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COMMUNITY CRISIS STABILIZATION UNIT (CCS)

The CCS is an unlocked crisis unit that helps people in an acute behavioral health crisis to stabilize, strengthen their coping resources and supports, and develop a plan to live a better life. The CCS offers rehabilitative and recovery focused services that enable people to get through such crises without needing to rely on more costly and unnecessarily restrictive inpatient psychiatric services. As a critical component of the Boston Emergency Services Team (BEST), the CCS is operated by Bay Cove Human Services and Boston Medical Center and offers state of the art diversionary care and provides:

  • Psychiatric evaluation and assessment
  • Medical, psychiatric and addiction treatment (including detoxification)
  • Psychopharmacology assessment and treatment
  • Peer-to-peer support through the Boston Resource Center
  • A safe, structured environment
  • Education about behavioral health concerns
  • Step-down from inpatient treatment
  • Referrals to psychiatric and addiction services outpatient treatment, health, social services, etc.
  • Coordination and collaboration with treatment providers

Capacity & location
The CCS serves 14 adults (18 and older) and is located at the SCFMHC Building on 85 East Newton Street on the 6th floor.   

Referrals
CCS referrals come from BEST Urgent Care Centers (Bay Cove Human Services and North Suffolk Mental Health Association), Cambridge/Somerville Emergency Services or the BEST designated emergency departments (Boston Medical Center ED or Mass. General Hospital Acute Psychiatric Service) through the attending on call. If another emergency service outside BEST or Cambridge/Somerville ESP desires to refer a client to the CCS, they need to present a case to the attending on call, who will determine if the person can be served well on the CCS. 

 

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Admissions and guidelines

  • Admission on the CCS is voluntarily
  • Clients are expected to engage in treatment shortly after admission
  • Disposition for discharge should be known upon admission
  • Clients cannot engage in violent behavior to self or others
  • Clients cannot carry weapons or items that could be used as weapons
  • Alcohol and illegal substances are not permitted on the unit
  • Any type of medication (including over the counter medications) has to be turned in to the CCS Nurse
  • Clients are expected to stay on the unit for the entirety of their treatment, and they may leave only with a pass
  • The CCS is a non-smoking program; there are not smoking breaks. Cigarettes and lighters need to be turned in to the CCS Staff. Gums and candy that mitigate nicotine withdrawal symptoms are provided
  • Visiting hours are flexible and agreed upon between client and staff members

 

Course of Treatment

  • Length of stay is usually up to 4 days with a possibility of an extension if indicated
  • Primary treatment goals while at the CCS are symptom[s] management, stabilization of psychopharmacological therapy, and establishing outpatient services
  • Passes are given to clients in order to attend therapy or medical appointments, day treatment programs when indicated, detoxification clinics, drop off prescriptions at the pharmacy, and pick up medications for discharge

Medications

  • Medications are ordered by the Attending Psychiatrist or APRN
  • Our nursing staff is on the unit 24 hours/7 days a week to assist clients with nursing related issues
  • PRN medications are prescribed to assist Clients in managing withdrawal symptoms or agitation
  • Our model allows us to start, change, or discontinue pharmacological therapy
  • IM medication administration is used only with the client’s consent
  • Controlled substances are kept double locked and recorded in the Narcotics Register

Staffing

  • Medical Director
  • Nurse Manger
  • Registered Nurses
  • Attending APRN
  • Social Worker (LICSW)
  • Mental Health Workers

Discharge

  • A discharge date is agreed upon between the Attending Psychiatrist or APRN and the client
  • The CCS does not provide housing services, but links clients with housing specialists and resources
  • Dispositions for discharge include: partial hospital programs, day treatment programs, outpatient mental health services, detoxification programs, and home
  • A client is stepped up to a locked psychiatric unit in the event that s/he is unable to be safely served within the CCS model
  • Transportation is provided only when a client needs to be in a outpatient program at a specific time in order to be admitted