EXHIBIT 23.1

            CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration
Statements:


      (i)   Registration Statement (Form S-8, No. 333-100635) pertaining to the
            Psychiatric Solutions, Inc. 1997 Incentive and Nonqualified Stock
            Option Plan for Key Personnel of Psychiatric Solutions, Inc.;

      (ii)  Registration Statement (Form S-8, No. 333-94983) pertaining to the
            1997 Equity Incentive Plan of PMR Corporation;

      (iii) Registration Statement (Form S-8, No. 333-38419) pertaining to the
            1997 Equity Incentive Plan, 1995 Warrant Grant and the 1996 Stock
            Option Grants of PMR Corporation;

      (iv)  Registration Statement (Form S-8, No. 333-118529) pertaining to the
            Amended and Restated Psychiatric Solutions, Inc. Equity Incentive
            Plan and the Amended and Restated Outside Directors' Non-Qualified
            Stock Option Plan;

      (v)   Registration Statement (Form S-3, No. 333-127085) of Psychiatric
            Solutions, Inc.; and

      (vi)  Registration Statement (Form S-8, No. 333-128047) pertaining to the
            Amended and Restated Psychiatric Solutions, Inc. Equity Incentive
            Plan;

of our report dated February 28, 2006, with respect to the consolidated
financial statements of Psychiatric Solutions, Inc., our report dated February
28, 2006, with respect to Psychiatric Solutions, Inc. management's assessment of
the effectiveness of internal control over financial reporting and the
effectiveness of internal control over financial reporting of Psychiatric
Solutions, Inc., included in the Annual Report (Form 10-K) for the year ended
December 31, 2005.

                              /s/ Ernst & Young LLP

February 28, 2006
Nashville, Tennessee