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Community Support Program: Enhancing Psychiatric Hospital Discharge in St. Croix County

This project aims to reduce psychiatric inpatient readmission rates by increasing ACSS clients' involvement in their discharge planning. Social workers communicate with CSP clients during hospitalization and attend Discharge Care Conferences. Data collected from the implemented aims will determine success for future adaptations or additional aims to further impact recidivism rates positively. Clients have reported favorably on actively participating in their discharge planning, potentially leading to financial gains for St. Croix County.

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Community Support Program: Enhancing Psychiatric Hospital Discharge in St. Croix County

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  1. St. Croix County Health and Human Services Community Support Program NIATx Change Project 2012

  2. The Aims • State Focus: • Reduce psychiatric inpatient readmission rates (30 days and 180 days) • Big Aim: • Increase the involvement ACSS clients have regarding their discharge from a psychiatric hospital. • Small Aim: • Adult Community Support Services (ACSS) social workers will speak with CSP clients, via telephone, during their hospitalization and attend a Discharge Care Conference at the psychiatric hospital (3 separate modes)

  3. Changes Made • Prior to implementation of the small aim: • A process on how to educate psychiatric hospitals of the small aim • A process on how to implement the small aim within ACSS and Behavioral Health • A tool to measure of the effectiveness of the small aim • The small aim was implemented on 08.21.2012! • From 08/21/12 - 10/15/12 • 10 CSP clients hospitalized via an Emergency Detention or voluntarily

  4. The Results

  5. Next Steps • Next 2 to 4 months: • Continue to collect data to determine if the small aim is successful • Based on data; decide to adapt, adopt or abandon • 4 months and beyond: • Develop additional aims to impact recidivism rates

  6. Impact • Clients’ have reported favorably in regards to having an active voice in their own discharge care conference. • Clients’ who have been hospitalized in the past report that they have been more involved with their discharge planning than with previous hospitalizations. • Long term impact: financial gains for St. Croix County (hopefully)

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