Hennepin County Medical Center, in partnership with Hennepin County and the Minnesota Department of Human Services, has been exploring how to meet an identified need for short-term residential care for people who are clinically and physically stable, but would benefit from additional services before returning to their home. A lack of this type of transitional care is one of the reasons that access to the full continuum of behavioral health services is so limited in our community today.
Here are some common questions and answers about crisis residence facilities.
What is a crisis residence?
A crisis residence provides short-term (3 – 10 days) housing and treatment for people who are clinically and physically stable, but need further assistance before returning to their home after receiving mental health care at the hospital or after being screened by Hennepin County Community Outreach for Psychiatric Emergencies (COPE). Crisis Residence can be an alternative to hospitalization, a place to go for more care after leaving a hospital, or a place someone can go for support that will also provide needed relief for his or her family.
Where do people who stay in the residence come from?
People who stay in the residence will have been discharged from the hospital because they no longer need inpatient care, or will be referred to the program after being screened by COPE or Acute Psychiatric Services (APS). People cannot walk up to the crisis residence and be admitted.
Why is this type of facility needed?
A lack of available crisis residence facilities is one reason it is hard for people to get emergency and inpatient psychiatric help in our community. Providing the right level of care to people is very important. People sometimes need an alternative to hospitalization or an option to “step-down” to this level of care before going to their home. More people will seek help earlier if they know there is another option besides going to the hospital.
What kind of staff will be in the home and when will they be there?
Staff will be in the home 24/7 every day that there are patients in the home. Typical staffing would include a Registered Nurse, mental health worker, mental health professionals (like social workers), and peer specialists.
How will people be screened before coming to the residence?
Before placement in the residence a mental health professional will determine that the patient does not pose an immediate risk to themselves or others. The assessment screening is conducted before the patient is referred from a hospital or by a mental health professional at COPE.
Will residents be able to come and go as they please?
The program is voluntary and we will expect residents to actively participate in their treatment in the residence. They will understand that they need to participate in groups and care planning while they are there; however, they can leave the program if they choose to. This is why screening is important and people will not pass the screening to get into the program if they pose a risk to themselves or others. There will be a process for clients to sign in and out between groups and therapy.
What services will be provided in the home?
Services include physical and psychiatric assessment/treatment, daily living skills training, social activities, individual and group counseling, and treatment planning. We also connect residents to additional community services to help with individualized plans. These include things like job training, internships, and GED classes. Community engagement can help enhance an individual’s self-worth and mental health and will be an integral part of their individual plan.
When they are done with their stay in the residence they return to their community with enhanced skills, a decrease in symptoms and the right supports in place to improve their quality of life and contributions to the community going forward. When they leave the home, just like in a family, they’ll have a support structure and will be welcome to come back to support our current clients are part of their community engagement.
Can community members get services there?
This residence will be available to anybody who needs the services offered there. The intake and screening will be through HCMC, other area hospitals, or COPE.
How will neighbors know what is happening?
Staff from the residence will actively engage with the neighborhood and neighbors will be invited to reach out to staff onsite or connect with leadership at HCMC, if they have questions or concerns. We will host events when the home opens so neighbors can learn about our program and meet the staff. We also will require new staff to introduce themselves to neighbors and acquaint themselves with the neighborhood. The residence manager will partner with community leaders and neighbors so there will be ongoing communication and cooperation.
Do other neighborhoods have homes like this?
Here are several similar facilities in the metropolitan area if you would like to learn more about Transitional Psychiatric Housing.
Nancy Page Crisis Residence – 245 South Clifton Avenue l Minneapolis, MN 55403
Hovander House – 1489 Sherburne Ave l St Paul, MN 55104
People Inc. – This website refers to other residential services run by People, Inc.
How can I get more information about the proposed crisis residence?
Megen Coyne, Sr. Director, Psychiatry Services
Will Hall, Crisis Residence Manager