{"id":149,"date":"2026-05-19T21:36:39","date_gmt":"2026-05-19T21:36:39","guid":{"rendered":"https:\/\/northcarolinamovingjournal.com\/?p=149"},"modified":"2026-05-19T21:36:39","modified_gmt":"2026-05-19T21:36:39","slug":"nc-legislators-look-to-charlotte-pilot-to-address-boarding-crisis-in-emergency-departments","status":"publish","type":"post","link":"https:\/\/northcarolinamovingjournal.com\/?p=149","title":{"rendered":"NC legislators look to Charlotte pilot to address \u2018boarding\u2019 crisis in emergency departments"},"content":{"rendered":"<div>\n<p>It\u2019s a problem that legislators on the state House Health Committee have become all too familiar with: a child dealing with a mental health crisis is taken by their family or law enforcement to a local emergency department, only to stay in the ED for days or weeks on end with no real treatment plan.<\/p>\n<p>Read more <a href=\"https:\/\/northcarolinamovingjournal.com\/?p=147\">Rollback of NC alcohol laws passes committee vote, but Sunday ABC sales do not survive<\/a><\/p>\n<p>While there is no physical ailment for which the adolescent can be admitted to the hospital, because of behavioral problems they cannot be safely released, either.<\/p>\n<p>On Tuesday, leaders from the Carolina Complete Health Network in Charlotte presented lawmakers with results from a pilot program that has shown success in reducing the boarding time that children in crisis spend without treatment in emergency department settings.<\/p>\n<p>Katie McKay, the senior director of clinical operations for CCHN, said the first step of the Crisis Intervention Therapy and Education (CITE) model is to have a dedicated behavioral health clinician stationed in the emergency department, devoted to at-risk children. That clinician is the point of contact for family members and identifies appropriate treatment options.<\/p>\n<p>The clinician is also responsible for making a referral to a community-based provider. MORES, short for Mobile Outreach, Response, Engagement and Stabilization, is a mobile provider that can respond within an hour of a crisis.<\/p>\n<p>The MORES team provides up to eight weeks of follow-up care. The program is publicly funded by the N.C. Department of Health and Human Services, but is not yet available in every county.<\/p>\n<blockquote>\n<p>One in four NC teens experience depression. Can peer-to-peer support improve their mental health?\u00a0<\/p>\n<\/blockquote>\n<p><iframe loading=\"lazy\" class=\"wp-embedded-content\" data-secret=\"93gNEJWrTc\" frameborder=\"0\" height=\"282\" marginheight=\"0\" marginwidth=\"0\" sandbox=\"allow-scripts\" scrolling=\"no\" security=\"restricted\" src=\"https:\/\/ncnewsline.com\/2026\/05\/14\/one-in-four-nc-teens-experience-depression\/embed\/#?secret=XpgVGoIhAQ#?secret=93gNEJWrTc\" style=\"position: absolute; visibility: hidden;\" title=\"\u201cOne in four NC teens experience depression. Can peer-to-peer support improve their mental health?\u00a0\u201d \u2014 NC Newsline\" width=\"500\"><\/iframe><\/p>\n<p>The final step, said McKay, is family education provided by the MORES team on how to recognize crises, how to respond, and what resources are available other than simply returning to the emergency room.<\/p>\n<p>Dr. Michael Utecht, chief medical director for Carolina Complete Health, said before this pilot at Novant Health Presbyterian Medical Center, some children in crisis were being boarded for 4-6 weeks. They were taking up significant bed space but not receiving behavioral health treatment or having any social interaction.<\/p>\n<p>\u201cOne 13-year-old, he was there for seven months. He gained 100 pounds. These are horrific stories. But this is what happens because there\u2019s not much else to offer,\u201d said Utecht.<\/p>\n<p>Read more <a href=\"https:\/\/northcarolinamovingjournal.com\/?p=145\">Gov. Josh Stein signs executive order to tackle housing affordability<\/a><\/p>\n<p>Since the pilot was implemented, the average length of stay for children in these \u201csocial holds\u201d at Novant has been 3-4 days, according to Utecht.<\/p>\n<p>Rep. Donna White (R-Johnston) said she\u2019d like to see the program expanded. In her own district, she said the hospital is not well equipped to deal with every patient that may come through the doors.<\/p>\n<p>\u201cOur Department of Social Services has been a primary provider of these types of clients to the hospital,\u201d said White. \u201cThey were not diagnosed necessarily with mental health issues. They were just foster children and people dropped the ball. They put them in the hospital and they stay there.\u201d<\/p>\n<p>Rep. Grant Campbell (R-Cabarrus), a medical doctor, said when he started practicing medicine, it was rare to see a behavioral health hold in the emergency department.<\/p>\n<p>\u201cNow, it\u2019s not uncommon for a third of our bed-capacity in the emergency room to be filled up with those [patients],\u201d said Campbell.<\/p>\n<p>Campbell said every bed being used to board patients who could be better cared for elsewhere is a bed that\u2019s not available for a patient needing acute medical care.<\/p>\n<p>In the pilot, Carolina Complete Health Network paid $90,000 for the dedicated behavioral health clinician. The dedicated MORES team cost another $130,000 for the eight-week trial. McKay acknowledged that it could cost more to establish such a program in a rural area with fewer resources than Mecklenburg County.<\/p>\n<p>\u201cMoney is precious. We\u2019re struggling with that,\u201d acknowledged Rep. Donny Lambeth (R-Forsyth), a senior budget chair in the N.C. House. \u201cBut the pilot had a good outcome that we can certainly build on.\u201d<\/p>\n<p>Read more <a href=\"https:\/\/northcarolinamovingjournal.com\/?p=143\">Black advocates in NC warn Jim Crow era \u2018never ended\u2019 as voting maps shift across South<\/a><\/p>\n<div>\n<div>\n<p>GET THE MORNING HEADLINES.<\/p>\n<\/div>\n<div>\n<button>SUBSCRIBE<\/button>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s a problem that&#8217;s become all too familiar: a child dealing with a mental health crisis is taken by their family or law enforcement to a local emergency department, only to stay in the ED for days or weeks on end with no real treatment plan.<\/p>\n","protected":false},"author":1,"featured_media":148,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-interesting"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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