Fradley Marley F, Stanley Justin, Han Xiaotong, McLaughlan Cassandra L, Zaller Nickolas, Evans Lisa, Zielinski Melissa J
Department of Psychiatry, University of Arkansas for Medical Sciences.
Psychol Serv. 2025 May;22(2):304-311. doi: 10.1037/ser0000893. Epub 2024 Aug 5.
Crisis Stabilization Units (CSUs) are short-term residential facilities that provide care to people experiencing mental health crises, seeking to reduce reliance on local emergency departments and avoid unnecessary jail detention. Despite these intentions, there is little foundational literature to support research on CSU efficacy and a dearth of research on the sociodemographic characteristics and specific needs of CSU patients. Here, we recruited and surveyed 208 participants admitted to one of two focal Arkansas CSUs on their sociodemographic characteristics, justice-involvement, mental health, substance use, and health care utilization. Results revealed that participants were mostly unemployed (68.16%), low-income (72.34%), and experiencing insecure housing (33.33%). They reported extensive justice-involvement (85.57%), high rates of clinically significant mental illness symptom severity (77.00% for anxious symptoms; 78.33% for depressive symptoms; 79.40% for traumatic stress symptoms), and recent substance use (73.34%). Recent engagement with other medical services was common, though more participants reported visiting an emergency department (42.23%) than did receiving outpatient medical care (26.73%). While research on CSU patient outcomes is needed, our results indicate that CSUs have the potential to be an essential part of the health care continuum by serving a population with multiple, intersecting needs and addressing a deficit in community-based crisis care. Continued investigation of community-based crisis intervention services is critical to bridging the gap between vital behavioral health resources and the populations in need of them. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
危机稳定单元（CSUs）是短期居住设施，为经历心理健康危机的人提供护理，旨在减少对当地急诊科的依赖并避免不必要的监禁。尽管有这些意图，但几乎没有基础文献支持对危机稳定单元疗效的研究，并且对危机稳定单元患者的社会人口学特征和特定需求的研究也很匮乏。在此，我们招募并调查了阿肯色州两个重点危机稳定单元收治的208名参与者，了解他们的社会人口学特征、司法参与情况、心理健康、物质使用和医疗保健利用情况。结果显示，参与者大多失业（68.16%）、低收入（72.34%）且居住不安全（33.33%）。他们报告有广泛的司法参与（85.57%）、临床显著的精神疾病症状严重程度发生率高（焦虑症状为77.00%；抑郁症状为78.33%；创伤应激症状为79.40%）以及近期有物质使用（73.34%）。近期与其他医疗服务机构接触很常见，不过报告去过急诊科的参与者（42.23%）比接受门诊医疗护理的参与者（26.73%）更多。虽然需要对危机稳定单元患者的治疗结果进行研究，但我们的结果表明，危机稳定单元有潜力成为医疗保健连续体的重要组成部分，为有多种交叉需求的人群提供服务，并弥补基于社区的危机护理方面的不足。持续调查基于社区的危机干预服务对于弥合重要行为健康资源与有需求人群之间的差距至关重要。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
