The crisis task force came together in March of 2012 after several individuals raised the concern that there was no protocol in place for handling a mental health crisis in Rice County. An initial gathering of representatives from many sectors (hospital, clinics, law enforcement, education, Rice County Social Services, private mental health providers, chemical health providers, and others) led us to the same conclusion. The unofficial plan when someone experiences a mental health crisis in Rice County is to call law enforcement and then have the person transported to the nearest hospital. Yet, neither Northfield Hospital nor District One Hospital felt equipped to effectively handle a mental health crisis.
This conversation led to several months of research and discussion and finally a proposal to try an In-Reach Service Coordination model (based on a model used in Steele County at Owatonna Hospital). District One Hospital piloted the program for six months in 2013 and made the position permanent because of such great results.
The In Reach program works closely with patients with high Emergency Department utilization and who voluntarily agree to case management type services. The purpose of this program is to use a community collaborative care network to ensure these patients have access to a full range of health care services while decreasing reliance on the Emergency Department. Hospital In Reach services bring together healthcare and community based services for up to 60 days after hospital discharge. It includes navigating and coordinating services to address mental and chemical health, housing, transportation, employment, peer support services, other health, social and economic needs.