Hospitals, county want to open psychiatric center to relieve crowded ERs
On any given day, as many as six psychiatric patients seek treatment in the emergency department at Santa Rosa Memorial Hospital. On average, they stay there for two to three days, compared to two to six hours for patients being treated for a physical condition, hospital officials said.
Such lengthy stays of mental health patients cause a bottleneck that leads to overcrowding in Memorial hospital’s emergency department, and sometimes forces the medical team to treat people in the hallways, said Leah Gehri, the hospital’s director of nursing operations and emergency services.
What’s more, she said, emergency departments are not ideal for taking care of people going through acute psychiatric episodes.
The lights are always on and there’s a lot of noise, plus the activity can be frenetic with constant foot traffic of doctors, nurses, paramedics and other medical staff.
At the heart of that emergency care bottleneck at area hospitals is the lack of inpatient psychiatric centers in Sonoma County where people can be admitted for lengthy periods, Gehri said. The shortage of psychiatric hospital beds means people remain longer in hospital emergency departments, as well as at the county-run center known as the crisis stabilization unit.
If Memorial doesn’t have enough beds for mental health patients they are held longer at the county’s crisis center and “that backlogs and affects our emergency department” of about a dozen beds, said Dan Schurman, community health investment manager for Providence St. Joseph Sonoma County, which runs the hospital.
This week, the county took a critical step toward a solution to a major problem, which has burdened the community for over a decade since the closure of two Santa Rosa psychiatric hospitals.
The Sonoma County Board of Supervisors on Monday accepted a contribution of $624,999 from the three health care companies that operate the county’s largest hospitals: Kaiser Permanente, Sutter Santa Rosa Medical Center and Memorial hospital.
The donation is a one-time contribution — with each hospital giving $208,333 — to help pay for the first-year operating costs of a new psychiatric health center for North Bay residents. County health department officials are working with Northern California mental health services provider Crestwood Behavioral Health to establish a 16-bed regional psychiatric health center that officials say could ease overcrowding at local hospital emergency departments and at the county’s mental health crisis unit in southwest Santa Rosa.
County officials said they and Crestwood are searching for a site to open the mental health center by next fall. Officials said they have identified a potential property in Sebastopol, but would not say what or specifically where it is because talks are in the early stages. Sources said Tuesday one potential site is the old Fircrest Convalescent Hospital at 7025 Corline Court.
Bill Carter, director of the Sonoma County behavioral health division, said the shortage of psychiatric beds is a problem that affects communities across the country. Carter said beds in the new 16-bed regional mental health facility could be used to get people through the county’s crisis stabilization unit faster.
That in turn would relieve the bottleneck in local hospital emergency departments. Part of the problem is there aren’t many health care centers here to treat psychiatric patients and eligible to bill the federal government’s Medicaid program, which in California is known as Medi-Cal, for those between the ages of 19 and 64, Carter said.