Emergency Department Preparedness for Children Seeking Mental Health Care

Bir Hospital, the first general hospital with specialist services was established in the country in 1889 A.D. When I came back to Nepal after MBBS in 1971, most of the specialties like Medicine, Surgery, Gynae & Obs, Opthalmology, ENT, Psychiatry, Anesthesiology, Radiology, Emergency department with 24 hours service were there. Paediatric OPD service was available, and children were admitted in Kanti children hospital Kathmandu. So mental health service in Nepal was started in a general hospital with different specialties.

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The Implications of COVID-19 for the Mental Health Care of Older Adults: Insights from Emergency Department Social Workers

Journal of Gerontological Social Work ◽

10.1080/01634372.2020.1779160 ◽

2020 ◽

Vol 63 (6-7) ◽

pp. 662-664 ◽

Cited By ~ 1

Author(s):

Xiaoling Xiang ◽

Yawen Ning ◽

Jay Kayser

Keyword(s):

Mental Health ◽

Older Adults ◽

Health Care ◽

Emergency Department ◽

Mental Health Care ◽

Social Workers

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Evaluation of a nurse practitioner-led extended hours mental health liaison nurse service based in the emergency department

Australian Health Review ◽

10.1071/ah14100 ◽

2015 ◽

Vol 39 (1) ◽

pp. 1 ◽

Cited By ~ 15

Author(s):

Timothy Wand ◽

Natalie D'Abrew ◽

Catherine Barnett ◽

Louise Acret ◽

Kathryn White

Keyword(s):

Mental Health ◽

Health Care ◽

Emergency Department ◽

Mental Health Care ◽

Nurse Practitioner ◽

Medical Staff ◽

Health Problems ◽

Successful Implementation ◽

Model Of Care ◽

Liaison Nurse

Objective To evaluate a nurse practitioner (NP)-led extended hours mental health liaison nurse (MHLN) service based in the emergency department (ED) of an inner city teaching hospital in Sydney and to explicate a model of care that is transferable across a broad range of ED settings, both in metropolitan and rural contexts. Methods This mixed-methods evaluation encompassed descriptive data on ED mental health presentations, quantifying waiting times for MHLN involvement and interviews with MHLN team members at the commencement of the evaluation and 12 months later. Interviews were also conducted with a snapshot of ED patients, and a sample of ED and psychiatry staff. Results The expanded MHLN service was rapidly incorporated into the ED structure, enthusiastically endorsed by ED patients and highly valued by staff and the organisation. The MHLN team saw 55% of referred patients within the first hour of arrival (frequently before medical assessment), thereby initiating and expediting co-ordination of care at an early stage of the ED process. Conclusions An NP-led extended hours MHLN team based in the ED provides prompt and effective access to specialised mental health care for people with ‘undifferentiated health problems’, and removes a significant workload from nursing and medical staff. Embedding the NP-led MHLN service within the ED structure was pivotal to the success and sustainability of this model of care. What is known about the topic? Mental health liaison nurse (MHLN) services have existed in emergency departments (EDs) in Australia and internationally for many years. However, there is great variation in the way these services are structured and no standardised model of care has been explicated. What does this paper add? Findings from this evaluation indicate that a nurse practitioner-led extended hours MHLN service integrated within the ED team structure provides prompt access to specialised mental health care to people with undifferentiated health problems, and removes a significant workload from ED nursing and medical staff. What are the implications for practitioners? Mental health nurse-led service provision based in the ED is a safe, flexible and effective method of enhancing access to health care that is adaptable to broad range of settings. ED ownership of this model of care is pivotal to the successful implementation and sustainability of MHLN services.

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Exploring the factors associated with non-urgent emergency department utilisation for mental health care

Journal of Research in Nursing ◽

10.1177/1744987119845020 ◽

2019 ◽

Vol 24 (8) ◽

pp. 663-674 ◽

Cited By ~ 1

Author(s):

Fabrice I Mowbray ◽

Abeer E Omar ◽

Kathyrn Pfaff ◽

Maher M El-Masri

Keyword(s):

Mental Health ◽

Health Care ◽

Emergency Department ◽

Mental Health Care ◽

Secondary Data ◽

Time Of Day ◽

Emergency Department Visits ◽

Local Health ◽

Emergency Department Use ◽

Increased Risk

Background Emergency department visits for mental health care are on the rise across North America. Patients with mental illness are at an increased risk for frequent and non-urgent emergency department visitation. Aims The purpose of this study was to examine the independent predictors of non-urgent emergency department use for mental health care. Methods A secondary data analysis was conducted with archived data provided by the Erie St. Clair Local Health Integration Network in Ontario. Results A total of 13,114 mental health-related emergency department visits were analysed using logistic regression with generalised estimating equations modelling. The findings suggest the following characteristics are predictive of non-urgent emergency department use for mental health care: age, season, time of day, access to primary health care, mode of arrival, hospital type, referral source and patient diagnosis. Conclusions The findings of this study can be utilised to assist clinicians and policy makers in identifying and managing patients using the emergency department for non-urgent mental health care.

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