On Wednesday, December 11, 2019, IBHI will again offer its well received Seminar on Improving Emergency Department Flow for People with Behavioral Health Problems at the Scott Resort and Spa in Scottsdale, Arizona preceding the NUBE conference at the same location.

Register now for the only conference focused on behavioral emergencies, the 10th Annual National Update on Behavioral Emergencies (NUBE) Conference. The conference will be held at the Scott Resort and Spa in Scottsdale, Arizona on December 12-13, 2019. There will be Pre-Conference sessions beginning on Wednesday, December 11, 2019. 

All providers of emergency care to psychiatric patients are invited to this year’s conference. It is poised to be the best ever with hot topic presentations on mass shootings and the opioid epidemic, rapid fire sessions, lectures and workshop presentations by renowned speakers, and a scientific session on state of the art care.

Faculty includes:

  • Stuart Buttlaire Ph.D. Regional Director of Behavioral Health for Northern California Kaiser Permanente
  • Megan Schabbing, MD Medical Director Psychiatric Emergency Services OhioHealth Behavioral Health Riverside Methodist Hospital
  • Alicia Hooton, LCSW •Executive Director, Crisis Services Seneca Family Of Agencies San Leandro CA
  • Russell Kolsrud J.D. Dickinson-Wright LLC
  • Peter Brown MA Exec. Dir. IBHI

This seminar is designed to help teams of Emergency Department health care professionals and administrators assess challenges and better organize operations to respond to the needs of individuals, and produce better outcomes. Team participation is encouraged but not required.

It is fairly common for people with acute mental health problems to be brought to hospital Emergency Departments and spend extended periods there, often with little or no treatment. To change this situation IBHI has for ten years offered a seminar on ways to improve treatment of these people, improve their lives and improve financial results for the hospitals. This program had its beginning in a pioneering year-long collaborative, which IBHI managed, of five hospitals all working together to improve their emergency care of these people.

IBHI is dedicated to improving care for people with behavioral health problems and Emergency Departments are a prime location for helping to improve care. In the past these seminars have helped a number of hospitals to change their operations in ways which benefit both consumers and staff.

Upon completion of the Seminar participants will be able to:

  • identify specific aspects of their Emergency Department operation which exacerbate symptoms for behavioral health patients.
  • develop a plan for reducing the time people with behavioral health problems spend in the ED.
  • identify ways to expedite placement for those requiring out of hospital residential care.
  • identify ways to reduce agitation
  • understand and identify symptoms of potential for suicide by people presenting for care
  • identify specific issues which lead to court cases and methods for avoiding those issues.


Agenda as of Oct. 22, 2019 (subject to change)

8:00   Opening, Faculty Introductions and Schedule for the day

8:15     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?

8:45  The current ED environment, its impact on behavioral health consumers and what the standards for Joint Commission accreditation mean for hospitals behavioral health and emergency care.  
            NAMI Video

Stuart Buttlaire, Megan Schabbing Peter Brown

9:15  Examples of Streamlining ED Operations  Techniques for understanding the flow problems and reducing boarding  in EDs and ways to develop changes in the operation.  

   Stuart Buttlaire, Megan Schabbing, Peter Brown


10:00       Break


10:15   Examples of Streamlining ED Operations Continued

11:00   Framework for improvement efforts and making change in Emergency Department operations, staff culture and training

                        Peter Brown


12:00        Lunch

12:45    Legal issues in emergency department operations related to behavioral health  patients  and ways to address them
            Russell Kolsrud

1:45     Important topics in ED management:  suicide;  managing agitation; decisions about  medication,
            Megan Schabbing, Stuart Buttlaire

3:00   Break 


3:15     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 engagement with community.


3:45     New developments in ED operations including  Developing trends, Use of Telemedicine, crisis centers, non-ED centers 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



You can stay up to date with conference details by visiting the Conference website here.

We hope you join us December 12-13 at Scott Resort and Spa!

Register now.

Rooms can also be reserved now.