Patient and clinician experiences with an emergency department‐based mental health liaison nurse service in a metropolitan setting

2020 ◽  
Vol 29 (6) ◽  
pp. 1202-1217
Author(s):  
Timothy Wand ◽  
Gemma Collett ◽  
Alexa Cutten ◽  
Sally Buchanan‐Hagen ◽  
Amanda Stack ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Clinician Experiences ◽  
Liaison Nurse

Evaluation of a nurse practitioner-led extended hours mental health liaison nurse service based in the emergency department

2015 ◽  
Vol 39 (1) ◽  
pp. 1 ◽  
Author(s):  
Timothy Wand ◽  
Natalie D'Abrew ◽  
Catherine Barnett ◽  
Louise Acret ◽  
Kathryn White
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Emergency Department ◽  
Mental Health Care ◽  
Nurse Practitioner ◽  
Medical Staff ◽  
Health Problems ◽  
Successful Implementation ◽  
Model Of Care ◽  
Liaison Nurse

Objective To evaluate a nurse practitioner (NP)-led extended hours mental health liaison nurse (MHLN) service based in the emergency department (ED) of an inner city teaching hospital in Sydney and to explicate a model of care that is transferable across a broad range of ED settings, both in metropolitan and rural contexts. Methods This mixed-methods evaluation encompassed descriptive data on ED mental health presentations, quantifying waiting times for MHLN involvement and interviews with MHLN team members at the commencement of the evaluation and 12 months later. Interviews were also conducted with a snapshot of ED patients, and a sample of ED and psychiatry staff. Results The expanded MHLN service was rapidly incorporated into the ED structure, enthusiastically endorsed by ED patients and highly valued by staff and the organisation. The MHLN team saw 55% of referred patients within the first hour of arrival (frequently before medical assessment), thereby initiating and expediting co-ordination of care at an early stage of the ED process. Conclusions An NP-led extended hours MHLN team based in the ED provides prompt and effective access to specialised mental health care for people with ‘undifferentiated health problems’, and removes a significant workload from nursing and medical staff. Embedding the NP-led MHLN service within the ED structure was pivotal to the success and sustainability of this model of care. What is known about the topic? Mental health liaison nurse (MHLN) services have existed in emergency departments (EDs) in Australia and internationally for many years. However, there is great variation in the way these services are structured and no standardised model of care has been explicated. What does this paper add? Findings from this evaluation indicate that a nurse practitioner-led extended hours MHLN service integrated within the ED team structure provides prompt access to specialised mental health care to people with undifferentiated health problems, and removes a significant workload from ED nursing and medical staff. What are the implications for practitioners? Mental health nurse-led service provision based in the ED is a safe, flexible and effective method of enhancing access to health care that is adaptable to broad range of settings. ED ownership of this model of care is pivotal to the successful implementation and sustainability of MHLN services.

Mental health presentations to a paediatric emergency department

2020 ◽  
Author(s):  
Angelo Tolentino ◽  
Linda Symington ◽  
Faye Jordan ◽  
Frances Kinnear ◽  
Mairi Jarvis
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Paediatric Emergency Department ◽  
Paediatric Emergency

Lack of associations of substance use and mental health with self-reported pain scores among emergency department patients

2019 ◽  
Vol 37 (9) ◽  
pp. 1790-1792
Author(s):  
Catherine A. Marco ◽  
Dennis Mann ◽  
Christian Daahir ◽  
Harry Savarese ◽  
John Paul Detherage ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Substance Use ◽  
Pain Scores ◽  
Emergency Department Patients

scholarly journals Emergency Department Visits for Mental Health Conditions Among US Children, 2001-2011

2014 ◽  
Vol 53 (14) ◽  
pp. 1359-1366 ◽  
Author(s):  
Alan E. Simon ◽  
Kenneth C. Schoendorf
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Emergency Department Visits ◽  
Health Issues ◽  
White Children ◽  
Mental Health Issues ◽  
Health Related ◽  
Care Survey ◽  
Ambulatory Medical Care ◽  
Us Children

We examined mental health–related visits to emergency departments (EDs) among children from 2001 to 2011. We used the National Hospital Ambulatory Medical Care Survey—Emergency Department, 2001-2011 to identify visits of children 6 to 20 years old with a reason-for-visit code or ICD-9-CM diagnosis code reflecting mental health issues. National percentages of total visits, visit counts, and population rates were calculated, overall and by race, age, and sex. Emergency department visits for mental health issues increased from 4.4% of all visits in 2001 to 7.2% in 2011. Counts increased 55 000 visits per year and rates increased from 13.6 visits/1000 population in 2001 to 25.3 visits/1000 in 2011 ( P < .01 for all trends). Black children (all ages) had higher visit rates than white children and 13- to 20-year-olds had higher visit rates than children 6 to 12 years old ( P < .01 for all comparisons). Differences between groups did not decline over time.

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