Traditional forms of psychiatric crisis treatment increasingly are being buttressed by services along the Psychiatric Crisis Continuum of Care, such as short-term crisis stabilization services and peer crisis services. The UT Health Living Room (LR) is an outpatient crisis counseling service that adds three promising elements to the Continuum: (1) it integrates outpatient treatment plans into crisis counseling, (2) provides care in a space and with staff who are familiar to patients, and (3) provides training in evidence-based crisis intervention. We examined two-year LR feasibility and outcome data. Mixed-method analyses used longitudinal clinic data and patient self-report measures. Results provide initial support for the feasibility, cost effectiveness and clinical effectiveness of the LR. Limitations include non-blinded ratings, limited experimental control, and simple cost-effectiveness methodology. The UT Living Room is feasible and offers novel elements to help patients in community clinics address emotional crises.
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Columbia Univ, Dept Med, Med Ctr, Div Infect Dis, New York, NY USAVanderbilt Univ, Sch Med, Div Infect Dis, Dept Med, 1161 21st Ave S,A-2200 MCN, Nashville, TN 37232 USA
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Fenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USAFenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USA
Bruno, Jack
Vedilago, Virginia
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Fenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USAFenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USA
Vedilago, Virginia
Goldhammer, Hilary
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Fenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USAFenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USA
Goldhammer, Hilary
Campbell, Juwan
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Fenway Hlth, Fenway Inst, Boston, MA USAFenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USA
Campbell, Juwan
Keuroghlian, Alex S. S.
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Fenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USA
Massachusetts Gen Hosp, Div Publ & Community Psychiat, Boston, MA USA
Harvard Med Sch, Dept Psychiat, Boston, MA USA
Fenway Hlth, Div Educ & Training, Fenway Inst, 1340 Boylston St, Boston, MA 02215 USAFenway Inst, Div Educ & Training, Fenway Hlth, Boston, MA USA