Thesis Title: A Needs Assessment and Program Intervention for Patients in Mental Health Crisis in Lieu of Admission to the Emergency Department of Rapides Regional Medical Center, Rapides Parish, Louisiana Open Access

Abstract

Community-based services for patients in mental health crisis in Rapides Parish, Louisiana, are virtually non-existent. Consequently, persons who suffer from chronic mental illness frequently seek non-emergency services in the Emergency Department (ED) of Rapides Regional Medical Center (RRMC), the largest hospital in central Louisiana. This study is a community needs assessment that focuses for the first time on the needs of the patient population in mental health crisis in central Louisiana and evaluates community-based services that could be successfully implemented to serve those needs.

Table of Contents

Chapter 1: Overview 1

A. Problem Statement 1

B.Purpose 2

C. Significance of the project 3

D. Mental Health in Louisiana 4

F. Mental Health in Rapides Parish 8

Chapter 2: Literature Review 17

Chapter 3: Data Collection, Analysis and Results 30

A. Theoretical Framework 30

B. Data Collection and Results 34

Chapter 4: Discussion 37

A. Quantitative Data 37

B. Qualitative Data 43

C. Limitations 48

D. Recommendations 49

E. Questions That Remain After Data Collection 68

Chapter 5: Front Page of Journal Article (Appendix 2) 71

REFERENCES 71

List of Figures

Figure 1: Map of Rapides Parish, Louisiana (PRC, 2013) 9

Figure 2: Map of Designated Medically Underserved Populations in Louisiana (PRC, 2013) 11

Figure 3: Primary Care HPSA Map of Louisiana (PRC, 2013) 14

Figure 4: Optimal Mix of Mental Health Community Services (WHO, 2015) 25

Figure 5: Schematic overview of risks to mental health over the life course (Adapted from: Foresight Project, 2008; Kieling et al, 2011; Fisher et al, 2011) (WHO, 2012) 32

Figure 6: Diagram of the Socio-Ecological Model(CDC, 2015) 33

List of Tables

Table 1: Target Population Breakdown by Gender 38

Table 2: Target Population by City 39

Table 3: Target Population History of Mental Illness 40

Table 4: Target Population History of Mental Illness by Gender 41

Table 5: Target Population and In-Patient Facility 43

List of Appendices

Appendix 1: Key Stakeholder Interview Questions 77

Appendix 2: First Page of Journal Article 78

About this Master's Thesis

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School	Rollins School of Public Health
Department	Executive Masters of Public Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Psychology, Behavioral Sociology, Public and Social Welfare
Keyword	Louisiana Mental Illness Mental Health Crisis Rapides Parish Rapides Regional Medical Center
Committee Chair / Thesis Advisor	O'Connor, Jean, Emory University
Committee Members	Hinman, Johanna M, Emory University Moreau, Shawn, Rapides Regional Medical Center
Partnering Agencies	Community-based non-profit organization (e.g., AID Atlanta) Hospital or other health care provider

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