The Stepping In It Podcast with Renee Schulte & Jason Haglund

36. Navigating Acute Care: Insights into State Hospitals & Mental Health Institutes

Renee Schulte

In this episode, we delve into acute psychiatric care, focusing on the vital role of state psychiatric hospitals and Mental Health Institutes (MHIs). We discuss the importance of crisis care and integrated services in avoiding acute treatment whenever possible, highlighting specific facilities such as the Independence Mental Health Institute and the Cherokee Mental Health Institute, which provide specialized services for adults and youth in need of acute psychiatric care. Drawing from research and reports, we analyze trends in psychiatric inpatient capacity and explore the challenges faced by advocates working to address the need for additional psychiatric beds within state systems, amidst societal issues like incarceration rates and homelessness. Join us as we navigate the landscape of acute psychiatric care and its impact on individuals and communities.

In this episode, you will be able to:

  • Gain insights into navigating the complexities of behavioral health systems.
  • Discover the challenges and solutions for accessing vital mental health care.
  • Understand the pivotal role of state hospitals in supporting mental health care.
  • Explore the transition process from state hospitals to community care for individuals.
  • Uncover the impact of policy changes on mental health services in communities.


The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health Systems

 00:03:30 - The Purpose of State Hospitals

 00:08:14 - Services Provided in State Hospitals

 00:11:44 - Varied Functions of State Hospitals

 00:12:47 - Challenges of State Hospitals

 00:13:38 - Minnesota's Approach to State Hospitals

 00:15:31 - Changing Perspectives on State Hospitals

 00:19:21 - Trends in Psychiatric Inpatient Capacity

 00:24:29 - Advocacy and Incremental Change

 00:25:27 - Prioritizing Tasks for Planting Season

 00:26:11 - Removing Distractions

 00:26:50 - Time Wasters

 00:27:49 - Importance of State Hospitals

 00:28:32 - Looking Ahead: Children's Mental Health System 


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