PMID: 8938826Jan 1, 1996Paper

Definitive treatment in the psychiatric emergency service

The Psychiatric Quarterly
M H Allen

Abstract

This article briefly reviews the history of psychiatric emergency services (PES) in the United States and concludes that the dominant model, the triage model, unnecessarily limits modern PES. Trends in the mental health system and the corresponding development of compensatory PES structures are described. These include observation units, outreach, and crisis residential treatment and other innovations. These new structures have had the effect of increasing the length of stay in emergency services, increasing the number and complexity of services provided in the PES and professionalizing emergency service personnel. A new model, the treatment model, is proposed for this type of PES. Strategies for the rapid initiation of definitive treatment of bipolar disorder, schizophrenia, major depression and opiate addiction are outlined for services with this capability.

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Citations

Jun 25, 1999·New Directions for Mental Health Services·M H Allen, G W Currier
Feb 6, 2004·General Hospital Psychiatry·Michael H Allen, Glenn W Currier
Apr 5, 2003·General Hospital Psychiatry·Glenn W Currier, Michael Allen
Jun 23, 1999·General Hospital Psychiatry·R E BreslowB J Erickson
Sep 2, 2008·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Patrick G WalshBruce Friedman
Feb 13, 2010·Sociology of Health & Illness·Alisa K LincolnLee Strunin
Jan 7, 2000·The Psychiatric Clinics of North America·M H Allen
Jun 26, 2012·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Elie Leal de Barros CalfatAna Cristina Chaves
Dec 26, 2002·Crisis·Peter Forster, Dan Bilsker
Jun 23, 2005·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Yves ChaputLucie Beaulieu

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