Their View: Crisis services help keep families together
Crisis services recently played a key role in keeping together a Minnesota mother and her 9-year-old son, who county authorities had earlier separated.
Both the mother, "Mary, " and son, "John," have mental health disorders. In John it showed up as verbal and physical aggressiveness, while Mary's mental illness affected her ability to maintain stability in the home.
Responding to an incident in which John was threatening and aggressive, the crisis team responder stabilized the immediate situation and developed a crisis plan with the family. Crisis staff then arranged for therapy services and returned John to the family home to provide short-term stabilization therapy for the boy until long-term therapy services could be established.
During this period, John became increasingly able to state his feelings of anger toward his mother about having been placed outside his home. He also learned to identify and use outlets for his anger, such as taking a ride on his bicycle when he was upset. John was able to avoid swearing and aggressiveness. With greater self-control, he transitioned successfully to a therapist while remaining at home and at school.
May is Mental Health Month and the story of John and Mary is just one of the stories of hope and recovery for children and adults with mental health disorders. It is also an opportunity to celebrate advances in our system of care for Minnesota children and adults with mental illness.
One of the areas in which we have made great strides is in the development of the kind of 24/7 crisis services that helped John and Mary.
Law enforcement and hospital emergency rooms do not need to be the first places to turn when people or their family and friends are in despair. In Minnesota we have other options. We have built a system of mental health crisis response services that are available to any Minnesotan in need. Staff trained in crisis response provide 24-hour call services for most Minnesota counties and tribal reservations.
Crisis responders assess the crisis, assist the person immediately in coping and stabilizing the situation, and then follow up to assure that the person receives the support they need. The goal is to make sure everyone who can is able to stay in their home. At times, however, a person needs services in a different setting. In this case, the crisis team member assists in arranging for the appropriate care.
Overall, Minnesota's mobile crisis teams have been successful in keeping people out of hospitals and in their homes. Eighty percent of children accessed by crisis services remain at home. Ten percent are hospitalized and 10 percent receive out-of-home services. About 22 percent of adults receiving crisis services are hospitalized, while about one-third of adult crisis episodes are handled at a client's home. The rest receive services in a community setting.
Crisis services are available in most Minnesota counties and to tribes, and at the Department of Human Services we are working to create access everywhere in Minnesota.
Mobile crisis services not only allow more people experiencing mental health episodes to be stabilized at home or close to home, they also prevent some of the tragic incidents we read about involving youth and adults experiencing major anxiety or depression.
A list of crisis lines is provided on the DHS website at www.dhs.state.mn.us/crisis-lines.
Together we can have more success stories like John and Mary, and fewer mental health crises playing out in law enforcement and emergency rooms.
Lucinda Jesson is the Commissioner of the Minnesota Department of Human Services.