Crisis Stabilization Units 

Pathways Center’s Crisis Stabilization Units (CSUs) are medically monitored, community-based residential alternatives to hospitalization. The CSUs provide short-term crisis stabilization programs that provide psychiatric crisis stabilization and detoxification for adults and children and adolescents. The CSU provide emergency receiving, screening and evaluation services twenty-four hours a day, seven days a week and has the ability to admit and discharge seven days a week. Psychiatric stabilization and residential detoxification services are offered at a clinical intensity level which supports the level of care required by the provider agreement or contract with the Department of Behavioral Health and Developmental Disabilities (DBHDD). 

The CSU has policies and procedures for identifying and managing individuals and providing a planned regimen for professionally driven evaluation, care and treatment services for individuals who meet the diagnostic criteria for a Substance Dependence Disorder. Residential detoxification services offered within the Adult and Child & Adolescent (C&A) CSU shall not exceed services described at the American Society of Addiction Medicine (ASAM) Patient Placement Criteria Level 3.7 for withdrawal management. 

The CSU has policies and procedures for identifying and managing individuals at high risk of suicide or intentional self-harm. The CSU designates a specific number of beds, which may be used as crisis beds or as transitional beds, with DBHDD approval. A physician must write an order for the individuals to transfer to a transitional bed and the length of stay data is submitted to DBHDD for both crisis and transitional beds respectively. 

Detoxification 

Pathways Center provides sub-acute detoxification 24 hours/day, 7 days/week in a residential setting using the short term (3-7 days) medical monitoring and other support for processes associated with withdrawal from alcohol or other drugs (ASAM Level III.7-D). The program works with those who are 18 years of age or older who are voluntarily seeking or involuntarily sent by physician certificate or Probate Judge’s affidavit for detoxification treatment and have impending or emergent need for medical monitoring of withdrawal from addictive chemicals. Those 17 years of age that are emancipated minors may also be served for detoxification when the medical director or designee finds the person served does not require specialized child and adolescent services, and when their life circumstances demonstrate they are more appropriately served in an adult environment. 

Intensive Crisis Supports 

Intensive Crisis Supports are specialized services that provide a time-limited care and intervention to an individual due to his or her need for support and protection of others living with him or her. These supports provide specific intervention and case management strategies directed toward enabling the recipient to remain in the community. The outcomes of these services are designed to enhance the current family member’s or provider’s ability to meet the needs of the recipient. Intensive Out-of-Home Supports is intended to stabilize the individual through nursing and behavioral supports, on a time-limited basis and is provided by the Crisis Support Home. The Crisis Support Home will serve no more than four individuals simultaneously. Individuals under the age of 18 will not be served in the Crisis Support Home. Transportation is provided for individuals in need of transport to the crisis home, emergency facility or back to their place of residence once discharged from the Crisis Services. 

The Crisis Support Home will provide meals, room and crisis services on a 24/7 basis, not to exceed 7 calendar days unless approved by the Regional Services Administrator.