Impact of changes in community psychiatric service provision on mental health presentations to the emergency department.

Irish Journal of Medical Science
Caoimhe McLoughlinHelen Barry

Abstract

The reconfiguration of many Irish stand-alone psychiatric units has led to many patients in acute mental health need now being assessed in emergency departments (EDs). This has implications for ED resources and raises questions about appropriate assessment location for this group. This report aims to examine the impact of removal of a direct community access point for patients in acute mental health need on ED presentations in a Dublin hospital. We examined data on ED referrals to psychiatry over 5 years: 12 months before the service change, and four subsequent 12-month periods. We compared numbers referred, mode of referral, average ED length of stay, proportion with no physical issue requiring psychiatric assessment only, and numbers who did not wait for psychiatry assessment. In the year directly after the service change, referrals to psychiatry from ED increased by 200%, remaining at this level for the subsequent 3 years. Of these, 32.5% were referred by a GP-more than a threefold increase in numbers from the previous year, with both numbers remaining similarly elevated over subsequent years. In the year after the service change, 52.1% of total ED to psychiatry presented solely for mental health reasons-nearly a fourfold in...Continue Reading

References

Sep 14, 1999·Journal of Geriatric Psychiatry and Neurology·M J Tueth, P Zuberi
Mar 7, 2006·The Medical Journal of Australia·Drew B Richardson
Mar 13, 2010·The American Journal of Emergency Medicine·Erik B KulstadKathleen H Rzechula
Feb 5, 2011·The British Journal of Psychiatry : the Journal of Mental Science·R Jacobs, E Barrenho
Feb 15, 2011·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Patrick K PlunkettBernard Silke
Apr 21, 2011·Deutsches Ärzteblatt International·Paraskevi MavrogiorgouGeorg Juckel
Mar 29, 2012·Emergency Medicine International·Adrian BoylePaul Atkinson
Aug 14, 2012·Emergency Medicine International·B A Nicks, D M Manthey
Mar 29, 2014·Australian Health Review : a Publication of the Australian Hospital Association·Julia MorphetJill Beattie
Sep 14, 2014·Australasian Emergency Nursing Journal : AENJ·Belinda Mitchell ScottMari Botti
Nov 26, 2014·The International Journal of Risk & Safety in Medicine·Hussain T BakhshAsad E Patanwala
Nov 21, 2015·Annals of Emergency Medicine·Arica C NesperJames F Holmes
Mar 15, 2016·The Western Journal of Emergency Medicine·Leslie Zun
Dec 7, 2017·Scandinavian Journal of Public Health·Kim Stene-Larsen, Anne Reneflot
Dec 9, 2017·Emergency Medicine Australasia : EMA·George BraitbergJonathan Knott
Dec 22, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Vivek ParwaniArjun K Venkatesh
Feb 1, 2018·Administration and Policy in Mental Health·Kathleen C ThomasSeth W Glickman

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