Psychiatric Emergency Services and the System of Care

Catalano, Ralph; McConnell, William; Forster, Peter; McFarland, Bentson H.; Thornton, Dorothy

doi:10.1176/appi.ps.54.3.351

Cited by 46 publications

(38 citation statements)

References 32 publications

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“…In contrast with earlier studies denied of treatment and home instability were factors, which independently predicted the admission in our study 4,7,8 . Denied of treatment could express lack of willingness to acknowledge need for help of patients but it is also a variable that might be influenced by the laws concerning compulsory hospitalisation and the mental health system of each country 14 . Homelessness is an increasingly serious problem among patients with severe mental illness.…”

Section: Dual Diagnosis In Emergency Room 153mentioning

confidence: 99%

“…Suicide potential, danger to others, symptoms severity, and impaired capacity for self-care were found in different studies to be the best predictors of hospitalization. Other aspects focused on contextual factors such as differences between centres 8,9 , time of the day the patient arrived to the ED 10 , week of the month 11 level of training of psychiatrist 6,12 , source of referral 13 , bed availability 5 and system of care 14 .…”

Section: Introductionmentioning

confidence: 99%

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Dual diagnosis in the psychiatric emergency room in Spain

et al. 2006

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-Background and Objectives: Dual diagnosis is associated with increased emergency department service use. During recent years, increased emphasis has been given to monitor the decision to hospitalise the most sever patients. Many rating scales have developed based on patient-related factors. To assess the level of severity of dual diagnosis patients measured by the Severity Psychiatric Illness (SPI) Scale and to evaluate it as a tool for predicting discharge in emergency psychiatric practice.Methods: Data on 1,227 consecutive admissions visited in a psychiatric emergency room of a general teaching hospital during a period of six months were collected. A routine computerised protocol was completed which included socio-demographic, clinical and social factors and the SPI scale.Results: 206 admissions (17%) had dual diagnosis disorder, 106 (9%) had substance abuse disorder (SUD), and 906 (74%) had non-substance abuse disorder (NSUD). Differences among groups were found in clinical characteristics, discharge decision, readmissions, previous psychiatric history, reason for referral, DSM-IV diagnosis and illicit drug use. Dual diagnosed patients had the highest scores of severity. Logistic regression analyses revealed the independent contribution of different SPI'items. The model showed a good fit and indicated excellent calibration in the sample studied, predicting 87.6% of discharge decisions.

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Section: Dual Diagnosis In Emergency Room 153mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dual diagnosis in the psychiatric emergency room in Spain

et al. 2006

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“…10 There are studies showing excessive use of PES for nonurgent problems as well. 11,12 For many patients, the PES served as the only mental health treatment source 13 and in some studies it partly reflected the poor access to routine mental health care in the country. 11,12 In Nepal, literature regarding psychiatric emergency is scarce.…”

Section: Introductionmentioning

confidence: 99%

“…11,12 For many patients, the PES served as the only mental health treatment source 13 and in some studies it partly reflected the poor access to routine mental health care in the country. 11,12 In Nepal, literature regarding psychiatric emergency is scarce. Above mentioned varied challenges genuinely demand need for evaluation in various areas, in our context, in order to improve the level of care offered from the Psychiatric emergency services.…”

Section: Introductionmentioning

confidence: 99%

Profile of Patients Attending as Psychiatric Emergency at General Hospital

Tulachan

Chapagain

Ojha

et al. 2015

J Psychiatr Assoc Nepal

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“…While emergency models can be effective, 3 their effectiveness also appears to be influenced by the overall mental health system within which they are located. 4 Triage programs have their origins in emergency medicine. More recently, they have been used in primary care 5 and managed care.…”

mentioning

confidence: 99%

Factors influencing triage decisions in mental health services

Herrman¹,

Harvey²,

Endacott³

2007

Aust. Health Review

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The aim of the study was to identify the factors influencing the timing of an assessment after contact with a triage program in a communitybased area mental health service in Australia. Triage decisions apparently were influenced by several groups of factors: patient characteristics; the source and mode of the contact with triage; and to a large extent by mental health service factors including the training, supervision and support of triage workers and the perceived availability of an assessment. While demand factors such as patient characteristics influenced the triage decision, supply factors also played an

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Psychiatric Emergency Services and the System of Care

Cited by 46 publications

References 32 publications

Dual diagnosis in the psychiatric emergency room in Spain

Dual diagnosis in the psychiatric emergency room in Spain

Profile of Patients Attending as Psychiatric Emergency at General Hospital

Factors influencing triage decisions in mental health services

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