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The Division makes public funds available for hospitals treating patients who are court-ordered for involuntary, inpatient psychiatric evaluation and stabilization and/or treatment. The Designated Evaluation and Stabilization (DES) and Designated Evaluation and Treatment (DET) hospitals provide the level of intervention required to appropriately treat Alaska residents experiencing acute behavioral health crises and either return them to their home community after stabilization (the Designated Evaluation and Stabilization level of care) or refer them to the next higher level of care.
The Designated Evaluation and Stabilization (DES) and Designated Evaluation and Treatment (DET) service array includes inpatient psychiatric evaluation (up to 72 hours), crisis stabilization (up to 7 days), or inpatient psychiatric treatment services (up to 40 days) as close to the consumer’s home as possible, in order to take advantage of family and other local support systems. Component funding also supports consumer and escort travel between the designated hospitals and their home community.
The Designated Evaluation and Stabilization (DES)-level care is offered at Peace Health Ketchikan Medical Center and Yukon-Kuskokwim Delta Regional Hospital in Bethel. Longer term, more intensive Designated Evaluation and Treatment (DET)-level care is offered at Bartlett Regional Hospital in Juneau for Southeast Alaskans and at Fairbanks Memorial Hospital for Interior and Northern Alaskans.
Program principals include:
- The state is mandated to pay for these hospital-based services when a person experiencing a behavioral health crisis: 1) becomes the subject of a court-ordered involuntary evaluation or treatment commitment, and 2) meets certain statutorily-defined criteria (e.g., low income, lack of or inadequate insurance coverage).
- A resident has the option even if (s)he has been court-ordered to receive appropriate evaluation and / or treatment services, or would otherwise meet commitment criteria, to accept inpatient services voluntarily, in lieu of any formal commitment procedures.
- These hospital-based treatments, Designated Evaluation and Stabilization (DES) and Designated Evaluation and Treatment (DET), assist the Division in controlling admissions to the Alaska Psychiatric Institute (API), Alaska’s only public psychiatric hospital, which has very limited capacity.