Mental health issues are one of the key aspects of medical concern as they remain a concern to patients and care providers (Mongelli et al., 2020). Issues related to mental health cause admission episodes, which in most cases mean repeated admission episodes within 30 days. This burdens the healthcare system and points out the lack of adequate crisis management practices that cannot offer proper and sustainable healthcare solutions. With this understanding, the project plan implements systematic crisis intervention measures to fill these gaps.NURS FPX 9901 Assessment 3: Doctoral Project Implementation Plan The goal is to decrease readmissions within 30 days for patients with mental illness and guarantee they get proper support that will let them stabilize and prevent the worsening of their conditions.

Background

Patients’ constant rehospitalization common to mental health care is, therefore, indicative of flaws in present-day intervention mechanisms. Clients with specific acute psychiatric conditions including severe anxiety, psychosis, or suicidal thoughts have little availability to highly organized effective treatments. They are often discharged to home without an opportunity for further treatment, follow-up, or support, and are at high risk of relapse and readmission. As will be seen later from the literature review, studies show that the current status of norms in crises is still in place and inadequate to offer the level of care to keep helping clients achieve recovery in the long run. Mahmoudjanlou et al. (2024), highlight that patients with poor management during crises receive worse health outcomes, worsening their disease characteristics, and increasing the risk of readmission to inpatient care. This project aims to meet these demands by developing missing links in evaluation and treatment interventions by directly adopting structured practices that have empirical support.

Project Objectives

That is why the idea of this project is to develop strong prevention and mental health crisis intervention programs focused on bringing down 30-day readmission numbers. A structured model will be implemented to prevent any instability of the clients and to make sure they have everything necessary for recovery. The project is also intended to increase the healthcare providers’ competencies and self-efficiency regarding crises. Through the systematic intervention approaches involved in this undertaking, the initiative aims for the sustainability of the gains in the treatment of patients as well as the healthcare administration. Moreover, a more evidence-based risk assessment tool, like the Columbia Suicide Severity Rating Scale (C-SSRS), is going to be used to bring the scientific ground in the decision-making on care.

The Importance of Crisis Intervention

Crisis interventions make up one of the foundations of mental health services, especially for patients who may go through occasional episodes of crisis (Owusu et al., 2022). Distress can be defined in various ways, and a crisis ranges from an acute emotional episode to a suicidal presentation or psychotic episode. Crisis intervention is not only focused on resolving the current crisis, but the intervention need also guarantee the patient’s follow-up so that he or she can find the necessary help that will prevent another occurrence of the crisis. most healthcare facilities do not have standard or even updated protocols that should be followed when such emergencies occur and care is substandard. Insufficient structure of such interventions may imply that a patient receives no necessary support hence becoming vulnerable to rehospitalization. This project understands the necessity of building general crisis intervention procedures with effective identification of the client’s special needs.

Project Description

The purpose of the program is as follows; to address the current imperfections within crisis management models using improving; the abstract protocol that is set up to reduce 30-day readmission rates. The principal focus is on developing an intervention model consistent with EBPs’ tenets and culturally appropriate for the targeted patient group. The basis of this project is to point out that inconsistency in crisis intervention services does not provide the best care for recurrent recovery. To this end, the following shortcomings characterize the initiative in a way that aims at building a sustainable framework that is capable of delivering quality mental health crisis intervention:

The presumptions of the present study lie in the following gaps in knowledge on mental health crisis care: Lack of parameters for determining qualities of the patients’ specifications. It is statistics that patients who come in with some form of suicidal intent and other forms of serious emotional disturbances are usually discharged with patchy treatment that does not adequately address the antecedent of such behaviors. The project will aid the resolution of this by promising to use tools such as C-SSRS that would accurately ascertain such risks and enable the appropriate decisions for patients to be made. In addition to improving the tools that are applied in evaluating and controlling risks, the project shall meet the competencies that shall be expected from the healthcare staff, to deliver adequate service.

Proposed Intervention Model

The intervention model is built around two key components: the delivery of broad-based crisis intervention services and specific training for healthcare workers. Each of them is aimed at complementing another to respond to both acute and chronic functions of managing patients in the mental health emergency. The first intervention consists of initiating a package which implies providing people with a proper set of measures in case of crisis. Many of these goals are disciplined by protocols for risk assessment, stabilization services, and forte concerning care coordination to guarantee patients receive congregate and consistent care. For instance, the adoption of the C-SSRS into formal practice is that it will help the practitioners rate the patients with high precision so that they can be accorded intervention suited to the various needs that they may have. Crisis stabilization services will be of great emphasis because to achieve lasting change, these patients must be stabilized before proper treatment can be given (Eboreime et al., 2022). Moreover, continuity of care will engage patients with support services in the community to prevent the readmission of the patient.

