Maine faces a difficult and ongoing crisis with regard to people with mental illness.
This plays out daily in emergency rooms across the state, where patients with acute and difficult-to-manage mental illnesses can wait for days and sometimes weeks for a bed at a qualified facility. The state’s authorization earlier this year to open an additional unit at Spring Harbor Hospital – a MaineHealth member affiliated with both Maine Medical Center and Maine Behavioral Healthcare – provided some relief, but more needs to be done.
Riverview Psychiatric Center in Augusta continues to play an important role in the continuum of services available to persons experiencing prolonged episodes of severe symptoms. Recently, the Centers for Medicare and Medicaid Services cited deficiencies at Riverview, including the need to provide appropriate housing and treatment options to forensic patients who no longer need hospital-level care.
The Department of Health and Human Services has proposed building a “step-down” unit for these patients. With the right programming and staffing, such a unit would both allow patients to receive appropriate levels of treatment and free up scarce hospital beds in the hospital for nonforensic psychiatric patients.
From our vantage point as organizations that work with people who struggle with major mental illnesses, we know that a well-run step-down treatment facility will provide qualified forensic patients with more appropriate care in a more appropriate setting. Additionally, it will free up hospital beds at Riverview that are desperately needed by other patients.
We hope that the Legislature and the governor will work together to quickly approve a step-down unit for forensic patients at Riverview who need that level of care, as well as find compromise on the larger issue, taken up in the last Legislature, of providing step-down options for all patients needing structured support short of hospitalization.
Richard Petersen
president and CEO, Maine Medical Center
Portland
Stephen Merz
president and CEO, Maine Behavioral Healthcare
Portland
CEO, Spring Harbor Hospital
Westbrook
Send questions/comments to the editors.
Success. Please wait for the page to reload. If the page does not reload within 5 seconds, please refresh the page.
Enter your email and password to access comments.
Hi, to comment on stories you must . This profile is in addition to your subscription and website login.
Already have a commenting profile? .
Invalid username/password.
Please check your email to confirm and complete your registration.
Only subscribers are eligible to post comments. Please subscribe or login first for digital access. Here’s why.
Use the form below to reset your password. When you've submitted your account email, we will send an email with a reset code.