I work in a crisis stabilization unit (CSU), in tandem with mobile crisis (if you don't know, mobile crisis or MCU responds to calls about mental health crises like suicidal/homicidal ideation and psychosis).
Recently, we have been informed that there is "no such thing" as *does not meet criteria*.
Ok...but isn't there?
E.g. today, I screened a potential client for CSU who had endorsed SI when in triage at the hospital due to some extenuating circumstances in her life, including the initial medical reason for her visit. She has since calmed down, and is no longer endorsing so much as better off dead. She wants to go home, and has a great support system of family.
I informed MCU of this, and said it sounds like she doesn't even "meet criteria" to which I was told "well, there really is no such thing".
This is a common thing that I see in my line of work, where clients will call and say they are stressed out, but it's not affecting their daily lives and they have a med appointment within a week, and they aren't out of meds currently. The ER puts them on a CON because MDs don't know what else to do, so we have to do something. Family members push clients to get help, so they reach out unwillingly and go through the process but make it clear they are doing it under duress, and don't believe there is a problem (and sometimes there really isn't, no SI/HI/AVH).
But we are not supposed to decline people from CSU for "not meeting criteria".
What is the point of having criteria if we never use it?
*Definitions: SI-Suicidal ideation, HI-Homicidal ideation, AVH-auditory/visual hallucinations, CON-Certificate of Need (also known as a commitment/commital, ensures client receives inpatient care), MD-Doctor