ArticlePsychiatric services (Washington, D.C.)2022
Trends and Geographic Availability of Emergency Psychiatric Walk-In and Crisis Services in the United States.
Article in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Large-scale patterns of self-reported mood and sleep across the day and week on an online cognitive-training platform.PLOS digital health · 2026Article
- Exploring the potential of ChatGPT as a digital advisor in acute psychiatric crises: a feasibility study.Der Nervenarzt · 2026Article
- Identifying psychiatrist characteristics associated with likelihood of recommending involuntary hospitalization for patients using a novel tool to assess decision-making.PLOS mental health · 2026Article
- Factors associated with psychiatric admission from observation beds in the psychiatric emergency room.Frontiers in psychiatry · 2026Article
- Understanding treatment barriers for major depressive disorder in the Latino community: A qualitative study stratified by language preference.Transcultural psychiatry · 2025Article
- Availability of behavioral health crisis care and associated changes in emergency department utilization.Health services research · 2025Article
- Mobile Crisis Teams' Implementation in the Context of new Medicaid Funding Opportunities: Results from a National Survey.Community mental health journal · 2024Article
- US Hospital Service Availability and New 340B Program Participation.JAMA health forum · 2024Article
- Effects of Geography on Risk for Future Suicidal Ideation and Attempts Among Children and Youth.JAACAP open · 2023Article
- Adoption of Best Practices in Behavioral Health Crisis Care by Mental Health Treatment Facilities.Psychiatric services (Washington, D.C.) · 2023Article
- A Qualitative Investigation of Preparedness for the Launch of 988: Implications for the Continuum of Emergency Mental Health Care.Administration and policy in mental health · 2023Article
- Implementation of the 988 Suicide & Crisis Lifeline: Estimating State-Level Increases in Call Demand Costs and Financing.The journal of mental health policy and economics · 2023Article
- Growing inequities in mental health crisis services offered to indigent patients in Puerto Rico versus the US states before and after Hurricanes Maria and Irma.Health services research · 2023Article
- Spatial Analysis of Access to Psychiatrists for US Military Personnel and Their Families.JAMA network open · 2023Article
- Association of Access to Crisis Intervention Teams With County Sociodemographic Characteristics and State Medicaid Policies and Its Implications for a New Mental Health Crisis Lifeline.JAMA network open · 2022Article
- Market Factors Associated with Comprehensive Behavioral Health Crisis Care Availability: A Resource Dependence Theory Study.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveSerious mental illness places a considerable burden on the mental health service system in the United States. To date, no research has examined the availability of psychiatric emergency walk-in and crisis services. The goal of this study was to examine temporal trends, geographic variation, and characteristics of psychiatric facilities that provide emergency psychiatric walk-in and crisis services across the United States.
methodsThe authors used cross-sectional, annually collected data covering the 2014-2018 period from the National Mental Health Services Survey (N-MHSS), a representative survey of both public and private mental health treatment facilities in the United States.
resultsOverall, 42.6% of all U.S. mental health facilities did not offer any mental health crisis services between 2014 and 2018. A third of all facilities (33.5%) offered emergency psychiatric walk-in services, and just under one-half (48.3%) provided crisis services. When examining population-adjusted estimates, the authors noted a 15.8% (1.52-1.28 per 100,000 U.S. adults) and 7.5% (2.01-1.86 per 100,000 U.S. adults) decrease in walk-in and crisis services, respectively, from 2014 to 2018. Large geographic variation in service availability was also observed.
conclusionA large proportion of psychiatric facilities in the United States do not provide psychiatric walk-in or crisis services. Availability of these services either has stayed flat or is declining. Disparities, particularly around U.S. borders and coasts, suggest policy efforts would be valuable for ensuring equitable service availability.
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