California Psychiatric Bed Annual Report | CalMatters

The availability of inpatient

psychiatric beds is an

important factor in providing

robust behavioral health

treatment to Californians.

This annual report tracks trends

in the number of acute psychiatric

facilities, as well as California’s

population and its changing needs,

over a period of more than two

decades.

California Psychiatric Bed Annual Report

August 2018

C A L I F O R N I A H O S P I T A L A S S O C I A T I O N


August 2018

For more information, contact:

Sheree LoweVice President, Behavioral Health

(916) 552-7576

[email protected]

This document is considered public information and may be distributed freely. It is updated annually, typically in September or October, and available for download at www.calhospital.org/PsychBedData.

mailto:slowe%40calhospital.org?subject=

http://www.calhospital.org/PsychBedData

T A B L E O F C O N T E N T S


I. Introduction and Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

II. Acute Psychiatric Inpatient Bed Closures/Downsizing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

III. Psychiatric Inpatient Care Units and Freestanding Psychiatric Hospitals — Comparative Data . . . . 10

IV. Acute Care Inpatient Psychiatric Bed Distribution by County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

© Ca l i f o r n ia Hosp i ta l Assoc ia t i on

4 | C A L I F O R N I A P S Y C H I A T R I C B E D A N N U A L R E P O R T

I. INTRODUCTION AND OVERVIEW

As of 2016, California had 32 hospitals licensed as freestanding acute psychiatric hospitals

(APHs) and 26 county-based psychiatric health facilities (PHFs), which provide care only to

individuals with acute behavioral health needs. Of the nearly 440 general acute care hospitals

(GACHs) in California, 79 have dedicated psychiatric units. Combined, these hospitals supply

the 6,702 beds available around the state for individuals in need of short-term, acute level of

care, psychiatric inpatient services.

The primary data source for this report is the current (2016) financial and utilization data from

the Office of Statewide Health Planning and Development (OSHPD). It is important to note

that none of the data in this document include the five large, state-owned hospitals in Fresno,

Napa, Los Angeles, San Bernardino and San Luis Obispo counties, as their beds typically are

not available to the general public, with most patients being admitted by court order.

Not reflected in this report are new beds that have been opened since the OSHPD data in

this report were collected, nor beds intended to open in the near future. An informal poll of

hospitals has revealed plans for the opening of more than 700 new beds across the state

over the next several years.

Inpatient Psychiatric Health Care Beds in California by Category

Acute Psychiatric Hospitals, Freestanding 2,651 beds

Psychiatric Health Facility 468 beds

General Acute Care Hospitals with Dedicated Psychiatric Units 3,584 beds

39%

7%

54%

Number of Beds by Category

Acute Psychiatric Hospital - 2,650 beds

Psychiatric Health Facility - 468 beds

General Acute Care Hospital - 3,584 beds

Source: OSHPD 2016 data


4 | C A L I F O R N I A P S Y C H I A T R I C B E D A N N U A L R E P O R T 5 | C A L I F O R N I A P S Y C H I A T R I C B E D A N N U A L R E P O R T

I I. ACUTE PSYCHIATRIC INPATIENT BED CLOSURES/

DOWNSIZING

The following graphs illustrate the severity of the bed loss in the state. Figure 1 shows the loss in the number of facilities with inpatient psychiatric beds since 1995. The state has lost 37 facilities, either through the elimination of psychiatric inpatient care — or complete hospital closure — a drop of more than 20 percent.

Figure 1. Psych Facility Change 1995 - 2016

-37 facilities-20.4%

181

172

152

141144

130

140

150

160

170

180

190

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

Facilit

ies

Year

Total Psych Facilities 1995 - 2016

Source: OSHPD 2016 data (Includes city and county hospitals, but not state hospitals. Also includes PHFs.)

Figure 2 shows the decline in beds from 1995 to the present. While there has been an increase in beds since 2012, California has lost nearly 30 percent of the beds it had in 1995, a drop of 2,651 beds.

