Comprehensive psychiatric emergency services

Oldham, John M.; Lin, Alice J.; Breslin, Linda

doi:10.1007/bf01065165

Cited by 20 publications

(8 citation statements)

References 6 publications

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“…A major source of concern is the risk of readmission shortly after discharge as a direct result of a short hospital stay. 28 Unfortunately, the way in which our database is set up does not allow us to access the occurrence of new admissions for patients admitted to the emergency room. Therefore, another study will be carried out to deal with this issue in particular.…”

Section: Resultsmentioning

confidence: 99%

Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution

Barros

Marques

Carlotti

et al. 2009

Rev. Bras. Psiquiatr.

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Objective: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). Method: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. Results: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. Conclusion:The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions. Descriptors

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Section: Resultsmentioning

confidence: 99%

Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution

Barros

Marques

Carlotti

et al. 2009

Rev. Bras. Psiquiatr.

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“…O perfil demográfico da população usuária da EP-RP é semelhante ao que se encontra na literatura: a maioria é homem, jovem, não casado, de baixa escolaridade e com diagnósticos graves como esquizofrenias e transtornos relacionados ao uso de substâncias. 1,7,10 De maneira geral, possuem um prejuízo no funcionamento global, que é maior no sexo masculino. Essas diferenças entre os sexos podem ser justificadas pela maior proporção de diagnóstico de quadros não psicóticos entre as mulheres.…”

Section: Discussionunclassified

“…A população em estudo, no entanto, diferenciouse em relação aos dados de literatura, na pequena percentagem encontrada para andarilhos (1,8%), pois esse número costuma ser bem maior, chegando a 14%. 7 Os diagnósticos são variados, porém em sua maioria são quadros graves como esquizofrenias, transtornos do humor, ou transtornos relacionados ao uso de substâncias, no qual nem sempre há sintoma psicótico, mas alteração de comportamento importante com auto e heteroagressividade. 7,9,10 Apesar dos dados concordarem com os da literatura, existe a complexidade de fazer um diagnóstico em uma situação de emergência, pois na maioria das vezes o diagnóstico é realizado em um corte transversal pela avaliação do momento, muitas vezes sem informações adicionais de acompanhantes.…”

Section: Discussionunclassified

Serviço de emergências psiquiátricas em hospital geral universitário: estudo prospectivo

et al. 2000

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“…I t has often been argued that psychiatric emergency services admit persons whose illness could have been treated with or avoided by outpatient care (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). The literature also suggests that the formal and informal processes by which patients reach an emergency service may impede persons who need treatment from getting it (1)(2)(3)10).…”

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confidence: 99%