Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study

2021 ◽  
Author(s):  
Donna Marynowski-Traczyk ◽  
Marianne Wallis ◽  
Marc Broadbent ◽  
Paul Scuffham ◽  
Jesse T. Young ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Acute Care ◽  
Mental Health Problems ◽  
Health Problems ◽  
Nominal Group

scholarly journals Health problems and violence experiences of nurses working in acute care hospitals, long-term care facilities, and home-based long-term care in Germany: A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260050
Author(s):  
Andrea Schaller ◽  
Teresa Klas ◽  
Madeleine Gernert ◽  
Kathrin Steinbeißer
Keyword(s):  
Mental Health ◽  
Acute Care ◽  
Long Term Care ◽  
Mental Health Problems ◽  
Acute Care Hospitals ◽  
Health Problems ◽  
Term Care ◽  
Home Based ◽  
Care Facilities

Background Working in the nursing sector is accompanied by great physical and mental health burdens. Consequently, it is necessary to develop target-oriented, sustainable profession-specific support and health promotion measures for nurses. Objectives The present review aims to give an overview of existing major health problems and violence experiences of nurses in different settings (acute care hospitals, long-term care facilities, and home-based long-term care) in Germany. Methods A systematic literature search was conducted in PubMed and PubPsych and completed by a manual search upon included studies’ references and health insurance reports. Articles were included if they had been published after 2010 and provided data on health problems or violence experiences of nurses in at least one care setting. Results A total of 29 studies providing data on nurses health problems and/or violence experience were included. Of these, five studies allowed for direct comparison of nurses in the settings. In addition, 14 studies provided data on nursing working in acute care hospitals, ten on nurses working in long-term care facilities, and four studies on home-based long-term care. The studies either conducted a setting-specific approach or provided subgroup data from setting-unspecific studies. The remaining studies did not allow setting-related differentiation of the results. The available results indicate that mental health problems are the highest for nurses in acute care hospitals. Regarding violence experience, nurses working in long-term care facilities appear to be most frequently affected. Conclusion The state of research on setting-specific differences of nurses’ health problems and violence experiences is insufficient. Setting-specific data are necessesary to develop target-group specific and feasible interventions to support the nurses’ health and prevention of violence, as well as dealing with violence experiences of nurses.

Mental Health Problems in Children and Adolescents in the Emergency Department

2017 ◽  
Vol 33 (7) ◽  
pp. e8 ◽  
Author(s):  
Giorgio Cozzi ◽  
Marta Minute ◽  
Giovanna Ventura ◽  
Egidio Barbi
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
Health Problems

scholarly journals Clinical characteristics of people with mental health problems who frequently attend an Australian emergency department

2007 ◽  
Vol 31 (3) ◽  
pp. 462 ◽  
Author(s):  
Scott Brunero ◽  
Greg Fairbrother ◽  
Soung Lee ◽  
Martin Davis
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Clinical Characteristics ◽  
Mental Health Problems ◽  
Total Sample ◽  
Health Problems ◽  
Case Review ◽  
Management Planning ◽  
Frequent Attendance ◽  
Metropolitan Hospital

The objective of this study is to determine the clinical characteristics of people with mental health problems who frequently attend an Australian emergency department (ED). A retrospective clinical audit of presenter characteristics was conducted in a 550-bed tertiary referral metropolitan hospital with data reflecting 12 months of consecutive ED presentations between September 2002 and August 2003. A sample of 868 individuals accounted for 1076 presentations. Patients attending more than once accounted for 12.5% of the total sample. Significant variables associated with frequent attendance included: younger age; English speaking background; and mood and anxiety disorders. Lone arrival of a patient to the ED showed marginal significance. The significant associates of frequent attendance found in this study may be used to identify patients earlier to a multidisciplinary case review process and individual management planning involving clinicians, carers and patients.

scholarly journals Urgent and Nonurgent Presentations to a Psychiatric Emergency Service in Nigeria: Pattern and Correlates

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Increase Ibukun Adeosun ◽  
Abosede Adekeji Adegbohun ◽  
Oyetayo Oyewunmi Jeje ◽  
Olufemi Oyeleke Oyekunle ◽  
Modupeola Olugbemisola Omoniyi
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Health Care Financing ◽  
Physical Restraint ◽  
Safety Net ◽  
Health Problems ◽  
Resource Poor Setting ◽  
Medication Refill

Psychiatric emergencies are acute mental health disturbances that require immediate intervention. However, the emergency department is increasingly being utilised for nonurgent mental health problems, thereby compromising the quality of care available for patients with urgent problems. This study assessed the level and correlates of urgency of mental health problems among patients presenting to an emergency department in Nigeria. The Crisis Triage Rating Scale, Clinical Global Impression Scale and a supplementary questionnaire were administered to 700 attendees at the emergency department of the Federal Neuro-Psychiatric Hospital Yaba, Lagos. Only 29.1% of the presentations constituted an “emergency” 10.9% were “urgent,” while 60% were “nonurgent.” The most common reason for nonurgent presentations was the need for medication refill. On regression analysis, level of urgency of presentations was independently associated with employment status, need for medication refill, substance abuse, suicidality, routine clinic attendance, and use of physical restraint before presentation. The majority of visits to the emergency department are for apparently “nonurgent problems.” However in a resource-poor setting, the emergency department may be the only safety net for the attendees. Our findings point to a need for education of service users and policy shifts in mental health care financing and organisation.

scholarly journals Emergency Department as a First Contact for Mental Health Problems in Children and Youth

2017 ◽  
Vol 56 (6) ◽  
pp. 475-482.e4 ◽  
Author(s):  
Peter J. Gill ◽  
Natasha Saunders ◽  
Sima Gandhi ◽  
Alejandro Gonzalez ◽  
Paul Kurdyak ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Problems ◽  
Health Problems ◽  
Children And Youth ◽  
First Contact
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