Characteristics of Adult Residential Crisis Stabilization Units in Virginia

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S.A. Larocco
October, 2018

PRODUCED BY THE
Institute of Law, Psychiatry, and Public Policy at the University of Virginia

In recent years there have been dramatic increases in admissions to both public and private hospitals. Residential crisis stabilization units (CSUs) have been suggested as a possible solution to this problem, allowing an alternative environment where people in crisis can go instead of the hospital. This report explores the characteristics of Virginia’s adult CSUs, including the populations they work with and the features and resources that allow them to do their work. CSUs work with patients with depression, anxiety, bipolar disorder, post-traumatic stress disorder or substance use disorder, but they are not equipped to care for patients with medical complexities.

Children’s Residential Crisis Stabilization Units

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S.A. Larocco
August, 2018

PRODUCED BY THE
Institute of Law, Psychiatry, and Public Policy at the University of Virginia

As psychiatric hospitalizations increase in Virginia and the census at the Commonwealth Center for Children and Adolescents is at an all-time high, advocates and policymakers look for alternatives to hospitalization to ameliorate the problem. One such alternative is the crisis stabilization unit, a therapeutic environment for people in a sub-acute state of crisis. Current approaches used in these programs are geared toward patients with depression, anxiety, post-traumatic stress disorder, substance use disorders and executive functioning deficits.

Developments in Mental Health Law

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Volume 37, Issue 1, Spring 2018

 

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This issue of DMHL presents two updates on Virginia mental health law and mental health initiatives including an overview article SJ 47 Joint Subcommittee: Mental Health Initiatives at the 2018 General Assembly Session; (b) a Data Corner discussing Incidence and Characteristics of TDOs in Psychiatric Admissions to UVA Hospital in 2015; and (c ) outlines of significant recent cases in various federal and state courts.

In This Issue:

I. Article: SJ 47 Joint Subcommittee: Mental Health Initiatives at the 2018 General Assembly Session [p. 1]

II. Update: Mental Health Related Bills Introduced in the 2018 General Assembly Session [p.12]
Bills Related to Mental Health That Have Survived [p.13]
Bills Carried Over to the 2019 Session [p.23]
Bills Related to Mental Health That Did Not Survive [p.24]

IV. Case Law Developments
United States Supreme Court [p.34]
Federal Circuit Court Decisions [p.35]
State Court Decisions [p.40]

V. Institute Programs [p.47]

Increased Utilization of State Hospitals from Fiscal Year 2017 to 2018

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S.A. Larocco, R.J. Bonnie
April, 2018

PRODUCED BY THE
Institute of Law, Psychiatry, and Public Policy at the University of Virginia

Over the past three years, temporary detention order (TDO) admissions to state psychiatric hospitals have been on the rise in Virginia. The current report focuses on increases in TDO admissions to state hospitals from the first half of fiscal year 2017 to the first half of fiscal year 2018. Fiscal year 2018 saw the greatest increase in TDOs to state hospitals in recent history, largely the result of reduced TDO admissions to private hospitals.

Trends in Utilization of Adult Psychiatric Beds in Virginia

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R.J. Bonnie, S.A. Larocco
February 2018

PRODUCED BY THE
Institute of Law, Psychiatry, and Public Policy at the University of Virginia.

Over the past five years, admissions to state psychiatric hospitals have increased by 55%. This report looks at the changing nature of those admissions, as admissions under temporary detention orders are taking up an increasing share of hospital capacity. The greatest increase in state hospital admissions occurred in the 2016 fiscal year, and this increase was driven by temporary detention orders. Forensic admissions have been increasing steadily, but more slowly, and other civil admissions have been in sharp decline.