Welcome to Kaiser Permanente South Sacramento Emergency Psychiatry Fellowship!
Changing the paradigm of emergency psychiatry
The Kaiser Permanente Emergency Psychiatry Fellowship is a one year program created to develop experts in the assessment and treatment of acutely psychiatrically ill patients, who are also interested in learning effective leadership skills and program development. Eligible candidates are graduates of either an emergency medicine or psychiatry residency program. The goal of the fellowship is to produce leaders in the field who can change the face of Emergency Department Psychiatry nationally. The year-long comprehensive clinical and didactic program is comprised of a well-rounded series of rotations and seminars to provide knowledge with a systems based approach.
Kaiser Permanente has an established reputation for delivering the highest quality clinical care and leading the nation in innovative ideas and strategies for healthcare. Kaiser South Sacramento is a melded academic and community hospital model. The ED currently serves a mixed socioeconomic population in South Sacramento and is the busiest ED in the area with an annual volume of 100,000. The ED is nationally recognized for expertise in ED flow and is a training site for Emergency Medicine residents from UC Davis.
The fellows trained each year will become excellent clinicians able to integrate biological, psychological, and social models in the treatment of their patients.
In 2007, 12 million emergency department visits involved a behavioral health and/or substance abuse condition. This is one out of every eight ED visits. These visits were two and a half times more likely to result in hospital admissions. With the national shortage of available inpatient treatment beds, these patients are boarded in the ED’s. Traditionally minimal treatment has been given to patients who are often housed in ED’s for 24 hours and sometimes much longer waiting for an inpatient bed. Currently the Sacramento region is experiencing a crisis in emergency psychiatric care that is similar to the conditions found throughout large cities in the US. The need for a higher level of expertise in care of these patients could not be greater.
We have found that a new model for treatment of patients within the ED can provide greatly improved patient care while improving ED flow dramatically. Appropriate clinical diagnosis and treatment within the ED setting allows for an increased percentage of discharges from the ED, thus creating more inpatient beds, and a shorter length of stay in the ED.