairments in 3 or more domains (e.g., social, residential, familial, occupational, cognitive functioning).
  • Potential for Progress: Reasonable expectation of timely improvement as a result of treatment provided.
  • Intensity of Service Need: Not able to be adequately treated in a less intensive level of care and does not require a more intensive level of care.

REFERRAL PROCESS

Referrals may be made through:

  • Local Hospitals
  • Emergency Responders (Police/Fire/Ambulance)
  • Providers/Community partners
  • Self-referrals

MORE ABOUT THE PROGRAM:

IMMEDIATE PSYCHIATRIC CARE CENTER (IPCC)

The IPCC does not replace outpatient mental health treatment but will operate as a compliment to other services.  The program offers assessment and immediate stabilization of acute symptoms of mental illness, as well as alcohol and other substance-related issues secondary to the psychiatric crisis.  The Clinic is staffed with a Nurse Manager, Admission personnel and a CIT officer on each shift.  After hours Psychiatry, a Crisis Counselor and a Case Manager is available on-call.   An initial medical assessment provided by the Nurse determines if there are acute medical conditions that would prohibit them from participating in this program and require transfer to an Emergency Department.  The typical length of visit is 4-6 hours; however clients may be monitored for stabilization up to 23-hours.  Services provided through the IPCC include crisis intervention, rapid psychiatry, medication evaluation, screening, assessment, and linkage to community supports through case management.  Interventions focus on teaching coping strategies for dealing with the immediate stressors; identifying and connecting the individual to available resources and will start the process to return the person to their highest level of functioning so they can be referred to a less intensive level of treatment.

SUB-ACUTE STABILIZATION UNIT

The is a voluntary, short-term program available to adult consumers with serious mental illness who are undergoing a psychiatric crisis.  These individuals must be assessed as appropriate for this level of care and cannot require inpatient psychiatric hospitalization or an involuntary commitment; they should however require stabilization in a supervised setting.   The program will also serve as a step down for those preparing to leave the hospital and jail settings to transition back to the community.

Individuals who are appropriate for this level of care must be medically-stable and willing to participate in the program.  The maximum length of stay in this program is 14 days.  The unit has 15 beds.  Rooms are furnished with clinically appropriate and industry approved residential beds, dressers, chairs, and art to resemble a home-like environment. Staff includes an on-call Psychiatrist, a Nurse Manager, a Counselor and a Case Manager, a Certified Peer Specialist, and a Certified Nurses’ Assistant, and a full-time Cook who will work collaboratively with a contracted Dietitian for daily meal preparation.  Services provided will include Medical Evaluations, Bio-Psycho Social Assessments, Medication education and administration, Case Management, Peer Support, Groups, Wellness Recovery Planning, Family Support, Crisis Management Planning, Discharge Planning and Follow-up Services.

 


CONTACT INFORMATION
24 hours a day/7 days a week

Edgewater Rapid Access Center

4747 W. 24th Avenue

Gary, IN 46406-2821

(219) 240-8615