ED Telepsychiatry

The BHDD Office of Mental Health Emergency Department Telepsychiatry Program is a cutting-edge statewide service delivery method that provides remote access for emergency departments in South Carolina to psychiatrists when a psychiatric evaluation is required.

BHDD Office of Mental Health Emergency Room Telepsychiatry Consultation Program

BHDD Office of Mental Health currently contracts with more than 25 hospital emergency rooms around the state. The program provides more than 9,000 psychiatric consults per year to emergency room physicians for patients in emergency rooms who appear to be experiencing behavioral health crises via a secure telehealth connection.

Comprehensive consultations are generally provided to consulting ED physicians within 4 to 6 hours of a request. BHDD Office of Mental Health psychiatrists are available 17 hours a day, 364 days a year*. These psychiatrists provide detailed reports, which contain diagnosis, treatment recommendations (including guidance on the use of medication, when indicated), and detailed clinical reports, while the clinical care of the patient, supervision of staff, and prescribing duties remain with the ED physician. If a contracted hospital develops a specialized hospital-based emergency department or observational unit, the on-duty physician would also be able to schedule an BHDD Office of Mental Health psychiatric consultation, providing the observational unit is connected to the hospital’s ED and the patients located there remain under the care of the hospital’s ED physicians.

The BHDD Office of Mental Health ED Telepsychiatry Program does not offer consultations for patients on medical floors or in outpatient settings.

*BHDD Office of Mental Health psychiatrists do not provide emergency room telepsychiatry consults on Christmas Day.

The Department’s rates for subscribing hospitals are based on funding sources available to BHDD Office of Mental Health. However, if the volume of requested consultations substantially increases as additional hospitals contract with BHDD Office of Mental Health, or if currently contracted hospitals significantly increase demand for consults, the Department’s rates may require adjustment to sustain its capacity to provide timely psychiatric consultations.

Contact BHDD Office of Mental Health Acting State Director Robert Bank, MD, for more information: Robert.Bank@scdmh.org.

 

BHDD Office of Mental Health Assistance with Psychiatric Staffing Strategies

Community hospitals considering establishing new psychiatric crisis programs will often need to recruit psychiatric medical staffing for their programs. BHDD Office of Mental Health has broad experience in utilizing telemedicine models to provide psychiatric medical care. As such, the Department offers consultation with interested hospitals to discuss approaches to address their psychiatric staffing needs and an introduction to the sources the Department uses to meet its psychiatric medical staffing needs, including psychiatric APRNs. A cost-efficient approach in many locations would be a remote attending psychiatrist working with an onsite experienced psychiatric APRN.

Contact BHDD Office of Mental Health Acting State Director Robert Bank, MD, for more information: Robert.Bank@BHDD Office of Mental Health.org

 

BHDD Office of Mental Health Assistance with Emergency Room Onsite Therapist Staffing

BHDD Office of Mental Health mental health centers offer hospital emergency rooms the opportunity to contract with one of the centers’ master’s-trained therapists – referred to as mental health professionals (MHPs) – to work onsite in emergency rooms. Participating hospitals have reported that having an BHDD Office of Mental Health MHP in their EDs yields beneficial results in assisting with the timely disposition of patients with behavioral health disorders. These clinicians are well-versed in the state’s behavioral health resources, capabilities, and limitations. In addition, their knowledge of resources, coupled with the ability to access BHDD Office of Mental Health’s statewide electronic health record, provides emergency room staff with detailed clinical information for specific patients and comprehensive knowledge of potential discharge referral sources. These MHPs can facilitate “warm handoffs” to BHDD Office of Mental Health’s mental health centers, which serve all 46 counties of South Carolina.

Contact BHDD Office of Mental Health Deputy Director Debbie Blalock for more information: Deborah.Blalock@scdmh.org

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Do you need help?

If you or someone you know is experiencing a mental health emergency, contact our 24/7/365 Statewide Crisis Response dispatcher

1-833-364-2274 or call 911

Helpful Links

Do you have a complaint regarding services being provided to a child by a state agency? Please submit your complaint to the South Carolina Department of Children’s Advocacy by phone (1-800-206-1957) or via the electronic submission form.

Notices

Language assistance services are available to you free of charge by calling 1-805-360-3326. Please enter Pin #:  81767494 and be prepared to state your language.

Los servicios de asistencia lingüística están disponibles sin cargo llamando al 1-805-360-3326. Por favor, ingrese su número de pin 81767494 y prepárese para decir su idioma.

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