Introduction: Involuntary admissions to psychiatric hospitals, regardless of their beneficial effects, violate the patients’ autonomy. To keep such measures at a minimum and develop less restricting and coercive alternatives, a better understanding of the psychiatric
This study explored barriers and facilitators in mental health (MH) patient management in four Quebec (Canada) emergency rooms (ERs) that used different operational models. Forty-nine stakeholders (managers, physicians, ER and addiction liaison team members) completed
Objective: Emergency departments (EDs) are often the first point of care for youth with psychotic disorders; however, the care and aftercare they receive have not been well described. The aim of this study was to
Background Paramedics are called on frequently to provide care to patients with mental health and/or and alcohol and other drug (AOD) problems, but may have mixed views about how this fits within their role. Aims
Aims and method Street triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health
There is growing interest in the health correlates of people detained in police custody, and a number of innovations have been introduced to try to meet the complex needs of detainees. The implementation of Criminal
Background In an effort to reduce the increasing number of persons with mental illness (PMI) experiencing incarceration, co-responding police-mental health teams are being utilized as a way to divert PMI from the criminal justice system.
1 Purpose To explore the lived experiences of patients with a psychotic or bipolar disorder and their families with emergency care during the first contact with a mobile crisis team. 2 Methods Open individual interviews
Limitations on resident duty hours have been widely introduced with the intention of decreasing resident fatigue and improving patient outcomes. While there is evidence of improvement in resident well-being and education following such initiatives, they
BACKGROUND: Emergency department visits as a first point of contact for people with mental illness may reflect poor access to timely outpatient mental health care. We sought to determine the extent to which immigrants use
Grading the States: An Analysis of U.S. Psychiatric Treatment Laws examines the laws that provide for involuntary treatment for psychiatric illness in each state. To do so, we asked a crucial question: Does the state
Objective: The aim of this study was to assess the outcomes for people following intervention by a police–mental health co-responder team. Method: Individuals seen by the co-responder team were followed for 2 weeks to monitor subsequent
Highlights• Patients with addiction problems have a great risk of suicidal ideation and attempts. • There are differences in patients in the different stages of suicidal behaviour. • Among suicidal ideators, 39.6% had attempted suicide. • Patients who attempt
Background Suicide screening scales have been advocated for use in the ED setting. However, it is currently unknown whether patients classified as low-risk on these scales can be safely discharged from the emergency department. This
Objective The present study describes patients with acute behavioural disturbance presenting to the ED, the impact they have on the department and any complications that occur. Methods We performed a prospective observational study of adult
Background Although mental health disorders (MHDs) affect as many as 1 in 4 adults in the U.S., the national trends in emergency department (ED) use for adults who have MHD comorbidities are unknown. Objective To
CLINICIAN’S CAPSULE What is known about the topic? Little is available in Canadian literature regarding emergency department (ED) use by mental health patients. What did this study ask? Is the number of mental health visits
Objective: This study assessed whether peer-staffed crisis respite centers implemented in New York City in 2013 as an alternative to hospitalization reduced emergency department (ED) visits, hospitalizations, and Medicaid expenditures for individuals enrolled in Medicaid.
This paper estimates the influence of inadequate access to healthcare services on the rate of Emergency Room (ER) hospital visits in Australia. We take micro-data on different types of healthcare shortfalls from the 2012 Australian
Aim: To investigate self-reported needs for care, support and treatment among persons who frequently visit psychiatric emergency rooms (PERs). Design: A cross-sectional design. Qualitative and quantitative data were collected using an interview-based manual. Qualitative data
