ACUTE CARE SERVICES
WHO WE SERVE: Adults and children of any age.
THE BRIEN CENTER’S CRISIS HOTLINE TRIAGE TEAM IS ON CALL 24/7 EVERY DAY OF THE YEAR.
“The average wait time for a Brien Center licensed clinician to assist with a crisis is 27 minutes, ranking Brien among the best crisis responders in the state.”
Today, a behavioral health crisis does not necessarily require a trip to the ER. Rapid assessment and stabilization of people in crisis can often best be achieved by professionals in a familiar community-based location, where interventions can be provided with the least disruption to people’s lives. In Berkshire County, a call to The Brien Center’s confidential 24-hour emergency hotline immediately activates our mobile outreach and crisis response unit – The Crisis Team – to triage for safety and determine the next best step.
As the local provider for the Massachusetts Behavioral Health Partnership Emergency Services Program (ESP), we ensure that Berkshire County residents receive immediate access to culturally competent, clinically effective, integrated, community-based, emergency behavioral health services.
The Crisis Team provides nearly 5,000 community-based crisis evaluations and interventions in schools, homes, other community locations, and hospital emergency departments each year.
Insurances Accepted – The Brien Center is an approved provider for most public and private health insurance plans. A sliding fee scale is offered for those who have no health insurance.
ACUTE CARE SERVICES
EMERGENCY SERVICES PROGRAM (ESP)/CRISIS TEAM
The Brien Center’s ESP/Crisis Team provides crisis assessment, intervention and stabilization services 24 hours per day, seven days a week and 365 days per year (24/7/365) to individuals of all ages who are experiencing a behavioral health crisis and who may be at risk of harming themselves or others. The purpose of the ESP is to respond rapidly, assess effectively, and deliver a course of treatment intended to promote recovery, ensure safety, and stabilize the crisis in a manner that allows individuals to receive the necessary services in the community or, if medically necessary, in an inpatient or 24 diversion level of care.
MOBILE CRISIS INTERVENTION
The Brien Center’s ESP/Crisis Team provides Mobile Crisis Intervention services to both youth and adults as an integral part of their comprehensive behavioral health crisis services continuum. Services are provided at community-based locations including, but not limited to, private homes, residential programs and schools. Specifically for youth, the crisis clinician provides up to 7 days of crisis intervention and stabilization services including: onsite face-to-face therapeutic response, psychiatric consultation, and urgent psychopharmacology intervention as needed; and referrals and linkages to all necessary behavioral health services and supports, including referral to our own Child and Adolescent Division.
ADULT COMMUNITY CRISIS STABILIZATION PROGRAMS (CCS) – POMEROY HOUSE
The Adult CCS provides staff-secure, safe and structured crisis stabilization and treatment services in a community-based program that serves as an alternative to inpatient psychiatric hospitalization for individuals with mental health and/or substance use disorders. Services at this level of care include crisis stabilization; initial and continuing assessment; care management; psychiatric evaluation and medication management; peer-to-peer support; and mobilization of natural supports and community resources.
ADULT RESPITE SERVICE PROGRAM – BRENTON HOUSE
This Department of Mental Health-funded program is an integral part of The Brien Center’s community-based system. The program provides a service to adults with behavioral health needs who require a temporary group living arrangement and support services as they stabilize and integrate into the community. The services include assessment, treatment planning, and intensive case management for those stepping down from inpatient care, and serve as respite for emergencies or as a bridge to some permanent arrangements. The program is designed to provide high levels of support during a time of crisis and helps individuals access appropriate long-term supports and services to sustain them when they return to the community.
COLLABORATION WITH LAW ENFORCEMENT
Since the police are frequently called when an individual is in crisis, Brien Center staff work together with local police agencies to coordinate more effective interventions. We participate in crisis intervention training for Berkshire County officers, to improve their intervention skills, and to teach them how to partner more effectively with Brien’s Crisis Team.
ACUTE CARE SERVICES STAFF
Our highly trained, professional acute care team includes psychiatrists, clinicians, triage coordinators, shift supervisors, as well as family partners and peer specialists. Family partners and peer specialists are adults who have “lived experience” either as the caretaker of a youth with a serious emotional disturbance or as an individual with lived experiences related to behavioral health. As important members of the acute care team, they play a key role in supporting recovery.
Each division of The Brien Center is overseen by a Division Director and supported by its own Medical Director.
Rebecca Phelps-Smith, LCSW
Interim Division Director
Acute Care Services Division
Linda Smothers, M.D.
Acute Care Services Division
ACUTE CARE SERVICE LOCATIONS
Our team works closely with area emergency departments at Berkshire Medical Center in Pittsfield, Fairview Hospital in Great Barrington, and North Adams Regional Hospital.