A person will be considered for acute inpatient psychiatric treatment if the patient presents with at least ONE (1) of the following:
- A suicide attempt has been made within twelve (12) hours prior to presenting of admission or to receiving medical care. The attempt is serious by degree of lethal intent, hopelessness, or impulsivity.
- The patient expressed current suicidal ideation and is assumed to be in "real and present danger" (e.g. has a plan, means for suicide.) The patient's family and social system is inadequate to support the patient's needs.
- There is recent history of substantial self-mutilation, significant risk-taking, or other self-endangering behaviors.
- Patient demonstrates violent, unpredictable or uncontrolled behavior, which represents potential serious harm to body or property of others, or there is evidence for a clear and reasonable inference of serious harm to others. Assaultive threats or behavior have occurred, and there is a clear risk or escalation or repetition of this behavior in the near future.
- There has been destructive behavior toward property, which endangers others, such as setting fires.
- Disordered/bizarre behavior or psychomotor agitation or retardation interferes with the activities of daily living to such a degree that the patient cannot function at a less restrictive level of care.
- Disorientation or memory impairment endangers the welfare of the patient or others.
- The patient is unable to maintain adequate nutrition, shelter, or other essentials of daily living due to a psychiatric disorder, and family/community support cannot be relied on to provide essential care.
- The patient has experienced severe or life-threatening side effects of an unusual nature from using therapeutic psychotropic drugs, which will impede medication treatment.
- Patient requires a diagnostic assessment or treatment that are not safe on an outpatient basis, such as medication management.
- Disordered/bizarre behavior or psychomotor agitation or retardation interferes with the activities of daily living to such a degree that the patient cannot function at a lower level of care.
- There is severe, sustained, and pervasive inability to attend to age-appropriate responsibilities and/or severe deterioration of family and school functioning and no other level of care would be intensive enough to evaluate and treat the disorder.
- The patient has GAF scale of less than thirty (30).
- Adolescents with Tested IQs of fifty (50) or less and those with primary mental retardation and/or developmental disabilities without psychiatric overlay or complications. Adolescents with a tested IQ between fifty (50) and sixty-five (65) may be assessed to determine if they are cognitively competent to participate in treatment activities and/or to determine what special treatment interventions would need to be provided to address their unique needs.
- Concurrent, unstable medical condition (Axis III) requiring medical/nursing care beyond the capacity of the facility to provide or which would preclude the patient from participating in activity and treatment modalities. Questions regarding the capacity of the program to address the medical management needs of a given patient will be referred to the Director of Nursing Services or designee.