Two approaches to crisis residential services
- “Living Room” Model
- support someone to get stable and then return to being an active community member
- welcoming and accepting environment, which conveys hope, empowerment, choice, and higher purpose
- person in crisis is treated as a ‘guest’ in a home-like environment that evokes safety and privacy
- works with a team of “crisis competent” professionals, including peers with lived experience
- includes risk assessment, treatment planning
- peer counselors help guests through crisis and coping
- some sites have direct collaboration with law enforcement teams
- transfer to more intensive levels of care only if necessary
- Peer-Operated Respite
- provide restful, voluntary sanctuary for people in crisis
- As of 2013 there were only 13 in the US, with 12 others in planning
- Rose House in NY showed costs of peer respite stays were 30% the cost of inpatient care
- Ideal would be one respite alternative in every crisis care system
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David Covington
(@davidwcovington) |
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