Emergency Telepsychiatry

2021 ◽  
pp. 109-119
Author(s):  
Ewald Horwath ◽  
Thomas E. Dell ◽  
Zeina Saliba
Keyword(s):  
Mental Health ◽  
Psychiatric Care ◽  
Hospital Costs ◽  
Video Communications ◽  
Financial Investment ◽  
Delayed Treatment ◽  
Lengths Of Stay ◽  
Audio Video ◽  
Hospital Emergency Departments

Emergency telepsychiatry is the evaluation and treatment of patients experiencing mental health crises using audio/video communications. Patients in hospital emergency departments (EDs) often experience long waits, delayed treatment, and uncomfortable conditions when in-person psychiatric care is not readily available; prolonged lengths of stay in the ED also increase hospital costs. Telepsychiatry can make psychiatric care more accessible and timely by linking mental health specialists in various locations to patients in EDs. Initial data indicate that the financial investment in emergency telepsychiatry is more than offset by savings in ED and hospital costs. Rapid availability of telepsychiatric consultation also improves the quality of care in EDs and leads to more appropriate and timely dispositions of patients.

Management of violent behaviour and rapid tranquillisation during acute psychotic episode: discrepancy between routine practice and evidence. The SIEP-DIRECT's Project

2008 ◽  
Vol 17 (4) ◽  
pp. 349-357 ◽  
Author(s):  
Antonio Lora ◽  
Carla Morganti ◽  
Arcadio Erlicher ◽  
Lorenzo Burti ◽  
Giacinto Buscaglia ◽  
...  
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Psychiatric Care ◽  
Psychotic Episode ◽  
Routine Practice ◽  
Violent Behaviour ◽  
Critical Areas ◽  
Specific Care ◽  
Acute Psychiatric Care

SUMMARYAims– To evaluate the quality of acute psychiatric care concerning the management of violent behaviour and rapid tran-quilization.Methods– Data concerning 13 indicators, drawn from NICE recommendations, were collected in 19 Departments of Mental Health, in the frame of the SIEP-DIRECT's Project, to evaluate the implementation of NICE recommendations in Italian Mental Health Services.Results– In about two thirds of Departments of Mental Health (DMHs) professionals were trained in the management of violent behaviour, while written procedures existed only in one fourth of DMHs. About a half of the professionals working in Psychiatric Wards in General Hospital were trained in rapid tranquilization, while procedures on this topic are practically absent and specific care for monitoring intensively the heavily sedated patient was not frequent.Conclusions– Management of violent behaviour and rapid tranquilization are two critical areas in the care performed by Psychiatric Wards in General Hospital. Training on these topics is more frequent than implementation of procedures. NICE recommendations and SIEP indicators are useful tools for improving the quality of acute psychiatric care.Declaration of Interest: None.

scholarly journals The measurement of quality of care in public sector psychiatric services based on consumer expectations

Curationis ◽  
1997 ◽  
Vol 20 (2) ◽  
Author(s):  
L. R. Uys ◽  
L. Thanjekwayo ◽  
L. Volkywan
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Public Sector ◽  
Regional Differences ◽  
Psychiatric Care ◽  
Psychiatric Services ◽  
Health It ◽  
Community Members ◽  
Hospital Units

In this study the expectations of consumers of public sector psychiatric care in South Africa were identified, and formulated in the form of 13 standards, each with a set of criteria. During this phase input from the literature was incorporated, and expectations were validated with different groups of consumers, so that rural/urban, ethnicity and regional differences were taken into account. Based on the comprehensive set of standards and criteria, four instruments were developed to measure attainment of these standards. These included a questionnaire to consumers and one to the Director of Mental Health. It also included two schedules to be filled in by observers during site visits to hospital units and clinics. The observer teams included community members and consumers. The content validity of the instruments was established by setting out the items measuring each criterium, and validating that with a group of experts.

A Transition Period in Psychiatric Care in Italy Ten Years after the Reform

1990 ◽  
Vol 156 (1) ◽  
pp. 27-36 ◽  
Author(s):  
Paolo Crepet
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
General Population ◽  
Psychiatric Care ◽  
Community Care ◽  
Transition Period ◽  
Regional Distribution ◽  
Care Facilities ◽  
National Mental Health

Ten years after the passing of the Italian psychiatric reform bill, the author assesses the state of the national mental health services. Albeit slowly, the decrease in the number of in-patients in mental hospitals is accompanied by a numerical increase in district and out-patient services. However, the quality of care provided and the regional distribution of services are not acceptable. The reorganisation has benefited hospital and out-patient services, but community care facilities remain inadequate. The mental health of the general population seems to be unaffected by the ongoing transition in psychiatric care.

