Name of the Procedure:

Psychiatric Health Facility Service, per diem (HCPCS Code: H2013)

Summary

Psychiatric Health Facility Service refers to the comprehensive psychiatric care provided in a specialized mental health facility on a per day basis. This service supports individuals with severe psychiatric conditions, ensuring they receive appropriate diagnostics, therapy, medication management, and continuous care.

Purpose

This service is designed to address mental health conditions such as severe depression, schizophrenia, bipolar disorder, and other serious psychiatric illnesses. The primary goal is to stabilize the patient's condition, manage symptoms, and facilitate a path toward recovery or management in a less intensive setting.

Indications

• Severe psychiatric symptoms such as hallucinations, delusions, or suicidal thoughts.
• Acute exacerbation of chronic mental health conditions.
• Inability to function safely in a non-institutional environment.
• Need for intensive monitoring and therapeutic interventions.

Preparation

• Patients may undergo a psychiatric evaluation and diagnostic tests to determine the severity of their condition.
• Medication reviews and adjustments may be necessary prior to admission.
• Coordination with outpatient care providers for treatment continuity.

Procedure Description

• Upon admission, patients undergo a comprehensive assessment by a team of mental health professionals.
• Customized treatment plans are developed, including individual and group therapy, medication management, and activities aimed at improving mental well-being.
• Patients receive continuous monitoring and support throughout their stay.
• Interventions may include cognitive behavioral therapy (CBT), occupational therapy, and recreational therapy.
• Family meetings and discharge planning are integral components of the care.

Duration

The duration varies depending on individual needs, typically ranging from a few days to several weeks.

Setting

The service is provided in a specialized inpatient psychiatric facility or hospital with dedicated mental health units.

Personnel

• Psychiatrists
• Clinical psychologists
• Psychiatric nurses
• Social workers
• Occupational therapists
• Recreational therapists
• Support staff

Risks and Complications

• Medication side effects such as dizziness, weight gain, or drowsiness.
• Risk of injury if a patient's behavior becomes self-destructive or aggressive.
• Limited privacy and freedom due to the controlled environment.
• Potential emotional distress due to intensive therapeutic processes.

Benefits

• Stabilization of acute psychiatric symptoms.
• Development of coping mechanisms and strategies for long-term mental health management.
• Enhanced safety through continuous monitoring and professional support.
• Preparation for transition to outpatient or community-based care.

Recovery

• Post-procedure care includes follow-up appointments with outpatient mental health providers.
• Patients receive instructions on medication management and self-care strategies.
• Recovery time varies; patients often require ongoing therapeutic support after discharge.
• Possible restrictions on activities that may pose risks to their mental health stability.

Alternatives

• Outpatient psychiatric care (e.g., therapy and medication management).
• Partial hospitalization programs (PHP) or intensive outpatient programs (IOP).
• Community mental health services.
• Each alternative varies in intensity, cost, and suitability depending on the patient's condition.

Patient Experience

• Patients may initially feel overwhelmed by the structured environment but often gain a sense of relief from the intensive support.
• Experiences may include participating in a structured daily routine, engaging in therapeutic activities, and receiving constant care and monitoring.
• Emotional highs and lows are common, and pain management typically involves appropriate use of psychotropic medications and therapeutic techniques.
• Patients are encouraged to actively participate in their treatment plan, fostering a sense of empowerment in their recovery journey.