Continuum of care for other behavioral health services outside of inpatient and outpatient as well as communication with community partners and families of our patients.

Respect starts with the leadership.

Can improve on better respect among staff members

I believe that we need to work on having better trained staff and more staff to be exact. Sure, bodies are great and all but bodies that know what they are doing and how to handle a situation… whole different story. Also, it would be a good tool to have a step by step training manual for new nurses. The managers hardly ever work the floor anymore and are often not who these new nurses rely on to help them in their day to day job.

I think we should have more town hall meetings. Also I would love to see more team work with the nurses and MHTs ,it seems that we are divided when it comes to patients.MHTs don't feel supported.

Communication and consistency

staffing better

I do want there to be a much better respect amongst leadership and the different directors. It can be very high school like in leadership when there are disagreements and protocols that they may not like or agree with.

Staffing each unit appropriately. There should be at least one extra tech scheduled across the entire hospital that serves as a floater in case there is a code and a staff member is injured and required to sit with the patient.

Consistent errors with consents and ROIs. Multiple emails have been sent regarding proper protocol and requesting additional support/training on correctly completing these documents, yet the issues continue to occur repeatedly.Multiple new leadership staff in the role have been responsive to these concerns and have made consistent efforts to implement changes and provide guidance. There are periods where improvement is seen and documentation is completed more consistently however, the same issues often reoccurs the following month, resulting in incomplete consents and ROIs again. At this point, it may be helpful to further evaluate current workflows, staffing demands, and accountability measures related to the completion of consents and ROIs. Additional staffing support or a more structured system focused on ensuring accurate completion of these documents may help improve consistency and efficiency.These issues directly impact patient care, communication, and discharge planning. When patients transfer to the unit without completed consents or ROIs, delays occur because patients may no longer have access to their phones, may have difficulty recalling provider contact information, or may require parental support. This delays communication with schools, outpatient providers, and other supports involved in discharge planning.As a hospital, we consistently emphasize that discharge planning begins on day one of admission. In order for this process to be effective, support from intake is essential in obtaining accurate ROIs and provider information whenever clinically appropriate. Having this information early allows social workers to quickly identify which patients already have established providers and which patients may require additional support with referrals, care coordination, and linkage to services. This also helps social workers better prioritize their caseloads based on patient acuity and discharge planning needs, allowing more time and attention to be directed toward patients requiring higher levels of support. I understand that not every patient may be clinically stable or appropriate to complete ROIs at the time of admission. However, for patients and families who are able to provide this information during intake, obtaining it early can improve continuity of care, communication, and overall efficiency in care.