Emergency Psychiatry: An Emergency Nurse’ s Perspective

Emergency Psychiatry

10.1017/cbo9781139021319 ◽

2013 ◽

Cited By ~ 2

Author(s):

Arjun Chanmugam ◽

Patrick Triplett ◽

Gabor Kelen

Keyword(s):

Emergency Psychiatry

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Emergency Psychiatry and the Suicidal Patient

Crisis ◽

10.1027//0227-5910.23.2.83 ◽

2002 ◽

Vol 23 (2) ◽

pp. 83-85 ◽

Cited By ~ 4

Author(s):

Peter Forster ◽

Dan Bilsker

Keyword(s):

Suicidal Patient ◽

Emergency Psychiatry

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Impact of COVID-19 pandemic on emergency psychiatry-Millcreek community hospital, Erie, PA

Comprehensive Psychiatry ◽

10.1016/j.comppsych.2021.152255 ◽

2021 ◽

pp. 152255

Author(s):

Alexis Janoczkin ◽

Spencer Kiers ◽

Naga Edara ◽

Ping He ◽

Yueling Li

Keyword(s):

Community Hospital ◽

Emergency Psychiatry

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A Single-session Crisis Intervention Therapy Model for Emergency Psychiatry

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2018.10.40443 ◽

2019 ◽

Vol 3 (1) ◽

pp. 27-32

Author(s):

Scott Simpson

Keyword(s):

Mental Health ◽

Case Report ◽

Crisis Intervention ◽

Psychiatric Hospitalization ◽

Anxiety And Depression ◽

Emergency Psychiatry ◽

Intervention Model ◽

Single Session ◽

Psychotherapeutic Interventions ◽

Therapy Model

Presentations for anxiety and depression constitute the fastest growing category of mental health diagnoses seen in emergency departments (EDs). Even non-psychiatric clinicians must be prepared to provide psychotherapeutic interventions for these patients, just as they might provide motivational interviewing for a patient with substance use disorders. This case report of an 18-year-old woman with suicidal ideation illustrates the practicality and utility of a brief, single-session, crisis intervention model that facilitated discharge from the ED. This report will help practitioners to apply this model in their own practice and identify patients who may require psychiatric hospitalization.

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Adjustment of the German Prospective Payment System for Psychiatric and Psychosomatic Facilities: Does PEPP Provides a Suitable Basis? Results of a Descriptive Comparative Study

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1258 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S706-S707

Author(s):

B.S. Voigtländer ◽

T. Barth

Keyword(s):

Pay For Performance ◽

Prospective Payment System ◽

Payment System ◽

Patient Treatment ◽

Emergency Psychiatry ◽

Intensive Care Treatment ◽

Staffing Level ◽

Psychiatric Unit ◽

Remuneration System ◽

Definition Of

IntroductionIn Germany a consistent, performance-oriented, flat-rate remuneration system based on per-day payments for inpatient and day patient hospital services for psychiatric and psychosomatic facilities (PEPP) is developed. The Klinikum Chemnitz gGmbH decided in 2013 to participate in the optional PEPP introducing phase and acts as a PEPP cost accounting hospital.ObjectivesDue to a controversial discussion by the psychiatric experts, an adjustment of the hitherto only performance-based to a budget-oriented system based on PEPP is planned in 2017.AimsThis paper discusses if the current PEPP remuneration system enables an appropriate recognition and measurement of services.MethodsDescriptive analyses were performed by comparing inpatient and day patient treatment at a therapy oriented psychiatric unit and the emergency psychiatric unit in 2015. The evaluation primarily focused on the criteria of “staffing level and structure”, “imaging of services by German procedure classification (OPS) according to PEPP”, “PEPP remuneration”.ResultsOur findings (Table 1) show that in 2015 the PEPP remuneration system provided an appropriate recognition of unit-specific services in emergency psychiatry (e.g., 1 to 1 care, intensive care treatment), but services of board certified therapeutic staff were recognized inadequately in consequence of the definition of therapy by the OPS catalogue.ConclusionFurther development of payment system should implicate changes in the definition of therapy according to scientific guidelines and the pay for performance concept.Table 1Disclosure of interestActivity as a speaker, Janssen-Cilag GmbH.

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