Source: OSHPD 2016 data (includes city and county hospitals, but not state hospitals. Also includes PHFs.)

Figure 2. Psych Bed Change 1995 - 2016

-2,651 beds-28.3 %

9353

7741

6871

65736702

6000

6500

7000

7500

8000

8500

9000

9500

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

Bed C

ount

Year

Total Psych Beds 1995 - 2016



Figure 3 displays the increase in the statewide patient-to-bed gap. A panel of 15 leading psychiatric experts was consulted and asked to look at specific criteria such as number of individuals who need hospitalization, the average length of hospital stays, and current state and federal financing structures. Using these criteria, the panel concluded that 50 public psychiatric beds per 100,000 individuals (or 1:2000) is the absolute minimum number required to meet current needs. This number, however, is contingent upon the availability of appropriate outpatient services in the community. In 1995, California fell short of this target by nearly 1,400 beds, having only 29.5 beds per 100,000 residents. That gap increased to nearly 4,000 beds in 2016, with the state having only 17.05 psychiatric inpatient beds for every 100,000 California residents — a loss of more than 42 percent of the beds per capita since 1995.

Source: U.S. Census Bureau

Figure 3. Psych Bed Gap Progression 1995 - 2016

-12.45 beds per resident -42.2%

Extrapolated from Treatment Advocacy Center figure of 1 bed per 2,000 individuals.

29.50

22.8319.19 17.62

17.05

0.00

10.00

20.00

30.00

40.00

50.00

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

Beds

per

100,0

00 P

eople

Year

Beds to Population 1995 - 2016

Figure 4 shows the increase in California’s population over the same period of time. Since 1995, the state has gained more than 7.5 million people, a growth of 24 percent, for a total 2016 population of more than 39 million.

Figure 4. California Population Growth 1995 - 2016

7.6 million24%


31.7

33.9

35.8

37.3

39.3

30

31

32

33

34

35

36

37

38

39

40

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

Popula

tion G

row

th (

in m

illions)

Year

California Population 1995 - 2016



Figures 5-10 show similar tracking for child/adolescent beds (from 2009 to present) and PHF beds (from 2000 to present).

Figure 6.

Psych Bed Change

2009 745

2016 746

Total Change 1

% Change 0.1%

Psych Data Source: OSHPD (Includes city and county hospitals, but not state hospitals. Also includes Psychiatric Health Facilities.)

Updated 3/29/18

745

820

691661

655 655665

746

600

650

700

750

800

850

900

2009 2010 2011 2012 2013 2014 2015 2016

Bed C

ount

Year

Total Psych Child-Adolescent Beds 2009 - 2016


Figure 5. Psych Facility Change Child/Adolescent Beds 2009 - 2016

1 facility3.2%

3132

28 28 28 2829

32

25

26

27

28

29

30

31

32

33

34

35

2009 2010 2011 2012 2013 2014 2015 2016

Facilit

ies

Year

Total Psych Facilities w/ Child-Adolescent Beds 2009 - 2016

Figure 6. Psych Bed Change Child/Adolescent Beds 2009 - 2016

1 bed0.1%

745

820

691

661 655 655665

746

600

650

700

750

800

850

900

2009 2010 2011 2012 2013 2014 2015 2016

Bed C

ount

Year

Total Psych Child-Adolescent Beds 2009 - 2016




Figure 7. Psych Bed Gap Progression Child/Adolescent 2009 - 2016

0.11 beds per resident 1.4%

Extrapolated from Treatment Advocacy Center figure of 1 bed per 2,000 individuals.


