2023 14th Annual NUBE Conference

Implementing the new 988 three-digit number for individuals experiencing mental health crises has immense potential to significantly improve access to crisis care and establish equal care standards for mental health and substance use emergencies. Crisis care encompasses a 24/7 call center, crisis mobile response teams, and services to receive and stabilize patients. Addressing issues with medication, medical stabilization, and coordinating care with other emergency medical services can effectively overcome barriers to emergency care, particularly for marginalized populations. This presentation will provide a summary of the recommendations and highlights from the 2023 NASMHPD publication on medical considerations in crisis care, including how medications can be used in crisis situations, as well as topics related to medical stabilization that can create barriers to treatment, leading patients to undergo unnecessary medical clearance in emergency departments. This paper also includes recommendations on providing this care in a recovery-oriented, trauma-informed, collaborative way with design from those with lived experience receiving crisis care. Finally, it highlights multiple tools in the guidelines of the paper to consider for use including AIDET, guidelines from SMI Advisor, project Beta from AAEP, SMART tool from AACP (American Association of Emergency Psychiatry), and MI-SMART tool.

Learning Objectives:

1. Describe why certain principles related to medications, medical stabilization, and coordination of care with emergency medical services can be vital to overall community crisis systems' effectiveness.
2. Audience will learn a summary of the 2023 NASMPHD published paper's guidelines of medication and medical stabilization categories recommended to create access and best care in crisis. This will include specialized topics such as clozapine, LAI, MAT, and ketamine related to crisis care.
3. Audience will learn a summary of some of the innovations and tools used to accomplish some of these guidelines and a summary of other policy recommendations from the 2023 publication.