Problems in psychiatric care of ‘difficult patients’: a Delphi-study

2009 ◽  
Vol 18 (4) ◽  
pp. 323-330 ◽  
Author(s):  
Bauke Koekkoek ◽  
Berno Van Meijel ◽  
Aart Schene ◽  
Giel Hutschemaekers
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Delphi Study ◽  
Psychiatric Care ◽  
Entire Group ◽  
Chronic Patients ◽  
Difficult Patients ◽  
Specialized Services

SUMMARYAims– ‘difficult patients’ may evoke strong feelings in health professionals. The ambivalent attitude of, especially, non-psychotic chronic patients towards psychiatric care may be frustrating and burdensome to professionals. Many of these patients are cared for in non-specialized services, where professionals are often more used to working with psychotic patients. Specific problems with ‘difficult’ non-psychotic patients may occur, and hamper the quality of care offered. The aim of this research is to determine precisely what problems psychiatric professionals perceive in contact with non-psychotic chronic patients in order to identify starting points for alternative or improved care in non-specialized services.Methods– a modified five-phase Delphi study with three groups of eight participants from was used to identify and prioritize experts' judgments.Results– 46 problems were identified of which some were relevant to one or two subgroups and some were relevant to the entire group.Conclusions– a program that combines a coherent view at services level, with support and increased communication at the interprofessional level (e.g. through regular supervision, sharing of case-loads) may be highly beneficial to non-specialized services.Declaration of Interest: None for any author. Funding for this study was provided by ZonMW ‘Geestkracht’ (Grant 100–002–031), Altrecht Mental Health Care and Gelderse Roos Mental Health Care.

Barriers to Cooperation With Family Members in Psychiatric Care in Turkey: Perspectives of Health Professionals and Family Caregivers

2021 ◽  
pp. 107839032110149
Author(s):  
Ayşe Sari ◽  
Zekiye Çetinkaya Duman ◽  
Yonca Kahveci Gül
Keyword(s):  
Mental Health ◽  
Family Caregivers ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Care ◽  
Psychosocial Interventions ◽  
Mental Illnesses ◽  
Cultural Perspective ◽  
The Common

Background: Cooperation between families of individuals with mental illnesses and mental health professionals is very important for the quality of mental health care, and there are many barriers to the establishment of cooperation between mental health professionals and families. It is highly important to identify/define barriers to cooperation between families and health professionals from a cultural perspective. Aim: The present study was aimed at identifying barriers to cooperation between mental health professionals and families from the perspectives of mental health professionals and family caregivers in Turkey. Method: In the sample of this descriptive qualitative study, 12 family caregivers and 11 health professionals were included. Results: The results of the study indicated seven themes regarding the perceptions of family caregivers and mental health professionals. The themes related to perceptions of family caregivers about barriers are as follows: “learning the process by living,” the perception of “my patient comes first,” and the perception of “being neglected.” The themes related to perceptions of mental health professionals about barriers are as follows: “lack of collaboration within the team,” “family itself as a barrier,” and “lack of education about working with families.” The common theme mentioned by both groups included the “patient-oriented service understanding.” Conclusions: The results obtained from this study are believed to be a guide for planning and implementing interventions to eliminate the barriers defined from the perspectives of both mental health professionals and family caregivers. Both mental health professionals and family caregivers need psychosocial interventions for strengthening “family cooperation.”

Qualifying Quality of Life in Mental Health

PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (33) ◽  
Author(s):  
Itai Danovitch
Keyword(s):  
Quality Of Life ◽  
Mental Health

Cultural Competency Methodological and Data Strategies to Assess the Quality of Services in Mental Health Systems of Care

2002 ◽  
Author(s):  
Carole Siegel ◽  
Gary Haugland ◽  
Ethel Davis Chambers ◽  
Carmen Aponte ◽  
Ralph Blackshear ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Cultural Competency ◽  
Systems Of Care ◽  
Quality Of Services ◽  
Mental Health Systems
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