8.00 8.85 7.51 7.22 7.20 7.20 7.69 8.11

0

10

20

30

40

50

2009 2010 2011 2012 2013 2014 2015 2016

Beds

per

100,0

00 P

eople

Year

Beds to Population, Child-Adolescent 2009 - 2016

Goal is 50 beds per 100,000 people.*

9.31 9.279.2 9.15 9.1 9.1 9.1

9.2

8

8.2

8.4

8.6

8.8

9

9.2

9.4

9.6

9.8

10

2009 2010 2011 2012 2013 2014 2015 2016Popula

tion U

nder

Age 1

8 (

in m

illions)

Year

California Under 18 Population 2009 - 2016Figure 8. California Population Under Age 18 2009 - 2016

-0.11 million-1.2%





1615

22

26

10

15

20

25

30

2000 2002 2004 2006 2008 2010 2012 2014 2016Facilit

ies

Year

Total Psychiatric Health Facilities (PHF) 2000 - 2016

Figure 9. Psychiatric Health Facility (PHF) Change 2000 - 2016

10 facilities62.5%


Figure 10. Psychiatric Health Facility (PHF) Bed Change 2000 - 2016

117 beds33.3% 351

376

407

468

325

345

365

385

405

425

445

465

485

2000 2002 2004 2006 2008 2010 2012 2014 2016

Bed C

ount

Year

Total PHF Beds 2000 - 2016



I I I. PSYCHIATRIC INPATIENT CARE UNITS AND FREESTANDING

PSYCHIATRIC HOSPITALS — COMPARATIVE DATA

The information below compares California to the rest of the nation. National data are from the American Hospital Association’s (AHA) Annual Survey of Hospitals. From these figures, California’s numbers have been subtracted to arrive at the 49-state data. Census data were used to calculate the number of beds per person. As of 2016, California’s bed rate was one bed for every 5,856 people — lower than the nation’s average of one bed for every 4,959 people. California’s crisis is not unique, but the state fares far worse, comparatively.

GACHs w/Psych

Psych BedsAPHs & PHFs

Psych BedsTotal

HospitalsTotal Beds

Nation 1,187 37,717 223 26,229 1,410 69,946

49 States 1,101 34,133 165 23,111 1,266 57,244

California 86 3,584 58 3,118 144 6,702

2016 Population Comparison

Nation 323,127,513 1 psych bed for every 5,053 people

49 States 283,877,496 1 psych bed for every 4,959 people

California 39,250,017 1 psych bed for every 5,856 people

Experts estimate a need for a minimum of one public psychiatric bed for every 2,000 people for hospitalization for individuals with serious psychiatric disorders.1 This number is contingent upon the availability of appropriate outpatient services in the community.2

Sources: National data: Health Forum, AHA Annual Survey of Hospitals. Hospitals with psychiatric or alcoholism/chemical dependency units are registered community hospitals that reported having such a unit for that year. APHs also include children’s psychiatric hospitals, but exclude chemical dependency hospitals. State-owned facilities are similarly excluded. California data: OSHPD GACHs include city and county hospitals, but not state hospitals. APHs include city and county hospitals, but not state hospitals. Also includes county-owned PHFs. 49-state data: OSHPD data subtracted from AHA data. Includes the District of Columbia. Population data: U.S. Census Bureau.

1 Torrey, E. F., Entsminger, K., Geller, J., Stanley, J. and Jaffe, D. J. (2008). “The Shortage of Public Hospital Beds for Mentally Ill Persons.”

2 Stetka, B. (2010). “US Psychiatric Resources: A Country in Crisis.”



IV. ACUTE CARE INPATIENT PSYCHIATRIC BED DISTRIBUTION

BY COUNTY

Figure 11 breaks California data down by county in an attempt to illustrate the different types of beds available. Also listed are beds reserved for patients with chemical dependency needs and beds in PHFs. All data is from OSHPD annual reports. Figure 11 also shows that 25 of California’s 58 counties (all counties highlighted in blue) have no inpatient psychiatric services. Figures 12-19 show the bed distribution across the state, illustrating the vast areas between and without particular services.

