An Exploration of Clinical Decision Making in Mental Health Triage

Sands, Natisha

doi:10.1016/j.apnu.2008.08.002

Cited by 35 publications

(71 citation statements)

References 25 publications

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“…Telephone-based health services have also grown exponentially in mental health settings, and there is now a wide range of mental health programmes and interventions available via the telephone (Barnett et al 2009;Donker et al 2013;Kevin 2002;McGrath et al 2011;Reid et al 2011). All mental health referrals and requests for mental health assistance from the public are directed to MHTS, where multidisciplinary mental health clinicians provide an initial telephone-based psychiatric screening assessment (Sands 2009). All mental health referrals and requests for mental health assistance from the public are directed to MHTS, where multidisciplinary mental health clinicians provide an initial telephone-based psychiatric screening assessment (Sands 2009).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of crisis care in populations who self‐referred to a telephone‐based mental health triage service

Sands¹,

Elsom

Keppich-Arnold

et al. 2016

Int J Mental Health Nurs

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Although psychiatric crises are very common in people with mental illness, little is known about consumer perceptions of mental health crisis care. Given the current emphasis on recovery-oriented approaches, shared decision-making, and partnering with consumers in planning and delivering care, this knowledge gap is significant. Since the late 1990s, access to Australian mental health services has been facilitated by 24/7 telephone-based mental health triage systems, which provide initial psychiatric assessment, referral, support, and advice. A significant proportion of consumers access telephone-based mental health triage services in a state of crisis, but to date, there has been no published studies that specifically report on consumer perceptions on the quality and effectiveness of the care provided by these services. This article reports on a study that investigated consumer perceptions of accessing telephone-based mental health triage services. Seventy-five mental health consumers participated in a telephone interview about their triage service use experience. An eight-item survey designed to measure the responsiveness of mental health services was used for data collection. The findings reported here focus on the qualitative data produced in the study. Consumer participants shared a range of perspectives on telephone-based mental health triage that provide invaluable insights into the needs, expectations, and service use experiences of consumers seeking assistance with a mental health problem. Consumer perceptions of crisis care have important implications for practice. Approaches and interventions identified as important to quality care can be used to inform educational and practice initiatives that promote person-centred, collaborative crisis care.

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Section: Introductionmentioning

confidence: 99%

Perceptions of crisis care in populations who self‐referred to a telephone‐based mental health triage service

Sands¹,

Elsom

Keppich-Arnold

et al. 2016

Int J Mental Health Nurs

Self Cite

View full text Add to dashboard Cite

show abstract

“…Services also require detailed mental health triage procedures for guidance on the use of the scale (Mental Health Branch 2005), and a model of service delivery that identifies triage as a component of treatment and describes how this is part of the consumer's treatment pathway (Sands 2007). Mental health triage is identified as a stressful process, as it is often completed by the sole practitioner, although team support can lesson this burden (Sands 2009).…”

Section: Key Findingsmentioning

confidence: 99%

Opioid replacement therapy: A wait unmanaged

Harlow

Happell

Browne

2011

International Journal of Mental Health Nursing

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There has been a rapid increase in members of the Australian population using opioids in recent years. The flow-on effect has been an increase in demand for treatments, particularly opioid replacement therapy (ORT), but the availability of treatments has not increased. This has frequently resulted in delays before treatment can be commenced. Outcomes could improve if health-care professionals had clearer guidelines on how to prioritize access to ORT. This review investigates the triage of consumers in ORT within Australia. Information on triage in ORT was not available, and an understanding of how consumer needs are managed when they present for ORT triage was not identified. In the absence of research to guide this practice, the body of evidence regarding ORT treatment access is weighted on government policies. Triage, as applied in general health and mental health-care service delivery, was reviewed to consider the components of triage and how these might pertain to triage in ORT. Failure to facilitate the needs of consumers accessing ORT can result in further harm to consumers and increased social and financial costs for society. Research is required to investigate how this issue is currently being managed and to lead the way for needed improvements in service delivery.

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“…A systems approach to triage can reduce consumer wait and transit times and support coordination and integration of services already engaged with the consumer (Smart, Pollard, & Walpole, 1999). The triaging system should include a category system that reflects consumer risk and need, to facilitate prioritizing consumer requests for treatment (ACEM, 2006;Harlow et al, 2011;Sands, 2009).…”

Section: Introductionmentioning

confidence: 99%

Triage in Opioid Replacement Therapy: What's the Wait?

Harlow

Happell

Browne

et al. 2012

Substance Use & Misuse

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In Australia, a wait for Opioid Replacement Therapy (ORT) has been reported although the magnitude is unknown. This study examined data recorded by one urban publicly funded ORT clinic (from 2009 to 2011) to identify if people (n = 803) were waiting for ORT assessment appointments and to explore how triage influences access to ORT. Data analysis incorporated descriptive methods and the use of Kaplan-Meier estimator of the cumulative incidence function. The implications and limitations of this study are included with further research suggestions.

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An Exploration of Clinical Decision Making in Mental Health Triage

Cited by 35 publications

References 25 publications

Perceptions of crisis care in populations who self‐referred to a telephone‐based mental health triage service

Perceptions of crisis care in populations who self‐referred to a telephone‐based mental health triage service

Opioid replacement therapy: A wait unmanaged

Triage in Opioid Replacement Therapy: What's the Wait?

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