For Physicians

Referral

A doctor referral to Enloe Behavioral Health is helpful, but not required. If you’re a doctor who would like to refer a patient to us, please call (530) 332-5250 to talk to someone about criteria or making an appointment for the patient.

Admission Criteria

Admission to our psychiatric program is voluntary and indicated for patients who are 18 or older and have private insurance or Medicare. Patients must also have one or more DSM IV diagnoses and meet the severity of illness and intensity of service criteria (at least one from each) listed here. Admission criteria is applied uniformly to both Medicare and non-Medicare patients. If your patient’s diagnosis is not listed and you feel he or she needs hospitalization, please feel free to contact us.

Severity of Illness

• Suicide attempts
• Suicidal ideation (e.g. depression with feelings of hopelessness and worthlessness)
• Self-mutilative behavior
• Homicidal ideation with poor impulse control
• Assaultive/destructive behavior
• Psychiatric symptoms severe enough to cause disordered, bizarre behavior (e.g., catatonia, mania, incoherence, autism) or psychomotor retardation resulting in significant interference with activities of daily living, for instance:
  • Hallucinations
  • Delusions
  • Panic reaction
  • Anxiety
  • Agitation
  • Depression
  • Post-traumatic stress disorder (PTSD)

Other Conditions May Be Present

• A recent weight loss/gain refractory to aggressive outpatient or partial hospitalization therapy
• Mental disorder refractory to a thoroughly documented effort at aggressive outpatient or partial hospitalization (e.g. recurrent psychosis not responsive to outpatient treatment, severe depression or failing to respond to 21 days of outpatient drug therapy)
• Toxic effects of therapeutic psychotropic drugs
• Introduction of, withdrawal from, or change or dose of psychotropic medication(s), in cases in which there is strong reason to believe that potentially serious side effects are likely to occur (e.g. due to high doses and/or concomitant cardiac disease known to be sensitive to the drugs in question)
• Failed outpatient treatment

Intensity of Service

Treatments:

• Continuous observation and control of behavior to protect self, others and/or property (e.g., isolation, restraint and other suicide/homicide precautions)
• Comprehensive multi-modal therapies plan requiring close medical supervision and coordination due to complexity and/or severity of the patient's sign and symptoms
• Psychoactive medications that require (at least daily) close and continuous skilled medical observation due to side effects of psychoactive medications (e.g., hypotension, arrhythmia) or significant increases, decreases or changes of psychoactive medication(s) requiring close and continuous skilled medical supervision

Examples of Reasons or Situations for Admission

• Suicide attempt or suicidal risk
• Risk of violence or dangerous assaultive behavior or other acutely uncontrolled behavior
• Severely impaired social, family, educational, vocational, or developmental functioning or severely disordered behavior; the impairments leading to hospitalization should be acute and inconsistent with the patient's usual behavior
• Inability to function outside an acute inpatient facility due to:
  • Significant impaired reality testing or thought/mood disorder (i.e., hallucinations, delusions, depression, catatonia, mania, autism, etc.)
  • Agitated or psychomotor retardation resulting in significant interference with activities of daily living
  • Severely disrupted environment that is contributing to the patient's psychiatric disorder, making outpatient treatment impossible
• Reinstitution of a drug regime for a high-risk patient (i.e., a patient who has previously shown a severe idiosyncratic reaction to drugs or multiple system involvement with concurrent drug therapies) and/or a patient with a co-morbid condition, which will require close and continuous skilled medical observation and supervision

Enloe Behavioral Health

(530) 332-5250  |   Toll-free (800) 560-5900 | Contact Us Online  |  Map

Hours: 24 hours a day, seven days a week
Visiting Hours: 6-7:15 p.m. | All visitors must have a confidentiality code from a patient prior to visiting.