County PopulationTotal Psych Adult

Child/Adol

Gero-Psych*

Psych IC**

PHF***¹

Chem/Dep¹

Beds per 100k²

Beds Needed³

Alameda 1,647,704 349 279 70 0 0 42 74 21.18 824Alpine 1,071 0 0 0 0 0 0 0 0.00 1Amador 37,383 0 0 0 0 0 0 0 0.00 19Butte 226,864 46 46 0 0 0 16 0 20.28 113Calaveras 45,171 0 0 0 0 0 0 0 0.00 23Colusa 21,588 0 0 0 0 0 0 0 0.00 11Contra Costa 1,135,127 108 84 24 0 0 0 0 9.51 568Del Norte 27,540 0 0 0 0 0 0 0 0.00 14El Dorado 185,625 16 16 0 0 0 16 0 8.62 93Fresno 979,915 93 77 16 0 0 32 0 9.49 490Glenn 28,085 0 0 0 0 0 0 0 0.00 14Humboldt 136,646 16 16 0 0 0 16 0 11.71 68Imperial 180,883 0 0 0 0 0 0 0 0.00 90Inyo 18,144 0 0 0 0 0 0 0 0.00 9Kern 884,788 218 189 29 0 0 16 12 24.64 442Kings 149,785 0 0 0 0 0 0 0 0.00 75Lake 64,116 0 0 0 0 0 0 0 0.00 32Lassen 30,870 0 0 0 0 0 0 0 0.00 15Los Angeles 10,137,915 2,301 1984 231 0 86 48 251 22.70 5,069Madera 154,697 0 0 0 0 0 0 0 0.00 77Marin 260,651 17 17 0 0 0 0 0 6.52 130Mariposa 17,410 0 0 0 0 0 0 0 0.00 9Mendocino 87,628 0 0 0 0 0 0 0 0.00 44Merced 268,672 16 16 0 0 0 16 0 5.96 134Modoc 8,795 0 0 0 0 0 0 0 0.00 4Mono 13,981 0 0 0 0 0 0 0 0.00 7Monterey 435,232 40 40 0 0 0 0 0 9.19 218Napa 142,166 37 37 0 0 0 0 0 26.03 71Nevada 99,107 0 0 0 0 0 0 0 0.00 50Orange 3,172,532 448 416 32 0 0 0 100 14.12 1,586Placer 380,531 16 16 0 0 0 16 0 4.20 190Plumas 18,627 0 0 0 0 0 0 0 0.00 9Riverside 2,387,741 199 178 12 0 9 16 131 8.33 1,194Sacramento 1,514,460 400 343 57 0 0 82 0 26.41 757San Benito 59,414 0 0 0 0 0 0 0 0.00 30San Bernardino 2,140,096 359 283 76 0 0 0 18 16.77 1,070San Diego 3,317,749 706 492 65 0 149 0 49 21.28 1,659San Francisco 870,887 319 237 35 47 0 0 4 36.63 435San Joaquin 733,709 50 50 0 0 0 16 1 6.81 367San Luis Obispo 282,887 16 16 0 0 0 16 0 5.66 141San Mateo 764,797 118 79 15 24 0 0 0 15.43 382Santa Barbara 446,170 36 36 0 0 0 16 0 8.07 223Santa Clara 1,919,402 246 229 17 0 0 40 0 12.82 960Santa Cruz 274,673 16 16 0 0 0 16 0 5.83 137Shasta 179,631 37 37 0 0 0 16 0 20.60 90Sierra 2,947 0 0 0 0 0 0 0 0.00 1Siskiyou 43,603 0 0 0 0 0 0 0 0.00 22Solano 440,207 61 48 13 0 0 0 0 13.86 220Sonoma 503,070 95 75 20 0 0 0 0 18.88 252Stanislaus 541,560 67 67 0 0 0 0 4 12.37 271Sutter 96,651 32 32 0 0 0 32 0 33.11 48Tehama 63,276 0 0 0 0 0 0 0 0.00 32Trinity 12,782 0 0 0 0 0 0 0 0.00 6Tulare 460,437 63 63 0 0 0 0 0 13.68 230Tuolumne 53,804 0 0 0 0 0 0 0 0.00 27Ventura 849,738 130 96 34 0 0 0 0 15.30 425Yolo 215,802 31 31 0 0 0 0 0 14.37 108Yuba 75,275 0 0 0 0 0 0 0 0.00 38

