title: Crisis Reliability Indicators Supporting Emergency Services (CRISES): A Framework for Developing Performance Measures for Behavioral Health Crisis and Psychiatric Emergency Programs.
abstract: Crisis and emergency psychiatric services are an integral part of the healthcare system, yet there are no standardized measures for programs providing these services. We developed the Crisis Reliability Indicators Supporting Emergency Services (CRISES) framework to create measures that inform internal performance improvement initiatives and allow comparison across programs. The framework consists of two components-the CRISES domains (timely, safe, accessible, least-restrictive, effective, consumer/family centered, and partnership) and the measures supporting each domain. The CRISES framework provides a foundation for development of standardized measures for the crisis field. This will become increasingly important as pay-for-performance initiatives expand with healthcare reform.
authors.affiliation: ConnectionsAZ, Phoenix, AZ, USA. Margie.Balfour@ConnAZ.com.|Department of Psychiatry, University of Arizona, Tucson, AZ, USA. Margie.Balfour@ConnAZ.com.|Crisis Response Center, 2802 E. District St., Tucson, AZ, 85714, USA. Margie.Balfour@ConnAZ.com.
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Balfour
authors.affiliation: Connections SouthernAZ, Tucson, AZ, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Tanner
authors.affiliation: Connections SouthernAZ, Tucson, AZ, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Jurica
authors.affiliation: Department of Psychiatry, University of Arizona, Tucson, AZ, USA.|Connections SouthernAZ, Tucson, AZ, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Rhoads
authors.affiliation: ConnectionsAZ, Phoenix, AZ, USA.
authors.forename: Chris A
authors.initials: CA
authors.lastname: Carson
mesh_terms: D003419:Crisis Intervention; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000592:standards*; D058996:Quality Improvement; D019984:Quality Indicators, Health Care
keywords: Behavioral health; Crisis services; Emergency psychiatry; Mental health services/standards; Outcome and process assessment; Quality improvement