Why Your Doctor and the ER Fail at Mental Health Crises — And What You Can Do Instead

Melody Mejeh • December 26, 2024

Understanding the Gaps in Traditional Healthcare and How Specialized Solutions Can Save Lives

When a mental health crisis arises, many individuals turn to their primary care doctor or local emergency room for help. While these professionals are essential in our healthcare system, they are often not the best equipped to handle the complexities of mental health emergencies. In this blog post, we explore why traditional healthcare settings struggle to address mental health crises effectively and discuss the need for specialized care and support systems.


Primary care doctors are vital for general health and wellness, but they face significant limitations in mental health care. Most primary care physicians receive minimal training in mental health, which often leaves them ill-prepared to manage severe or acute conditions. For example, a report from the National Council for Mental Wellbeing found that 77% of U.S. counties face a severe shortage of mental health professionals, pushing the burden onto general practitioners (National Council for Mental Wellbeing, 2022). Additionally, primary care appointments are typically short, averaging just 18 minutes, leaving little room to address complex mental health issues (Ray et al., 2015). Often, primary care doctors refer patients to mental health specialists, but this can lead to long wait times and delayed treatment due to referral bottlenecks.


Similarly, emergency rooms (ERs) are not designed to handle the unique needs of mental health crises. ERs are often overcrowded, with mental health-related visits increasing by 44% from 2006 to 2014 (National Institute of Mental Health, 2020). Emergency room staff are trained to manage physical emergencies, but many lack the specialized skills needed to provide adequate mental health care. Moreover, ER environments can be chaotic and stressful, exacerbating the mental health crisis for the patient. Studies have shown that only about 16% of patients receive a comprehensive mental health assessment during an ER visit, highlighting the inadequacy of the current system (Zeller et al., 2017).


The consequences of relying on primary care doctors or ERs for mental health crises are significant. Patients often experience delayed treatment, increased stress, and missed opportunities for early intervention. Without specialized intervention, underlying mental health conditions may go untreated, increasing the risk of future crises. For example, suicide remains a leading cause of death in the United States, with 45,979 deaths reported in 2020, many of which could have been prevented with timely and appropriate care (Centers for Disease Control and Prevention, 2021).


Mental health crises require a different approach, one that prioritizes specialized care. Dedicated crisis intervention programs, hotlines, and mental health specialists are better equipped to address these challenges. Professionals such as therapists and psychiatrists have the expertise to provide effective care, while integrated care models that combine physical and mental health support offer a holistic approach to recovery. These solutions are essential to bridging the gap left by traditional healthcare settings.


KindPath is at the forefront of addressing this gap. Our platform connects individuals with peers who have shared experiences, fostering understanding and support. We also leverage predictive analytics to identify potential crises early, allowing for timely intervention. By offering a low-cost, user-friendly platform, KindPath ensures that mental health care is accessible to all, particularly those in underserved communities.


The healthcare system must evolve to meet the needs of individuals facing mental health crises. By integrating specialized services, increasing awareness, and leveraging technology, we can create a system that provides timely and effective care. At KindPath, we are proud to be part of this transformation, empowering individuals and communities to navigate mental health challenges with confidence.


Are you ready to make a difference in mental health care? Whether you’re a healthcare provider, an individual seeking support, or an advocate for systemic change, there’s a place for you in the KindPath community. Together, we can build a future where mental health crises are met with compassion and expertise, not confusion and delay.



References


Centers for Disease Control and Prevention. (2021). Suicide prevention. Retrieved from https://www.cdc.gov/suicide/facts/index.html


National Council for Mental Wellbeing. (2022). The shortage of mental health professionals in rural and underserved areas. Retrieved from https://www.thenationalcouncil.org


National Institute of Mental Health. (2020). Mental health-related emergency room visits. Retrieved from https://www.nimh.nih.gov


Ray, M., Toler, H., & Ewton, K. (2015). Time spent with patients in primary care: Trends and implications. American Journal of Managed Care, 21(10), 648-654.



Zeller, S., Calma, N., & Stone, A. (2017). Effects of a dedicated emergency psychiatric facility on boarding of psychiatric patients in area emergency departments. Western Journal of Emergency Medicine, 18(4), 803-810.

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