Does My Patient Need Inpatient or Residential Care?

Behavioral Health Behavioral Health
Photo illustration of a sign pointing in opposite directions with the choices for Inpatient or Residential care

Jon Higgerson, MA, Director of Inpatient Admissions at Princeton House and the Behavioral Health Emergency Department at Princeton Medical Center, has received many calls over the years from referring providers who need assistance in determining whether a patient meets criteria for inpatient acute stabilization care or if a decrease in functioning can be addressed in a different manner through a residential care provider.

In his experience, the first critical line in the equation always comes down to these questions:

Is the individual safe at this moment? Are those around them safe? Are they capable of remaining safe?

YES
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If safety is not a factor, then we examine other pieces of the puzzle. Some key considerations here include:

Is the individual functioning/getting any sleep?

Can they engage in any of their available support options in the home setting?

NO / MAYBE NOT
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If there’s any sort of imminent danger to themselves or others, even medically, then inpatient care is warranted. If there’s a question about potential harm, it may be better to err on the side of caution.

YES
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Residential care may be an appropriate option. This safe, structured living environment gives patients a daily opportunity to engage with staff and peers to practice the use of coping skills with the built-in support that is not always available in a home setting.

NO
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The seven- to ten-day inpatient setting can provide a valuable window for crisis stabilization and a physical and mental reset. Patients can get back on track with sleeping, eating, and any necessary medications and benefit from on-site medical expertise.


While the above information can serve as a quick reference point, the trained Admissions team at Princeton House provides a much more comprehensive assessment to determine the best next step.

“Every assessment is like a dance between the therapist, the patient, and our clinicians with the back-and-forth needed to weigh out the patient’s level of functioning,” says Higgerson. “At some point, every behavioral health provider will encounter a higher level of care situation that stumps them,” he adds. “We’re happy to serve as a partner to help make these complex decisions in the best interest of patients.”


For assistance in making a care determination, call 888.437.1610, option 1 (inpatient).