Inpatient Services Admission Criteria
An individual admitted to a Lindner Center of HOPE patient care unit (not including Sibcy House and the Adolescent Diagnostic and Treatment Program) will have a principal diagnosis of a psychiatric disorder, excluding sex offender, criminal court, end-stage dementia, developmental disability, or sole substance abuse disorder. In addition, patients will meet at least one of the following criteria:
- Demonstrates a danger to self, others or property.
- Manifest major impairment in activities of daily living and in occupational functioning.
- Demonstrates continued decline in functioning manifested by impairment in ability to provide for his/her basic physical needs.
- Condition prevents him/her from benefiting from less intensive levels of care.
Adolescents (ages 12-17):
It is the policy of Cincinnati Children’s Hospital Medical Center Division of Child and Adolescent Psychiatry to accept for admission those individuals whose mental health status warrants treatment in an inpatient hospital setting.
Criteria for Adolescent Patient Admission to the Inpatient Unit:
Admissions for children and adolescents will ordinarily be limited to those who are of the ages of 12 – 17 years old.
Adolescents appropriate for psychiatric inpatient admission will demonstrate at a minimum one of the following criteria:
- Imminent risk for self-injury, with an inability to manage or develop safety plan.
- Imminent risk for injury to others.
- Acute and serious deterioration from the patient’s baseline ability to fulfill age-appropriate responsibility and management of activities of daily living (ADL’s)
- The patient can benefit from psychiatric intervention/ treatment, the structure and milieu therapy to decrease or manage presenting psychiatric symptoms.
- Imminent risk for acute medical status deterioration due to the present and/or treatment of an active psychiatric symptom.
- Weight loss to a point that the patient is 15% below ideal weight or failure to make expected weight gain during a period of growth.
Exclusionary criteria for patients seeking psychiatric hospitalization:
- Patients presenting with symptoms or complaints of substance abuse only.
- Patients primary need is of a forensic treatment setting.
- Patients who can be safely treated in a less restrictive environment
- Patients who are unable to be medically managed within the capacity of the Division of Psychiatry
Adults (18 and older):
It is the policy of the Adult Inpatient units of the Lindner Center of HOPE to accept for admission those individuals whose mental health status warrants treatment in a locked inpatient setting.
Patients admitted to the Adult Inpatient unit will meet the following criteria:
- Persons seeking or requiring treatment for a mental illness will have a primary diagnosis recognized by the current edition of the Diagnostic & Statistical Manual of Mental Disorders;
- Persons seeking admission will preferably be admitted on a voluntary basis, although involuntary admissions will be accepted;
- Persons are able to participate in the therapeutic process;
- There is reasonable expectation that the presenting symptoms can be reduced or controlled;
- There is a degree of medical stability that does not require ongoing, significant active or invasive medical treatment for management .
Patients admitted to the Adult Inpatient units will not be admitted if the following are present:
- The person has significant active or invasive medical treatment needs;
- The person is under a criminal court order for treatment;
- The person is in need of a forensic treatment setting;
- The person has a history of sexually perpetrating or is a registered sexual offender;
- The person is actually in need of a long-term treatment setting;
- The person’s primary diagnosis (or diagnoses) is/are: substance abuse, substance dependence, dementia, mental retardation, malingering and/or antisocial personality disorder.