Wednesday, August 23, 2017

Hospitals apply for more psychiatric beds, Alaska Justice Forum article supports need

Information from "Alaska's Lack of Psychiatric Beds and Consequences," Alaska Justice Forum, Summer 2017, was used in a recent Certificate of Need (CON) hearing to support a request for additional psychiatric beds.
In May 1968, at the time of this photo, API had 225 beds. It has 80 now.
Christine M. McClain papers, Archives and Special Collections,
 Consortium Library,UAA. Jim Balog, photographer

Alaska Regional Hospital and Mat-Su Regional Medical Center both presented cases and supported each other's requests for expanding behavioral health units to the CON board on August 16 in Anchorage. Mat-Su Regional is applying for 36 beds for behavioral health and substance use disorder patients. Alaska Regional Hospital is seeking 24 psychiatric beds, 12 of which would be secure.

"We are desperately in need of more resources," Alaska Regional CEO Julie Taylor told the CON board.  She presented historical information, taken from the Justice Forum article, that API used to have over 200 beds when it began operating in the 1960's. It now has 80 -  with only 50 reserved for adults. The rest are for adolescents, forensic cases and people with dementia and other disabilities who have no other options for placement.

Taylor also presented a chart that appeared in the Forum showing how the de-institutionalization movement of the 1960's and 70's shifted the population of adults with mental illness from medical institutions to jail.

The lack of beds is particularly worrisome as the state takes moves to reduce the number of people with mental illness who are in jail, Taylor said. "We need to be ready with the resources," she said.

Mat-Su Regional will serve both behavioral health and substance use disorder patients. Alaska Regional plans to focus on behavioral health.

Both requests received strong support from service providers, consumers of mental health and substance abuse disorder services, and family members.

A second CON hearing will be held at Mat-Su College on August 31 at 4:30 p.m.