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Mental health finds a new home in urgent care centers

Oct 16th, 2024

By Nicole Witowski 6 min read
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Urgent care clinics first popped up in the 1970s as a solution for non-life-threatening emergencies. While it took decades for these centers to mature and fully integrate with the broader U.S. healthcare system, they have now become a trusted option for many, so much so that today, urgent care is sometimes seen as a “traditional” provider setting.

Now, we’re witnessing the rise of specialty urgent care clinics across the country, which are stepping in to tackle the growing need for behavioral health support. With about 8% of emergency department visits related to mental health issues and many ERs struggling to keep up, these specialized clinics are filling a gap for people in crisis, offering prompt assistance and critical referrals for ongoing care.

As these behavioral health urgent care clinics continue to gain traction, they hold the promise of reshaping how we approach behavioral health care in this country.

The rise of behavioral health urgent care clinics

Behavioral health urgent care clinics are designed to fill critical gaps in mental health services, providing rapid access to assessment and short-term mental health treatment. Unlike emergency departments, which can be ill-equipped to effectively handle psychiatric emergencies, these clinics specialize in psychological issues. Patients can either walk in or schedule a same-day appointment, making it easier to access help when it’s needed most.

Why the shift?

Several factors are driving the growth of these clinics. For one, the COVID-19 pandemic magnified mental health challenges, leading to increased reports of anxiety and depression among adults. Additionally, the ongoing opioid crisis and rising rates of substance use disorders have created an urgent demand for accessible care options.

Claims data from Definitive Healthcare shows that anxiety disorders were the most prevalent mental health diagnosis in 2023, accounting for 18.3% of the ten most common mental health diagnoses tracked, with generalized anxiety disorder and unspecified anxiety disorder leading the way. They were followed by depressive disorders and substance use disorders.

Most common behavioral health diagnoses in 2023

Fig. 1 Data is from the Definitive Healthcare Atlas All-Payor Claims product for the 2023 calendar year.

The Children’s Hospital Association also reported a substantial rise in visits to emergency departments for mental health treatment among children during the pandemic compared to pre-pandemic levels, including cases concerning self-harm and suicide. Although the demand for emergency behavioral health services has eased since the peak of the pandemic, many continue to struggle with worsened mental health, and rates remain elevated.

Hospital systems are key players in the movement

Provider organizations are stepping up to meet this demand. SSM Health, based in St. Louis, Missouri, opened its first mental health urgent care center in 2020 to help alleviate the pressure on EDs, with a second clinic following in 2024. Collaborating with various community partners, these centers provide a place where people in crisis can receive same-day professional care. Similarly, Seattle Children’s Hospital in Washington has opened a mental health urgent care clinic specifically designed to support kids and adolescents.

Other similar walk-in facilities linking both youth and adults to mental health services are springing up across the country, including in Florida, Massachusetts, Ohio, and Wisconsin. This emerging model of care could provide a crucial bridge between traditional outpatient services and ER visits for some people facing mental health crises, making care more accessible.

The benefits of mental health urgent care clinics

Immediate access to care

Many people seeking mental health care in traditional settings often encounter long wait times, sometimes stretching for months, which can delay the support they need and exacerbate psychiatric conditions. A recent survey by the American Psychological Association revealed that over half of psychologists reported having no openings for new patients. For those who do maintain waitlists, average wait times extend to three months or longer, with nearly 40% indicating that their waitlists have grown in the past year.

Proportion of psychologists seeing changes in their workloads in the last 12 months, 2023

Fig. 2 Proportion of psychologists seeing changes in their workloads in the last 12 months, 2023. Source: American Psychological Association 2023 Practitioner Pulse Survey.

One of the primary advantages of behavioral health urgent care clinics is their ability to provide immediate access to care. For people facing a crisis—be it a panic attack, suicidal thoughts, or acute stress—prompt intervention can be lifesaving. These clinics often operate on a walk-in basis, reducing wait times and making it easier for those to seek help without an appointment.

Connecting patients to ongoing treatment

Beyond crisis intervention, these clinics can play a role in connecting patients to ongoing treatment for mental health or substance use disorders. After an initial assessment and stabilization, clinicians can refer individuals to therapists, psychiatrists, and community resources, making sure they get the continued support they need. And like conventional urgent care clinics, these specialized urgent care clinics can serve as referral sources for health systems.

Reducing the burden on emergency departments

With long wait times for outpatient care, many people find themselves turning to emergency rooms for behavioral health crises—often a level of care they neither want nor need. By redirecting those seeking mental health support away from overcrowded ERs—where about 8% of visits are related to mental health issues—these clinics can not only improve access to care for patients but can also help hospitals operate more efficiently, especially as many ERs struggle to keep up with demand.

Mental health emergencies often require more time and resources, with psychiatric visits taking 42% longer than non-psychiatric visits. They also lead to higher rates of inpatient admissions and transfers, along with a greater percentage of self-pay or charity care.

Moreover, many ERs are not equipped to handle behavioral health crises beyond initial stabilization. This can result in “boarding,” where patients wait long periods in ERs for appropriate care—sometimes for hours, days, or even weeks—after their evaluation is complete but before they can be admitted or transferred. During this time, most patients don’t receive psychiatric services, yet the average daily cost is $2,264.

The challenge of boarding psychiatric patients in EDs not only hampers their capacity but also strains resources and increases wait times for all patients. This situation fosters frustration and puts additional pressure on healthcare staff. By shifting mental health crises to urgent care centers specifically designed for these needs, health systems can help both patients and mental health providers.

Overcoming the challenges ahead

While the growth of behavioral health urgent care clinics is encouraging, there are still some significant challenges to tackle. One of the biggest hurdles is the pressing need for more trained professionals in the field. As more people seek mental health services, the shortage of providers makes it difficult to meet their needs effectively. Already, more than 150 million people live in federally designated mental health professional shortage areas. Addressing this hurdle will be essential for ensuring that behavioral health urgent care clinics can fulfill their potential to provide timely and effective mental health support.

Find out what’s next for behavioral health services

Over the next year, expect more health systems to explore urgent care models for mental health and to partner with community organizations to help patients connect to appropriate behavioral health resources. This emerging trend could bring numerous benefits: it could improve access to timely support for people in crisis, lower costs for patients and payors by diverting unnecessary ED visits, and provide health systems with a more efficient way to manage patient care and resources. It also opens doors for companies that support health systems and other provider organizations in developing and delivering effective behavioral health services. While the potential for improved outcomes is promising, it will be important to monitor the impact of these new services on the broader healthcare ecosystem.

Want a deeper dive into the behavioral health landscape? Definitive Healthcare offers comprehensive data and analysis on behavioral health facilities and providers across the U.S., providing valuable insights into market trends and opportunities. Sign up for a free trial today to get a sample dataset and discover potential partners and new avenues for growth.

Nicole Witowski

About the Author

Nicole Witowski

Nicole Witowski is a Senior Content Writer at Definitive Healthcare. She brings more than 10 years of experience writing about the healthcare industry. Her work has been…

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