Kentucky’s First Emergency Psychiatric Unit Opens in Lexington

In the heart of Lexington, an exciting new chapter in mental health care has begun. On July 30, 2024, the Emerald Health Care Facility celebrated the grand opening of Kentucky’s first-ever Emergency Psychiatric Assessment, Treatment and Healing (EmPATH) Unit. State officials, community leaders, and UK HealthCare staff came together to mark this significant milestone. The EmPATH model promises to change the game for individuals facing mental health crises.

The EmPATH unit is located within the Eastern State Hospital, boasting its own dedicated entrance to ensure that patients receive the special attention and caring environment they deserve. Robert S. DiPaola, UK’s co-executive vice president for health affairs, expressed pride in being the first to launch such a facility, saying, “For many, seeking care for a mental-health issue can be difficult, frustrating, and even frightening.” With the opening of EmPATH, patients now have access to a proven, evidence-based approach for their mental health needs.

Across the U.S., around 30 EmPATH units currently operate, and this innovative concept was pioneered by the renowned emergency psychiatry expert, Dr. Scott Zeller. The idea behind the EmPATH units is to create a physical space designed to help individuals undergoing acute mental health crises receive immediate and effective support. Instead of private treatment rooms that can feel isolating, patients will be welcomed into an open and inviting area furnished with comfortable seating where they can feel safe and calm.

Once patients arrive, they will interact with a dedicated team that includes psychiatrists, nurses, social workers, and even peer support specialists—individuals who have experienced mental health challenges themselves and can provide valuable insights. Lindsey Jasinski, Chief Administrative Officer of Eastern State, emphasized the role of peer support in enhancing patient experience, stating, “It can be helpful to hear from someone who has been in a difficult place and been able to successfully navigate that.”

The spacious 11,000-square-foot EmPATH unit can accommodate up to 12 patients at a time. Each individual’s symptoms will be assessed regularly, leading to the development of a personalized care plan. This plan could involve outpatient support or, if necessary, inpatient admission for more intensive care. What’s more, studies suggest that a significant 60 to 70 percent of individuals coming to the EmPATH unit may achieve stabilization and return home within 24 hours.

Research shows impressive numbers, highlighting that patients treated within an EmPATH unit are also far more likely to follow through with their care. A study cited that 60% of those in rural areas experiencing suicidal thoughts sought follow-up care after being treated at an EmPATH unit. This increased accessibility and continuity of care is expected to welcome a fresh approach to mental health treatment in Kentucky.

Another perk of opening the EmPATH unit is that it reduces the strain on traditional emergency departments. Data from a study between 2007 and 2016 indicated an increase in mental health-related ER visits, rising from 6.6% to 10.9%. Reports suggest that between 12 to 15% of ER visits are indeed related to behavioral health, amplifying the need for specialized facilities like EmPATH, where patients can receive the right kind of care.

“Our emergency departments give amazing care and save countless lives every day,” remarked Dr. Andrew Cooley, a UK HealthCare psychiatrist. However, he pointed out that ERs often lack the resources necessary to properly care for those in mental health crises, often leading to long wait times and additional stress for those seeking help.

The EmPATH unit is accessible to adults aged 18 and older facing a range of behavioral health crises. This can include anything from substance use disorders to severe anxiety or thoughts of self-harm. Whether brought in through emergency medical services or self-referred, the priority is to create a welcoming and effective environment to help individuals navigate their challenges.

Marc Woods, chief nursing officer at Eastern State, emphasized a unique aspect of their approach. “We immediately try to assess what their needs are— not only for behavioral health but also their basic needs. It allows our clinicians to say, ‘Are you hungry? Would you like a Coke?’ This connection helps us build rapport and facilitates addressing any further needs.” This comprehensive approach signifies a refreshing change in how mental health services are delivered.

As the EmPATH unit opens its doors in Lexington, there is a strong sense of hope that this facility will make a positive impact on the community. As Kentucky embraces this new model of care, many are looking forward to a future where mental health treatment is more accessible and supportive for everyone.

With the EmPATH unit now up and running, Kentucky is taking crucial steps towards improving mental health care accessibility and effectiveness, paving the way for a more caring and understanding future.