TOTALSState

PopulationTotal Psych Adult

Child/Adol

Gero-Psych Psych IC PHF¹

Chem/Dep¹

Beds per 100k²

Beds Needed

39,250,017 6,702 5,641 746 71 244 468 644 406.75 16,847

Not all beds are available to individuals on LPS involuntary holds. Does not include data from state-operated hospitals.Acute Care Inpatient Psychiatric Bed Distribution

Figure 11.

Doing Without — Fast Facts in Numbers

25 Counties without adult beds (45% of state)

42 Counties without child/adolescent beds (72% of state)

56 Counties without gero-psych (long-term) beds (97% of state)

55 Counties without psych intensive care beds (95% of state)

48 Counties without chemical dependency beds (83% of state)

25 Counties have ZERO inpatient psych services (45% of state)

NOTE: Not all beds are available to individuals on Lanterman-Petris-Short (LPS) Act involuntary holds. Does not include data from state-operated hospitals.

Sources: Population data from US Census Bureau. All other data from OSHPD 2016 reports. ¹ NOTE: PHF beds included in respective categories (e.g., adult, etc.). CD beds are not. ² NOTE: Beds per 100,000 residents goal is 50. ³ NOTE: Lacking sufficient community resources.



ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt

AlamedaSan Francisco

Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutter

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

706

199

359

218

2,301

448

130

706

16

63

93

40

16

67

246

50

349118

16

108

400 16

1632

46

3716

31

61

3795

17

319

Figure 12.

Counties With Psychiatric Inpatient Beds

Total Facilities 136

Total Beds 6,702

Total Counties with Psych Beds

33

Total Counties without Psych Beds

25

Counties in green include inpatient psychiatric beds in freestanding APHs, units in GACHs and PHFs.




ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt


Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutte

r

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

177

68

398

36

925

78

87

80

148

3465

61 318

80

95

APHs are subject to the federal Institutions for Mental Disease (IMD) exclusion, which is found in section 1905(a)(B) of the Social Security Act. It prohibits federal Medicaid matching “payments with respect to care or services for any individual who has not attained 65 years of age and who is a patient in an institution for mental diseases,” except for “inpatient psychiatric hospital services for individuals under age 21.”

Figure 13.

Counties With Freestanding APHs

Total Facilities 32

Total Beds 2,650

Total Counties with APHs

15

Total Counties without APHs

43


The law applies to any “hospital, nursing facility, or other institution of more than 16 beds, that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services.” The IMD exclusion was intended to ensure that states, rather than the federal government, would have principal responsibility for funding inpatient psychiatric services.



In California's more than 440 community-based GACHs, 20 percent provide inpatient psychiatric services in dedicated units. This represents 53.5 percent of the total acute inpatient psychiatric beds in the state.

ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt


Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutte

r

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

182

115

308

412

1,328

124

4320

63

61

40

67

126

159

43

118

17

239

37

31

30

21

Figure 14.

Counties With GACHs with Dedicated Psychiatric Units

Total Facilities 79

Total Beds 3,584

Total Counties with GACH Psych

22

Total Counties without GACH Psych

36




ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt


Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutte

r

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

16

16

48

16

16

32

164016

4216

82 16

1632

16

1616

Figure 15.

