“…As a result, the reduction in out-of-area mental health placements has been a priority for many healthcare systems, including England's National Health Service (NHS England, 2019) which has continued to see elevated use of out-of-area placements (BMJ, 2021) despite an earlier pledge to end the practice by April 2021 (UK Department of Health and Social Care, 2016). Other countries have attempted to reduce the need for out-of-area placements through considering reductions to the referral rate and length of stay of mental health placements (Paton & Tiffin, 2018), setting up temporary admission units (Mulder et al, 2007), and increasing permanent acute capacity (Allison et al, 2018).…”