Patients with Mental Health Issues in the Emergency Department: The Relationship Between Coercion and Perceptions of Being Helped, Psychologically Hurt, and Physically Harmed

2015 ◽  
Vol 14 (3) ◽  
pp. 161-171 ◽  
Author(s):  
Natalie Harrison ◽  
Sarah Mordell ◽  
Ronald Roesch ◽  
Kelly Watt
2014 ◽  
Vol 53 (14) ◽  
pp. 1359-1366 ◽  
Author(s):  
Alan E. Simon ◽  
Kenneth C. Schoendorf

We examined mental health–related visits to emergency departments (EDs) among children from 2001 to 2011. We used the National Hospital Ambulatory Medical Care Survey—Emergency Department, 2001-2011 to identify visits of children 6 to 20 years old with a reason-for-visit code or ICD-9-CM diagnosis code reflecting mental health issues. National percentages of total visits, visit counts, and population rates were calculated, overall and by race, age, and sex. Emergency department visits for mental health issues increased from 4.4% of all visits in 2001 to 7.2% in 2011. Counts increased 55 000 visits per year and rates increased from 13.6 visits/1000 population in 2001 to 25.3 visits/1000 in 2011 ( P < .01 for all trends). Black children (all ages) had higher visit rates than white children and 13- to 20-year-olds had higher visit rates than children 6 to 12 years old ( P < .01 for all comparisons). Differences between groups did not decline over time.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S148-S148
Author(s):  
Emma McLean ◽  
Mariam Alexander

AimsTo host the first ELPS training day specifically for LAS staff to improve their knowledge and understanding about mental health issues and the role of ELPS.On average 13,000 calls are received by LAS relating to mental health issues every month. Many patients seen by ELPS will have multiple interactions with LAS. ELPS has previously held training for the Emergency Department team but this innovative day was designed to extend this training commitment to pre-hospital cliniciansMethodLAS training needs were initially assessed by a bespoke questionnaire and ELPS attending another LAS training event held by the new mental health joint response car team.We then developed a training programme to match the identified training needs and which utilised the specific expertise of individual ELPS staff.14 members of the local LAS stations attended including both Paramedics and Emergency Ambulance Clinicians. The presentations covered mental state examination, suicide, risk assessment, substance misuse, legal frameworks and then a ‘challenging cases’ session to bring it all together.Pre and post course questionnaires were completed by participants, exploring attitudes and knowledge.ResultThere was a statistically significant improvement in the average self-ratings for all of the categories assessed including attitudes to mental health, confidence in assessment and knowledge relating to the process the patient will experience in the emergency department.The knowledge about the pathway and role of liaison psychiatry showed the greatest improvement with an average 4.25 increase in pre and post course rating.Almost all participants (9.2/10) would recommend this training day to a colleagueConclusionWe met our objective of improving LAS staff knowledge and understanding about mental health issues and the role of ELPS. We plan to build on this successful pilot and expand our training programme for LAS with the ultimate aim of improving patient care.


Author(s):  
Wid Kattan ◽  
Laura Avigan ◽  
Barbara Hayton ◽  
Jennifer L. Barkin ◽  
Martin St-André ◽  
...  

Mental health issues during the perinatal period are common; up to 29% of pregnant and 15% of postpartum women meet psychiatric diagnostic criteria. Despite its ubiquity, little is known about the longitudinal trajectories of perinatal psychiatric illness. This paper describes a collaboration among six perinatal mental health services in Quebec, Canada, to create an electronic databank that captures longitudinal patient data over the course of the perinatal period. The collaborating sites met to identify research interests and to select a standardized set of variables to be collected during clinical appointments. Procedures were implemented for creating a databank that serves both research and clinical purposes. The resulting databank allows pregnant and postpartum patients to complete self-report questionnaires on medical and psychosocial variables during their intake appointment in conjunction with their clinicians who fill in relevant medical information. All participants are followed until 6 months postpartum. The databank represents an opportunity to examine illness trajectories and to study rare mental disorders and the relationship between biological and psychosocial variables.


2019 ◽  
Vol 13 (3) ◽  
pp. 451-468 ◽  
Author(s):  
Misia Gervis ◽  
Helen Pickford ◽  
Thomas Hau

The purpose of this study was to investigate counselors’ professional understanding of the long-term psychological consequences of injury in UK football players. Semi-structured interviews were conducted with 11 counselors who were registered to work for the Professional Footballers’ Association (PFA). The interviews examined the counselors’ perception of the relationship between long-term injury and presenting mental health issues, the antecedents to those mental health issues, and recommendations for psychological intervention following injury. The critical finding was the mental health problems regularly presented to PFA counselors were often the psychological and behavioral consequences of long-term injury. Counselors recommended that early and sustained psychological intervention with long-term injured players would act as a preventative measure against future mental health issues.


2004 ◽  
Vol 7 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Cynthia M Stuhlmiller ◽  
Barry Tolchard ◽  
Lyndall J Thomas ◽  
Charlotte F de Crespigny ◽  
Ross S Kalucy am ◽  
...  

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