BAILEY-201503273221

General admission criteria for Sub Acute Psychiatric Care:

1. The Access Department staff will help the child and family understand the reasons for admission, give admission consideration to children that realistically allows the child’s family to participate in treatment, and advise the family on transportation arrangements when necessary.

2. Admissions will be based on the Access Department’s clinical review of the child’s functioning, of the severity and acuity of the child’s psychiatric symptoms, and of documentation of previous attempts to treat the child in less restrictive level of care when possible.

3. The child is admitted by Trillium physician’s order to determine through assessment and evaluation the existence of a primary diagnosis on Axis I of a completed 5-Axis DSM diagnosis that shall be the basis for the development of the child’s Individual Plan of Care.

4. The child needs treatment 24-hours each day in a sub acute setting providing facility security, a high staffing ratio and intensity of nursing supervision and monitoring and psychiatric care (1-3 times/week) to stabilize or resolve symptoms or behaviors which were identified as the reason for admission and which are consistent with the DSM diagnosis.

5. Trillium’s psychiatrist and the referring physician have consulted and agree on the child’s admission to Sub Acute Psychiatric Care.

6. Less restrictive or less intense services cannot be expected to improve the child’s condition or prevent further regression so that Sub Acute services will no longer be needed.

7. The child requiring Sub Acute Psychiatric Care will exhibit the following criteria to be eligible for this level of care:
a. Acute psychiatric decompensation or severe psychiatric disorder.
b. Emergent behavioral dyscontrol requiring secure psychiatric intervention.
c. Moderate to severe risk to self or other, manageable other than in a medical facility.
d. Medical issues secondary to psychiatric condition, manageable other than in a medical facility.
e. Lower level of care insufficient or unable to stabilize psychiatric disorder.
8. The child will be excluded from Trillium’s Sub Acute Psychiatric Care if exhibiting the following:
a. Medical conditions requiring on site 24-hour nursing or medical facility.
b. Severe self-injurious behavior requiring mechanical or chemical restraints.
c. Imminent suicidal risk even in a secure psychiatric setting.

8. The child will be excluded from Trillium’s Sub Acute Psychiatric Care if exhibiting the following:

    1. Medical conditions requiring on site 24-hour nursing or medical facility.
    2. Severe self-injurious behavior requiring mechanical or chemical restraints.
    3. Imminent suicidal risk even in a secure psychiatric setting.