Emergency department care for patients with mental health problems, a longitudinal registry study and a before and after intervention study

2019 ◽  
Vol 44 ◽  
pp. 14-19 ◽  
Author(s):  
M. Christien Van Der Linden ◽  
Ferdi J.E. Balk ◽  
Bastiaan J.H. Van Der Hoeven ◽  
Merel Van Loon ◽  
Frans J. De Voeght ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Intervention Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Registry Study ◽  
Emergency Department Care ◽  
Before And After

Mental Health Problems in Children and Adolescents in the Emergency Department

2017 ◽  
Vol 33 (7) ◽  
pp. e8 ◽  
Author(s):  
Giorgio Cozzi ◽  
Marta Minute ◽  
Giovanna Ventura ◽  
Egidio Barbi
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
Health Problems

scholarly journals Clinical characteristics of people with mental health problems who frequently attend an Australian emergency department

2007 ◽  
Vol 31 (3) ◽  
pp. 462 ◽  
Author(s):  
Scott Brunero ◽  
Greg Fairbrother ◽  
Soung Lee ◽  
Martin Davis
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Clinical Characteristics ◽  
Mental Health Problems ◽  
Total Sample ◽  
Health Problems ◽  
Case Review ◽  
Management Planning ◽  
Frequent Attendance ◽  
Metropolitan Hospital

The objective of this study is to determine the clinical characteristics of people with mental health problems who frequently attend an Australian emergency department (ED). A retrospective clinical audit of presenter characteristics was conducted in a 550-bed tertiary referral metropolitan hospital with data reflecting 12 months of consecutive ED presentations between September 2002 and August 2003. A sample of 868 individuals accounted for 1076 presentations. Patients attending more than once accounted for 12.5% of the total sample. Significant variables associated with frequent attendance included: younger age; English speaking background; and mood and anxiety disorders. Lone arrival of a patient to the ED showed marginal significance. The significant associates of frequent attendance found in this study may be used to identify patients earlier to a multidisciplinary case review process and individual management planning involving clinicians, carers and patients.

scholarly journals Urgent and Nonurgent Presentations to a Psychiatric Emergency Service in Nigeria: Pattern and Correlates

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Increase Ibukun Adeosun ◽  
Abosede Adekeji Adegbohun ◽  
Oyetayo Oyewunmi Jeje ◽  
Olufemi Oyeleke Oyekunle ◽  
Modupeola Olugbemisola Omoniyi
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Health Care Financing ◽  
Physical Restraint ◽  
Safety Net ◽  
Health Problems ◽  
Resource Poor Setting ◽  
Medication Refill

Psychiatric emergencies are acute mental health disturbances that require immediate intervention. However, the emergency department is increasingly being utilised for nonurgent mental health problems, thereby compromising the quality of care available for patients with urgent problems. This study assessed the level and correlates of urgency of mental health problems among patients presenting to an emergency department in Nigeria. The Crisis Triage Rating Scale, Clinical Global Impression Scale and a supplementary questionnaire were administered to 700 attendees at the emergency department of the Federal Neuro-Psychiatric Hospital Yaba, Lagos. Only 29.1% of the presentations constituted an “emergency” 10.9% were “urgent,” while 60% were “nonurgent.” The most common reason for nonurgent presentations was the need for medication refill. On regression analysis, level of urgency of presentations was independently associated with employment status, need for medication refill, substance abuse, suicidality, routine clinic attendance, and use of physical restraint before presentation. The majority of visits to the emergency department are for apparently “nonurgent problems.” However in a resource-poor setting, the emergency department may be the only safety net for the attendees. Our findings point to a need for education of service users and policy shifts in mental health care financing and organisation.

scholarly journals Emergency Department as a First Contact for Mental Health Problems in Children and Youth

2017 ◽  
Vol 56 (6) ◽  
pp. 475-482.e4 ◽  
Author(s):  
Peter J. Gill ◽  
Natasha Saunders ◽  
Sima Gandhi ◽  
Alejandro Gonzalez ◽  
Paul Kurdyak ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Problems ◽  
Health Problems ◽  
Children And Youth ◽  
First Contact
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