Dec. 2, 2015 Seminar on Improving Emergency Department Flow For People With Behavioral Health Problems

December 2, 2015       Flamingo Hotel, Las Vegas, NV

A pre-conference seminar preceding the National Update on Behavioral Health Emergencies



  • Stuart Buttlaire Ph. D. Regional Director of Inpatient Psychiatry and Continuing Care for Northern California Kaiser Permanente
  • Laura Collins, LICSW Psychiatry Administrator Harborview Medical Center Seattle, WA
  • Larry Phillips D.C.S.W. Program Manager, St Anthony Hospital, Oklahoma City
  • Linda Garrett, JD Risk Management, Risk Management Services Inc
  •  Peter Brown MA Exec. Dir. IBHI


8:30   Opening, Faculty Introductions and Schedule for the day 8:45     Hearing from the participants – getting acquainted with each other: Where are you from? What is your role in your department or facility? Briefly: What brought you to the seminar and what are the issues you are facing?9:15  The current ED environment, its impact on behavioral health consumers and what the recently added standards for Joint Commission accreditation mean for hospitals behavioral health and emergency care.

NAMI Video

Stuart Buttlaire, Peter Brown
9:50  Examples ofStreamlining ED Operations  Techniques for understanding the flow problems and reducing boarding  in EDs and ways to develop changes in the operation.

Larry Phillips

Laura Collins

Stuart Buttlaire

Peter Brown
10:15         Break


10:30   Examples ofStreamlining ED Operations Continued
12:15        Lunch

1:00    Legal issues in emergency department operations related to behavioral health             patients  and ways to address them

Linda Garrett,  JD  Risk Management

2:00     Important topics in ED management:  suicide;  managing agitation; decisions             about medication,

Stuart Buttlaire
2:45    Framework for improvement efforts and making change in Emergency             Department operations, staff culture and training

Peter Brown

3:15     Break


3:30     Break out groups – faculty facilitated – Planning to improve your facility and             program. Participants use what they have learned to  develop their own plan for             improvement with faculty support including improving engaging the community             and resources

3:45     New developments in ED operations including

Use of Telemedicine, crisis centers, non-ED centers ( living room, Rose House)             mobile crisis teams, Peer Counselors, Call center follow up efforts.

Peter Brown , Faculty

4:15    Discussion of  Participants  plans for their own Emergency Department

4:45    Summary and evaluation

5:00         Adjourn

Persons interested in accommodations should contact Peter C Brown IBHI Executive Director at   Persons wishing to file a grievance should contact Joyce WALE Social Work Consultant at Joyce


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