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Office of Mental Health

Behavioral Health High Risk Quality Collaborative (HRQC) for Emergency Departments

Ensure that emergency departments identify, assess and provide best practice interventions for high behavioral health risk patients in Medical Emergency Department (ED) and Comprehensive Psychiatric Emergency Programs (CPEP) by:

  1. Providing PSYCKES access to support clinical decision making in Medical EDs and CPEPs.
  2. Implementing best practice protocols for identifying, assessing and managing patients at risk for suicide, violence, opioid overdose and high utilization of acute services in Medical EDs and CPEPs.


  • Greater New York Hospital Association (GNYHA)
  • Healthcare Association of New York State (HANYS)
  • New York State Department of Health (DOH)
  • Office of Mental Health (OMH)
  • Office of Addiction Services and Supports (OASAS)
  • NYC Department of Health and Mental Hygiene (DOHMH)

95 EDs & CPEPs across New York State are participating


  • Phase 1 (2019-2021*): Hospitals implement the use of PSYCKES to identify patients at high behavioral health risk; EDs and clinical experts work together to define best practices.
  • Phase 2 (2021-2022*): Hospitals implement best practice workflows for managing patients at high behavioral health risk.

* Timeline revised due to COVID-19 pandemic


Comments or questions about the information on this page can be directed to the PSYCKES Team.