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Managing patients with behavioral health problems in acute care: balancing safety and financial viability.

J Nurs Adm

January 2015

Author Affiliations: Clinical Nurse Specialist (Ms Rape), Nurse Manager (Mss Mann and Ramey), and Assistant Vice President of Quality Management (Mr Schooley), Carolinas HealthCare System, Charlotte, North Carolina.

With a recent decrease in community resources for the mental health population, acute care facilities must seek creative, cost-effective ways to protect and care for these vulnerable individuals. This article describes 1 facility's journey to maintaining patient and staff safety while reducing cost. Success factors of this program include staff engagement, environmental modifications, and a nurse-driven, sitter-reduction process.

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