Characteristics of an Accident and Emergency liaison mental health service in East London

Callaghan, Patrick; Eales, Sarah; Leigh, Laurie; Smith, Angie; Nichols, Joe D.

doi:10.1046/j.1365-2648.2001.01919.x

Cited by 21 publications

(14 citation statements)

References 11 publications

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“…Quite a few articles describe individual PES programs including mobile crisis, police, telephone, and emergency department psychiatric consultation services (5,(12)(13)(14)(15)(16)(17)(18). A few studies address service variations related to academic and public versus private settings (12,19).…”

Section: Service Characteristicsmentioning

confidence: 99%

Psychiatric Emergency Services: A Review of the Literature and a Proposed Research Agenda

Brown

2005

Psychiatr Q

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To gain a better understanding of the scope of previous research on psychiatric emergency services (PES) and to identify areas of focus for future studies, the author reviews PES literature published between 1983 and 2003. PES literature was identified by performing a MEDLINE search. The author was interested in studies or reviews of all types of PES. The refereed research, consisting of 85 articles, is a representation of the existing literature as multiple studies were found to be similar in topic and methodology. This review is organized using Donabedian's structure, process, outcome framework to describe research that has examined 1) providers, clients, and services; 2) variations in access, utilization, evaluation, treatment, and continuity of care; and 3) outcomes of these services. The resulting report reveals methodological limitations that are pervasive throughout the PES literature, dimensions of psychiatric emergency services that remain unexplored, and a PES research agenda.

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Section: Service Characteristicsmentioning

confidence: 99%

Psychiatric Emergency Services: A Review of the Literature and a Proposed Research Agenda

Brown

2005

Psychiatr Q

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“…The benefits associated with mental health nurse service provision in the ED have been recognised from numerous evaluations conducted internationally (Callahan et al, 2001;Clarke et al, 2005;Eales et al, 2006;Morgan and Coleman, 2000;Sinclair et al, 2006;Wand and Happell, 2001). However, there is significant variation in the way such services are designed and operate within the ED, such as team structure and where that sits within the ED, reporting mechanisms, patient referral and follow up.…”

Section: Introductionmentioning

confidence: 99%

Evaluating a new model of nurse-led emergency department mental health care in Australia; perspectives of key informants

Wand

D’Abrew

Acret

et al. 2016

International Emergency Nursing

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“…[10][11][12][13][14][15][16] At the time when this study was developed, few studies had systematically evaluated the clinical effectiveness of psychiatric nurses in A&E, 17 18 a situation that appears to extend to the present day. A recent literature review found several descriptive accounts of mental health liaison services operating ''successfully'' in emergency departments, [19][20][21][22] but only two studies were identified that contained some evaluation of the service model adopted. 23 24 Both of these studies, however, presented insufficient objective data regarding the value and benefits of the service to patients.…”

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confidence: 99%

How effective are mental health nurses in A&E departments?

Sinclair

2006

Emergency Medicine Journal

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Background: A&E departments are key points of contact for many people with mental health problems. Various models of care have been developed in A&E departments for delivering mental health services, but few have been assessed for effectiveness. The present study aimed to assess the impact of a dedicated A&E psychiatric nurse service on several outcomes relevant to patients and clinicians. Methods: A crossover design was used to introduce a dedicated psychiatric nurse service (comprising four experienced community psychiatric nurses) into two busy UK A&E departments. Standardised assessments were completed for each patient, and a random sample of these independently assessed for quality. Data were also collected on the number of patients assessed, psychiatric nurse time employed, waiting times, onward referrals, repeat attendances, patient satisfaction, and staff views. Results: A&E staff referred about a third of patients judged to have mental health problems to the psychiatric nurse service; approximately half of those assessed had a psychiatric history. On average, assessments took 60 min and over 90% of the formulated management plans were judged appropriate by independent assessors. The psychiatric nurse intervention had little impact on waiting times or satisfaction levels for mental health patients, although there was evidence of a change in onward referral patterns. Comment: Psychiatric nurse assessment services have been introduced in many A&E departments, although the evidence base for the effectiveness of this development is not well established. This study presents evidence that psychiatric nurses can provide an accurate assessment and referral service with advantages for patient care.

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Characteristics of an Accident and Emergency liaison mental health service in East London

Abstract: The service seems a useful resource for A & E staff, and clients with mental health problems. The service is a channel through which people access mental health services and appears to address the NSF for Mental Health.

Cited by 21 publications

References 11 publications

Psychiatric Emergency Services: A Review of the Literature and a Proposed Research Agenda

Psychiatric Emergency Services: A Review of the Literature and a Proposed Research Agenda

Evaluating a new model of nurse-led emergency department mental health care in Australia; perspectives of key informants

How effective are mental health nurses in A&E departments?

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