Counties With Non-Hospital PHFs

Total Facilities 26

Total Beds 468

Total Counties with PHFs

18

Total Counties without PHFs

40

A PHF is defined as a health facility, licensed by the state Department of Health Care Services, that provides 24-hour inpatient care. This care includes, but is not limited to, psychiatry, clinical psychology, psychiatric nursing, social work, rehabilitation, drug administration and appropriate food services for those whose physical health needs can be met in an affiliated hospital or in outpatient settings. [Health and Safety Code Section 1250.2]




ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt


Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutte

r

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

283

178*

492

448

1,984*

189*

36*

16*

63

77*

40

16*229*

67*

50*

279*79

237

84

17

48*

343* 16*

16*

31

32*

46*

37*16*

37

75

16*

96

Figure 16.

Counties With Psychiatric Inpatient Beds for Adults

Total Facilities 130

Total Beds 5,641

Total Counties with Psych Beds

33

Total Counties without Psych Beds

25

*Indicates a county with a non-hospital psychiatric health facility

“Adult” beds are those for individuals aged 18 and older. These beds are found in general acute care hospitals, freestanding acute psychiatric hospitals and psychiatric health facilities.




ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt


Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutte

r

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

76

12

65

32

231

29

34

16

15

17

7035

24

13 57

20

Figure 17.

Counties With Inpatient Beds for Children/Adolescents

Total Facilities 32

Total Beds 746

Total Counties with Child/Adolescent Beds

16

Total Counties without Child/Adolescent Beds

42

There is no state definition regarding age ranges for child vs. adolescent beds. The definitions are hospital-specific, i.e., one facility may consider “adolescent” to mean ages 11 to 17, while another may consider it to be 12 to 17. Because child and adolescent together are a single license category, OSHPD data do not reflect the difference between them.


Many of the hospitals providing adolescent inpatient psychiatric services also provide child services, and several hospitals utilize “swing” beds, which may be used for children or adolescents, depending on the demand. No facility offers inpatient child services without adolescent services.



ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt


Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutte

r

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

24

47

Figure 18.

Counties With Inpatient Beds for Gero-Psych

Total Facilities 2

Total Beds 71

Total Counties with Gero-Psych Beds

2

Total Counties without Gero-Psych Beds

56

Gero-psych consists of medical care, nursing and auxiliary professional services and intensive supervision of the chronically mentally ill, mentally disordered or other mentally incompetent geriatric persons. Gero-psych patients must be diagnosed with a severe mental illness other than or in addition to diseases with organic origins such as Alzheimer’s or dementia.




Figure 19.

Counties With Hospital-Based Chemical Dependency Beds

Total Facilities 23

Total Beds 644

Total Counties with CD Beds

10

Total Counties without CD Beds

48


ContraCosta

Los Angeles

Calaveras

El Dorado

DelNorte

Humboldt


Amador

Imperial

Madera

Mariposa

Alpine

Butte

Colusa

Fresno

Glenn

Lassen

Marin

Mendocino

Inyo

Kern

Kings

Lake

Merced

Modoc

Mono

Monterey

Napa

Nevada

Orange

Placer

Plumas

Riverside

Sacra-mento

SanBenito

San Bernardino

San Diego

SanJoaquin

San Luis Obispo

San Mateo

Santa Barbara

SantaClara

Santa Cruz

Shasta

Sierra

Siskiyou

Solano

Sonoma

Stanislaus

Sutte

r

Tehama

Trinity

Tulare

Tuolumne

Ventura

Yolo

Yuba

18

131

49

100

251

12

4

1

744

Chemical dependency recovery hospitals are health facilities that provide 24-hour inpatient care for persons who have a dependency on alcohol, other drugs or both. These facilities provide innovative inpatient treatment programs including patient counseling, group therapy, physical conditioning, family therapy and outpatient therapy.

California Hospital Association1215 K Street, Suite 800

Sacramento, CA 95814

www.calhospital.org

http://www.calhospital.org

California Psychiatric Bed Annual Report | CalMatters

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Transcript of California Psychiatric Bed Annual Report | CalMatters