Date of Award

2024

First Advisor

Jennifer Daniels

Second Advisor

Kathryn Boswell

Third Advisor

Anne O'Dwyer

Abstract

This thesis critically examines the inadequacies of the psychiatric crisis management system in the United States and discusses feasible pathways for reform. Employing qualitative methods through interview-based research, the thesis delves into the complex shortcomings of existing practices, shedding light on systemic challenges such as limited access to mental health resources, disparities in care delivery, and the overreliance on law enforcement and EMS interventions. Through an in-depth analysis of historically underrepresented or unheard perspectives, such as those of EMS providers and Law Enforcement Officers, and including those of Behavioral Health Field Specialists, Patients, and Policymakers, the research identifies potential areas for restructuring and improvement and explores alternative models for crisis response. By emphasizing pragmatism and feasibility, the work aims to offer actionable recommendations that prioritize patient-centered, community-based, interdisciplinary interventions. Ultimately, this research contributes to the ongoing discourse on mental health system reform, advocating for restructured approaches to psychiatric crisis response.

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