Health Blog

Helpful articles on mental and behavioral health


Boarding in the Emergency Room

June 30, 2016


More than 80 percent of Emergency Room doctors say that mental healthcare systems are dysfunctional. People with a mental health condition are more likely to visit the Emergency Room compared to others, further driving healthcare spending. This trend is only increasing with ER visits increasing by 75% between 1992 and 2003 for people with a mental health condition.

Receiving care in a hospital setting will cost an astronomical amount compared to most other suitable medical settings. Currently, many people in the Emergency Room are battling a mental health condition, creating increased expenses for insurers.

In 2007, one in eight emergency room visits were due to a mental heath condition or substance abuse.  This influx of visits to the ER not only drive enormous costs, it also preoccupies doctors from dealing with other issues.

What if there was a way to mitigate and contain some of these costs? By providing what Prevail calls Anywhere Based Care, members in your population would be able to access low-cost, clinically proven treatment on any phone, tablet or computer.

Acting in a preventive measure, many of these members would receive effective treatment thus heading off any expensive Emergency Room visit. Those who have higher acuity cases would then be flagged and suggested for a follow-up appointment at a doctor’s location or through a telehealth connection.

There is also enormous amounts of stress and anxiety when people are leaving the hospital setting and returning home. The chance for readmission or relapse into sickness are highest during this time, and often times behaviors become aggravated. Part of the problem also stems from the inaccessible while still thoroughly needed care.  With the help of on-demand care, 24/7, many of these members who are returning home will have a quickly accessible solution to help them to transition back into their healthy state of mind. Those who receive effective mental health care are less likely to come back to the hospital as and thus helps reduce boarding.

Many people with a mental health condition interacting with the ER tend to have less than positive experiences, according to surveys completed by NAMI. Often times, doctors with psychiatric background are unavailable to interact with these people while the ER staff members are not properly trained.

Are you interested in helping to reduce exorbitant spending in the Emergency Room by providing a low-cost first step? Contact Prevail today at or sign up for iPrevail now

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