The second feature of the intervention model involves the training of healthcare providers. Mental health care consumers rely on their providers to help manage their crises and get the care they need, so having capable and willing providers is critical to this work. Training of the providers will be enhanced so that they can handle crises preferably by application of risk assessment tools as well as communication skills. The objective of the project is to increase the confidence and competence of the providers to increase the quality of care they offer to patients in crisis.

Expected Outcomes

It is believed that the execution of this program will yield several other benefits. First and foremost, it seeks to lower the thirty-day readmission ratios as a result of the root causes of recurrent hospitalization. Thus, the goal of the project is to offer patients outreach structured and evidence-based interventions promoting recovery and preventing relapses. Better patient endpoint is another major aim of the intervention model aimed at increasing the recovery rates and lessening the intensity of the symptoms of the patients in mental health emergencies. More than the patients, healthcare workers are also expected to benefit from the project. Thus, improving the competence and confidence of the providers to deliver care is why the given initiative aims to equip the providers with the knowledge and instruments to manage the crises. The concerns raised in this paper will also helpful in the enhancement of the overall efficiency and efficacy of the health care delivery system, as well as minimizing the load on hospitals and other health facilities.

Implementation Plan

The execution of this project will be planned in various phases as a way of leading to the success of the project. The first of these will involve a careful evaluation of current practices in crisis intervention to determine the strengths and weaknesses of current strategies. This will be succeeded by the creation of a structured care plan that is aligned with evidence-based practices in addition to focusing on the patient’s need during a mental health emergency. Subsequently, implementations of training will be conducted to ensure that the healthcare providers are skilled and informed enough to produce acceptable quality healthcare service. The intervention model will first be introduced on a trial basis to assess its effectiveness and to determine what changes it may require. After the introduction of the test model, the process will be implemented company-wide with constant feedback collection to guarantee its efficiency. This phased approach is to ensure that the project will respond to these challenges as they effectively bring sustainable positive change in the delivery of patient care.

Challenges and Sustainability

It is not difficult to find that there are many problems when a project is being executed, especially such a large-scale project. The second and last issue that KEP responds to as a model of care is provider and staff resistance to change which is a common problem across health care since such adjustments affect new protocols and tools. Safeguarding against this will be a key focus of the project, with an extensive focus on educational and training programs which will enable the provider to gain a better understanding of the efficacy of the implemented intervention model, and be assured of the applicability of its implementation. Limitation in resources is another concern, a concern that may be magnified more by the fact that the intervention model under consideration is comprehensive. However, to overcome this, the project will seek funds and engage with community-based organizations to support the innovation.

Conclusion

This project is one of the main technologies that help to overcome the problems of identification and intervention in case of mental health emergencies. In particular, by implementing well-defined and systematically supported intervention plans, it aims to reduce readmission rates within 30 days and enhance the quality of life for persons in psychiatric emergencies. Introducing the C-SSRS and crisis intervention, pairing it with other crisis training services along developing different training programs aims to revolutionize crisis management. It can be argued that such a type of project has fewer disadvantages because its framework is based on such pillars as collaboration, sustainability, and evidence. The initiative is focused on developing a system that would be more effective in aiding the inhabitants in crisis and will further enhance the people’s quality of life.

References

• Eboreime, E., Shalaby, R., Mao, W., Owusu, E., Vuong, W., Surood, S., Bales, K., MacMaster, F. P., McNeil, D., Rittenbach, K., Ohinmaa, A., Bremault, S., (2022). Reducing readmission rates for individuals discharged from acute psychiatric care in Alberta using peer and text message support: Protocol for an innovative supportive program. BMC Health Services Research, 22(1), 332. https://doi.org/10.1186/s12913-022-07510-8
• Mahmoudjanlou, S., Mahmoudi, G., & Jahani, M. A. (2024). Hospital crisis management in the epidemic: A qualitative study. Health Science Reports, 7(10), e70059. https://doi.org/10.1002/hsr2.70059
• Mongelli, F., Georgakopoulos, P., & Pato, M. T. (2020). Challenges and opportunities to meet the mental health needs of underserved and disenfranchised populations in the United States. Focus, 18(1), 16–24. https://doi.org/10.1176/appi.focus.20190028