TBH staffs the whole spectrum of Mental Health services,
providing about 50% inpatient services and 50% outpatient services.
CRISIS STABILIZATION / PSYCHIATRIC EMERGENCY SERVICES (PES)
Crisis facilities that deal with serious and life-threatening psychiatric emergencies. Multi-faceted teams treat patients in order to stabilize them quickly.
URGENT CARE / CRISIS WALK-IN
Urgent Care facilities allow voluntary, non-violent patients in crisis to rapidly receive care in order to prevent hospitalization. This is a community based program several steps below a psychiatric emergency room in classification.
INPATIENT SUBACUTE / “INTERMEDIATE LEVEL”
Inpatient Subacute facilities are recovery centered programs that focus on rehabilitation to transition patients back into the community. These facilities are usually locked, but patients can earn passes to leave the grounds in groups or to their families.
INPATIENT ACUTE / “HOSPITALIZATION”
Acute Inpatient Unit doctors typically carry a caseload of 12 patients who are all seen daily. The psychiatrist will attend treatment conferences, conduct admissions and discharges with related paperwork and do rounds on up to 12 beds for an 8-hour shift in this acute fast moving hospital environment. Average length of stay is 8-12 days. This position is only suitable for the fast moving doctor who can quickly differentiate essential from non essential material and who is not likely to get bogged down by not-immediately-relevant issues.
Residential facilities are targeted to individuals transitioning from institutional settings (ie. inpatient locked facilities) to non-institutional settings (i.e. board and care or family). Residential facilities provide structured support in a less-restrictive setting. Psychiatrists provide outpatient care at the facility, with support from the the staff.
DAY TREATMENT / PARTIAL HOSPITALIZATION
Day treatment programs provide daily, comprehensive mental health treatment to patients while allowing them to reside at home.
ASSERTIVE COMMUNITY TREATMENT (ACT)
ACT stands for Assertive Community Treatment. ACT teams consist of a psychiatrist, several case managers and sometimes a nurse. ACT positions are wonderful opportunities to practice community psychiatry, harm reduction and to work with mental health consumers in a non-time focused, outcome-oriented clinical-team-centered environment.
Psychiatrists at outpatient clinics provide traditional psychiatric care to patients living independently in the community. Patients may have some level of case management.