scholarly journals Substance Use-Related Brief Interventions With Emergency Department Patients Reduce Mental Health Co-Morbidities

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
J. Aaron Johnson ◽  
Amanda Abraham
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Substance Use ◽  
Brief Interventions ◽  
Emergency Department Patients

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

Social relationships, homelessness, and substance use among emergency department patients

2021 ◽  
pp. 1-8
Author(s):  
Amanda Jurewicz ◽  
Deborah K. Padgett ◽  
Ziwei Ran ◽  
Donna G. Castelblanco ◽  
Ryan P. McCormack ◽  
...  
Keyword(s):  
Emergency Department ◽  
Substance Use ◽  
Social Relationships ◽  
Emergency Department Patients

scholarly journals LO84: Experiences of youth and family presenting to the emergency department for addiction and mental health

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S36-S37
Author(s):  
H. Hair ◽  
M. Bercov ◽  
S. Hastings
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Substance Use ◽  
Family Involvement ◽  
Online Survey ◽  
Wait Times ◽  
Youth Survey ◽  
The Family ◽  
Social Media Platforms ◽  
Ed Visits

Introduction: The Canadian Institute for Health Information reports the rate of child and youth emergency department (ED) visits for mental health complaints increased by 50% between 2007 and 2015. Improving care for these patients is a major priority of Alberta Health Services (AHS). As part of a multi-phased approach to improving care, the Emergency and the Addiction and Mental Health Strategic Clinical Networks (SCNs) surveyed youth who had presented to an ED for mental health or substance use concerns and their families/caregivers. Methods: The online survey contained closed- and open-ended questions on reasons for ED visits, expectations about and experiences during their visits, and areas for improvement. An ethics approved survey was conducted for 4 weeks. Participants were recruited across the province using an extensive array of social media platforms. For each survey, we randomly selected a sample of open-ended responses to thematically analyze to the point of informational redundancy. Results: The Youth survey received 992 responses and the Family survey received 553. A small number of overarching themes emerged. For both surveys, the major themes were 1) Wait times and access: participants were disappointed with lengthy wait times and services in the community. Youth said this made them question their decision to seek help and left them feeling hopeless. 2) Care provider training: participants were unhappy with the quality of care provided (e.g., lack of compassion, minimizing symptoms). They felt better training would improve care and attitudes towards mental health patients. 3) Environment: participants were uncomfortable with the lack of privacy for discussing sensitive topics; youth also requested items such as pens/paper and phone chargers to make the stay more comfortable and provide distractions. An additional theme emerged in the Youth survey regarding family involvement; participants wanted to decide how much/what information is shared with their families. Youth noted they were less likely to be honest with family present. Communication and navigation were mentioned frequently in the Family survey; participants noted the complexity of the mental health care system and felt frustrated by the lack of information to help them access additional resources. Conclusion: There are a number of areas in need of improvement to provide high-quality, patient-centred care to youth with mental health or substance use concerns that present to the Emergency Department. Phase II of this project will involve a review of the themes and determine priorities and strategies to address the themes that could be implemented into the workflow.

scholarly journals The perils of recreational marijuana use: relationships with mental health among emergency department patients

2020 ◽  
Vol 1 (3) ◽  
pp. 281-286
Author(s):  
Catherine A. Marco ◽  
John Paul Detherage ◽  
Ashley LaFountain ◽  
Megan Hanna ◽  
Justin Anderson ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Marijuana Use ◽  
Recreational Marijuana ◽  
Emergency Department Patients

scholarly journals Sex Differences in Substance Use Among Adult Emergency Department Patients: Prevalence, Severity, and Need for Intervention

2015 ◽  
Vol 22 (11) ◽  
pp. 1307-1315 ◽  
Author(s):  
Francesca L. Beaudoin ◽  
Janette Baird ◽  
Tao Liu ◽  
Roland C. Merchant
Keyword(s):  
Emergency Department ◽  
Substance Use ◽  
Sex Differences ◽  
Emergency Department Patients

Declared and undeclared substance use among emergency department patients: a population-based study

Addiction ◽  
2006 ◽  
Vol 101 (5) ◽  
pp. 706-712 ◽  
Author(s):  
Ian R. H. Rockett ◽  
Sandra L. Putnam ◽  
Haomiao Jia ◽  
Gordon S. Smith
Keyword(s):  
Emergency Department ◽  
Substance Use ◽  
Population Based ◽  
Population Based Study ◽  
Emergency Department Patients

scholarly journals Emergency department utilization for substance use disorders and mental health conditions during COVID-19

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262136
Author(s):  
Arjun K. Venkatesh ◽  
Alexander T. Janke ◽  
Jeremy Kinsman ◽  
Craig Rothenberg ◽  
Pawan Goyal ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Substance Use ◽  
Safety Net ◽  
Health Conditions ◽  
Emergency Department Utilization ◽  
Mental Health Conditions ◽  
Ed Visits ◽  
National Emergency

Background As the emergency department (ED) has evolved into the de-facto site of care for a variety of substance use disorder (SUD) presentations, trends in ED utilization are an essential public health surveillance tool. Changes in ED visit patterns during the COVID-19 pandemic may reflect changes in access to outpatient treatment, changes in SUD incidence, or the unintended effects of public policy to mitigate COVID-19. We use a national emergency medicine registry to describe and characterize trends in ED visitation for SUDs since 2019. Methods We included all ED visits identified in a national emergency medicine clinical quality registry, which included 174 sites across 33 states with data from January 2019 through June 2021. We defined SUD using ED visit diagnosis codes including: opioid overdose and opioid use disorder (OUD), alcohol use disorders (AUD), and other SUD. To characterize changes in ED utilization, we plotted the 3-week moving average ratio of visit counts in 2020 and 2021 as compared to visit counts in 2019. Findings While overall ED visits declined in the early pandemic period and had not returned to 2019 baseline by June 2021, ED visit counts for SUD demonstrated smaller declines in March and April of 2020, so that the proportion of overall ED visits that were for SUD increased. Furthermore, in the second half of 2020, ED visits for SUD returned to baseline, and increased above baseline for OUD ever since May 2020. Conclusions We observe distinct patterns in ED visitation for SUDs over the course of the COVID-19 pandemic, particularly for OUD for which ED visitation barely declined and now exceeds previous baselines. These trends likely demonstrate the essential role of hospital-based EDs in providing 24/7/365 care for people with SUDs and mental health conditions. Allocation of resources must be directed towards the ED as a de-facto safety net for populations in crisis.

Concurrent Mental Health and Substance Use Disorders among Frequent Emergency Department Users in Saskatchewan, Canada

2017 ◽  
Vol 8 (1) ◽  
pp. 11-17
Author(s):  
Rotimi Orisatoki ◽  
Jacqueline Quail ◽  
Meric Osman ◽  
Gary Teare ◽  
Michael Schwandt ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Substance Use ◽  
Substance Use Disorders
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