Levels of Care & Disposition
Compare clinical needs with appropriate psychiatric settings and escalation pathways.
BH
Brooke Harbor Health System
PMHNP Clinical Learning Environment
Clinical settings and support departments
Clinical Departments
The same symptom can require a different assessment, workflow, team, and plan depending on acuity and setting. Explore Brooke Harbor's clinical environments, then use the setting guide to see how common presentations move across the system.
Department directory
Choose a setting to explore
01College Mental HealthOpen department →02General AdultOpen department →03Integrated CareOpen department →04Emergency Department & PESOpen department →05Inpatient PsychiatryOpen department →06Child & AdolescentOpen department →07Older Adult Behavioral HealthOpen department →08Perinatal & Women’s HealthOpen department →09Consultation-LiaisonOpen department →10Forensic & CorrectionalOpen department →11Addiction MedicineOpen department →12Sleep MedicineOpen department →13Eating DisordersOpen department →14Crisis StabilizationOpen department →
Clinical support departments
Health-system resources
In development
Referral Directory
Identify health-system and community services for coordinated follow-up.
Interprofessional Team Directory
Clarify who to contact and how each discipline contributes to care.
Consultation & Care Coordination
Distinguish consultation, referral, collateral, and urgent escalation.
Laboratory & Diagnostic Services
Review commonly considered tests, their clinical purpose, and principles for targeted selection.
Patient Education Center
Access materials that support patient education and communication.
Presentation-to-setting guide
Clinical needs often span departments
These are common points of care. Acuity, medical stability, safety, patient preference, access, and available supports determine the appropriate setting.
Clinical focusCommon settingsWhat changes
Psychiatric assessment, MSE, risk, and medical differential
The depth, pace, available collateral, and immediate purpose change by setting.
Depression, anxiety, obsessive-compulsive, and trauma-related care
Emergency or inpatient care may be needed when acuity or safety changes.
Bipolar disorder and psychosis
Patients may move between all three during an episode and recovery.
Sleep-wake concerns
Assessment may include medical, medication, behavioral, circadian, and sleep-specialty pathways.
Substance use and addictive disorders
Screening, harm reduction, withdrawal risk, recovery supports, and medication treatment span the system.
Personality disorders, self-harm, and therapeutic boundaries
Consistent team communication and longitudinal risk formulation are especially important.
Feeding, eating, nutritional, and metabolic concerns
Level-of-care decisions depend heavily on medical status as well as psychiatric presentation.
Psychotherapy, lifestyle, and integrative approaches
Use these approaches alongside indicated medical, pharmacologic, and safety interventions.
Movement through care
Prevention & early identification→Outpatient treatment→Urgent assessment & stabilization→Coordinated recovery
Consultation, referral, collateral, and care coordination cross every setting. Patients may move in either direction as needs, risks, resources, and treatment response change.