Management of mental health patients in Victorian emergency departments: A 10 year follow‐up study

Manchego, Peter Alarcon; Knott, Jonathan; Graudins, Andis; Bartley, Bruce; Mitra, Biswadev

doi:10.1111/1742-6723.12500

Cited by 18 publications

(16 citation statements)

References 10 publications

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“…There is little evidence that these increases in MH ED presentations are due to increasing prevalence of mental health disorders in the community. Australian national health survey data suggest prevalence of mental illness is unchanged in Australia from 2001 to 2014 . A systematic review of the global prevalence of anxiety and major depressive disorders found no increase between 1990 and 2010 .…”

Section: Discussionmentioning

confidence: 99%

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Anxiety and alcohol in the working‐age population are driving a rise in mental health‐related emergency department presentations: 15 year trends in emergency department presentations in Western Australia

Yap

Tuson

Whyatt

et al. 2019

Emerg Medicine Australasia

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Objective To evaluate age, gender and disease‐specific trends in ED for mental health presentations over 15 years. Methods The study population consisted of residents of metropolitan Perth, Western Australia, presenting to Perth ED between 1 July 2002 and 30 June 2017. Population rates of mental health‐related ED presentations per year were calculated. Results Rates of mental health ED presentations are significantly increasing in the working‐age population for those with stress and anxiety‐related diagnoses, particularly in younger females, and also for alcohol‐related presentations for those aged 10–49 years, particularly in males. Conclusion The present study demonstrates that increased rates of mental health‐related ED presentations are driven by increased rates of presentation for stress and anxiety‐related and alcohol‐related presentations in both genders across the working‐age population.

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Section: Discussionmentioning

confidence: 99%

“…National health surveys and administrative data analyses do not suggest that the prevalence of mental health in the community has changed . However, rates of mental health‐related ED (MH ED) presentations have been shown to be increasing …”

Section: Introductionmentioning

confidence: 99%

Anxiety and alcohol in the working‐age population are driving a rise in mental health‐related emergency department presentations: 15 year trends in emergency department presentations in Western Australia

Yap

Tuson

Whyatt

et al. 2019

Emerg Medicine Australasia

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“…High ED utilization rates were reported in a 2005 to 2007 study of 427 at-risk youths who injected MAP in Vancouver, Canada [ 38 ]. A comparative study performed 10 years apart (2004 and 2013) of mental health presentations to EDs in Victoria, Australia, found that the number of patients with concurrent MAP exposure more than doubled from 2.2 to 4.3% [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Methamphetamine Use and Emergency Department Utilization: 20 Years Later

Richards

Hamidi

Grant

et al. 2017

Journal of Addiction

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Background Methamphetamine (MAP) users present to the emergency department (ED) for myriad reasons, including trauma, chest pain, and psychosis. The purpose of this study is to determine how their prevalence, demographics, and resource utilization have changed. Methods Retrospective review of MAP patients over 3 months in 2016. Demographics, mode of arrival, presenting complaints, disposition, and concomitant cocaine/ethanol use were compared to a 1996 study at the same ED. Results 638 MAP-positive patients, 3,013 toxicology screens, and 20,203 ED visits represented an increase in prevalence compared to 1996: 461 MAP-positive patients, 3,102 screens, and 32,156 visits. MAP patients were older compared to the past. Mode of arrival was most frequently by ambulance but at a lower proportion than 1996, as was the proportion of MAP patients with positive cocaine toxicology screens and ethanol coingestion. Admission rate was lower compared to the past, as was discharge to jail. The proportion of MAP patients presenting with blunt trauma was lower compared to the past and higher for chest pain. Conclusion A significant increase in the prevalence of MAP-positive patients was found. Differences in presenting complaints and resource utilization may reflect the shifting demographics of MAP users, as highlighted by an older patient population relative to the past.

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“…The significant increase in mental health presentations via the ED is correlated to the ongoing decrease in mental health funding within community services as well as the integration of mental health services with general services (Alarcon Manchego et al . ; Shafei et al . ).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing clinical decision making used by mental health nurses to provide provisional diagnosis: A scoping review

Campbell

Massey

Broadbent

et al. 2018

Int J Mental Health Nurs

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Medical diagnosis has traditionally been the role of medical officers. However, mental health nurses working in crisis/emergency settings within Australia are expected to provide a provisional diagnosis postassessment of a consumer. There is limited literature and understanding how mental health nurses develop a provisional diagnosis. In this scoping review, we aimed to first identify and describe the clinical decision‐making processes used by mental health nurses across a variety of clinical settings. Second, we sought to explore the factors influencing mental health nurse's diagnostic practice in a variety of settings. Literature was searched using CINAHL (EBSCOhost), PubMed, and ProQuest. Peer‐reviewed literature published between 2007 and 2017 was used for this scoping review. Two major themes were identified: clinical decision making (CDM) in mental health nursing and diagnostic practice in nursing. A combination of clinician, environmental, and patient factors were found to have influenced CDM. Furthermore, mental health nurses rely heavily on tacit knowledge when making clinical decisions. Little is known about the use of diagnostic practice in mental health nursing in Australia; however, the limited literature revealed an overlap between the factors which influence CDM and diagnostic practice, respectively. Further research is needed into the use of diagnostic practice in mental health nursing to develop frameworks to assist with CDM pertaining to application of provisional diagnosis by mental health nurses working in assessment environments.

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Management of mental health patients in Victorian emergency departments: A 10 year follow‐up study

Cited by 18 publications

References 10 publications

Anxiety and alcohol in the working‐age population are driving a rise in mental health‐related emergency department presentations: 15 year trends in emergency department presentations in Western Australia

Anxiety and alcohol in the working‐age population are driving a rise in mental health‐related emergency department presentations: 15 year trends in emergency department presentations in Western Australia

Methamphetamine Use and Emergency Department Utilization: 20 Years Later

Factors influencing clinical decision making used by mental health nurses to provide provisional diagnosis: A scoping review

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