Articles

Repeat-Crisis Utilizer Prevention: Post-Crisis Follow-Up Standards That Reduce Re-Presentation in the First 7–14 Days
The highest-risk window for repeat crisis use is immediately after ED or stabilization discharge. This article sets out post-crisis follow-up standards—timelines, outreach workflows, escalation thresholds, and governance measures that reliably reduce early re-presentation. Read more...
Repeat-Crisis Utilizer Prevention: Cross-System Case Conferencing That Produces Decisions, Owners, and Measurable Follow-Through
High-utilizer case reviews often fail because they generate “discussion” instead of decisions and accountable tasks. This article sets out a practical case conferencing model—who attends, what data is required, how actions are assigned, and how systems prove follow-through. Read more...
Repeat-Crisis Utilizer Prevention: Housing, Benefits, and “Practical Stability” Workflows That Stop Predictable Crisis Re-Entry
High crisis utilization often reflects unmet practical stability needs—housing risk, benefits disruption, food insecurity, unsafe environments, and failed care engagement. This article lays out cross-system workflows that identify these drivers early, assign ownership, and evidence outcomes. Read more...
Repeat-Crisis Utilizer Prevention: Medication Continuity, Reconciliation Controls, and Rapid Clinical Review That Reduce Avoidable ED Returns
Repeat crisis use often spikes after medication gaps, unsafe changes, or missed follow-up for SMI and co-occurring conditions. This article explains medication continuity controls—reconciliation, pharmacy barriers, rapid prescriber review, and audit-ready workflows that reduce preventable re-presentation. Read more...
Repeat-Crisis Utilizer Prevention: High-Utilizer Registries, Cross-System Case Review, and Accountability Structures That Reduce Avoidable ED/EMS Use
Preventing repeat crisis use requires a named cohort, shared visibility, and disciplined cross-system action. This article explains how to build a high-utilizer registry, run multidisciplinary case review across crisis and community partners, and govern performance with measurable standards and escalation pathways. Read more...
Repeat-Crisis Utilizer Prevention: 72-Hour Follow-Up, Warm Handoffs, and Transition Controls That Stop Predictable Re-Presentation
Repeat crisis use often reflects failed transitions, not failed crisis care. This article sets out a 72-hour follow-up design, warm handoff workflows across 988/911/ED/mobile crisis, and governance controls that make follow-up reliable, auditable, and measurably effective. Read more...
Repeat-Crisis Utilizer Prevention: Housing Instability Pathways, Rapid Problem-Solving, and Governance That Prevents “Discharge to Nowhere”
For many repeat utilizers, crisis is driven by environmental instability rather than clinical deterioration. This article explains how to build a housing-linked prevention pathway with rapid problem-solving, cross-agency escalation, and measurable accountability that reduces avoidable re-presentation. Read more...
Repeat-Crisis Utilizer Prevention: Medication Access, Reconciliation, and Pharmacy Governance That Prevents Predictable Bounce-Back
Medication breaks are one of the most common and preventable drivers of repeat crisis use. This article explains how to build a medication continuity pathway across 988, mobile crisis, EMS, ED, and outpatient care with reconciliation workflows, pharmacy coordination, and audit-ready governance. Read more...
Repeat-Crisis Utilizer Prevention: Designing a No-Fail Follow-Up Workflow After 988, Mobile Crisis, or ED Discharge
Many repeat crises occur within days of contact when follow-up is “referred” but not completed. This article explains how to build a no-fail follow-up workflow with defined timelines, documentation rules, and accountability that closes the continuity gap. Read more...
Repeat-Crisis Utilizer Prevention: Building a Cross-Agency Case Conferencing Model That Actually Changes Outcomes
Repeat crisis use is rarely about individual “noncompliance” and almost always about fragmented system response. This article explains how to design a cross-agency case conferencing model with real authority, shared data, and measurable follow-through that reduces predictable bounce-back. Read more...
Repeat-Crisis Utilizer Prevention: Housing Instability Pathways, No-Fail Follow-Up, and Governance That Prevents “Discharge to Nowhere”
For many repeat-crisis cohort members, the crisis is not only clinical—it is environmental: unsafe housing, shelter turnover, eviction risk, or no reliable place to recover after ED or stabilization. This article explains how to build a housing-linked repeat-crisis pathway with named ownership, rapid problem-solving workflows, and governance that prevents the system default of “discharge to nowhere.” Read more...
Repeat-Crisis Utilizer Prevention: Medication Continuity, Pharmacy Workflow, and Post-ED Reconciliation That Stops Bounce-Back
Repeat crisis use often follows predictable medication breakdowns: gaps after ED visits, interrupted refills, poor reconciliation, or no one accountable for side-effect and adherence follow-up. This article sets out an operational medication-continuity model—across 988, mobile crisis, EMS, ED, and step-down settings—built for real workflows, auditability, and safety. Read more...