Characteristics of Patients Presenting for Emergency Psychiatric Assessment at an English Hospital

Spurrell, Mark; Hatfield, Barbara; Perry, Amanda

doi:10.1176/appi.ps.54.2.240

Cited by 20 publications

(19 citation statements)

References 12 publications

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“…Padilha showed that the Patients with diagnoses related to the use of PAS totaled 23.8% of the patients attended by the REU Psychiatric Department of the HC-UNICAMP in this period. Similar rates were found in a study in England (28%) 12 and the United States (24.4%) 13 .…”

Section: Discussion Discussion Discussion Discussionsupporting

confidence: 89%

“…The prevalence of alcohol was also found in most studies that took place in emergency rooms. 7,12,19,20 Patients with diagnoses related to the use of PAS received more clinical and psychotropic medications than other patients attended by the Psychiatry in the REU. This picture is probably due to the fact that patients with clinical manifestations related to the use of PAS, such as intoxication and abstinence, are often in situations that require more intense clinical care.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Patients with psychoactive substance use disorders treated in a psychiatric emergency unit

Padilha

Santos-Júnior

Schettini

et al. 2016

Medicina (Ribeirão Preto)

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Modelo do Estudo: Estudo de prevalência. Objetivo: Descrever o perfil sócio demográfico e clínico de pacientes com transtornos relacionados ao uso de substâncias psicoativas (SPA) atendidos pela Psiquiatria da Unidade de Emergência Referenciada (UER) do Hospital de Clínicas (HC) da UNICAMP. Métodos e casuística: Estudo descritivo e quantitativo, que avaliou os pacientes com transtornos relacionados ao uso de SPA atendidos pela Psiquiatria da UER do HC-UNICAMP no período de 12 meses a partir de maio de 2010. Resultados: Foram avaliados 350 pacientes com transtornos por uso de SPA, representando 23.8% do total dos que procuraram atendimento psiquiátrico. Maioria do sexo masculino e mais jovens do que os demais pacientes. O principal motivo de atendimento foi queixa psiquiátrica outra que não o uso de SPA (23,1%), seguido do desejo de se tratar/internar (20,8%) e intoxicação (12,5%). 38,5% tinham diagnóstico de dependência de múltiplas SPA e 34,8% dependência exclusiva de álcool; 36% apresentavam comorbidade psiquiátrica. Quando comparados com os demais pacientes avaliados pela Psiquiatria, receberam mais medicações no atendimento e foram menos encaminhados à atenção primária. Conclusão: Há elevada taxa de atendimento de pessoas com problemas relacionados ao uso de SPA na emergência psiquiátrica. Dados sobre o perfil dos atendidos podem contribuir para a melhoria da assistência a esta população

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Section: Discussion Discussion Discussion Discussionsupporting

confidence: 89%

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Patients with psychoactive substance use disorders treated in a psychiatric emergency unit

Padilha

Santos-Júnior

Schettini

et al. 2016

Medicina (Ribeirão Preto)

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“…Quite a few studies have examined the demographic and clinical characteristics of service users. Researchers have attempted to correlate these variables with outcomes such as discharge disposition, compliance with follow-up care, improved functional status, and recidivism (23)(24)(25)(26)(27)(28)(29). One particular area of research interest has been age.…”

Section: Careseeker Characteristicsmentioning

confidence: 99%

Psychiatric Emergency Services: A Review of the Literature and a Proposed Research Agenda

Brown

2005

Psychiatr Q

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To gain a better understanding of the scope of previous research on psychiatric emergency services (PES) and to identify areas of focus for future studies, the author reviews PES literature published between 1983 and 2003. PES literature was identified by performing a MEDLINE search. The author was interested in studies or reviews of all types of PES. The refereed research, consisting of 85 articles, is a representation of the existing literature as multiple studies were found to be similar in topic and methodology. This review is organized using Donabedian's structure, process, outcome framework to describe research that has examined 1) providers, clients, and services; 2) variations in access, utilization, evaluation, treatment, and continuity of care; and 3) outcomes of these services. The resulting report reveals methodological limitations that are pervasive throughout the PES literature, dimensions of psychiatric emergency services that remain unexplored, and a PES research agenda.

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“…63 The effective participation of primary care in the mental health network decreases the overload of the network and allows for a severity grading of cases in the services involved. 64 An efficient network with strong primary care assistance relieves PESs 65 to attend only to actually necessary cases, which leads to a better management of emergency cases. 66 Primary care instruments have direct implications on PESs, avoiding the worsening of mild cases, permitting the access of more severe cases to secondary care and, thus, resulting in a decrease in the number of unnecessary hospitalizations.…”

Section: Psychiatric Emergency and Primary Carementioning

confidence: 99%

Serviços de emergência psiquiátrica e suas relações com a rede de saúde mental Brasileira

Barros

Teng

Mari

2010

Rev. Bras. Psiquiatr.

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Objective: To review the literature concerning the role and the inclusion of psychiatric emergency services in mental health networks. Method: We performed a search in online databases (PubMed and SciELO) for empirical articles and reviews about psychiatric emergency services and networks of mental health services. Results: Psychiatric emergency services are a crucial part of well-structured mental health networks, both due to their role in the management of emergencies proper and to their function in the regulation of the network they belong to. Emergency psychiatric services are related to all inpatient and outpatient services, which enables them to organize the flow of admissions and to prevent the overload of the mental health network. The functions of emergency psychiatric services are broad and go beyond the simple referral for hospitalization, encompassing the clinical stabilization of acute cases and the provision of psychosocial support. In Brazil, these functions were expanded after the mental health reform and the overload of the mental health network resulting from the difficulties and limitations of inpatient and outpatient services. Conclusion: Emergency psychiatric services must be valued and expanded; especially those located in general hospitals. It is suggested that investment in psychiatric emergency services be a priority in Brazilian public health policies to improve mental health care. Descriptors

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Characteristics of Patients Presenting for Emergency Psychiatric Assessment at an English Hospital

Cited by 20 publications

References 12 publications

Patients with psychoactive substance use disorders treated in a psychiatric emergency unit

Patients with psychoactive substance use disorders treated in a psychiatric emergency unit

Psychiatric Emergency Services: A Review of the Literature and a Proposed Research Agenda

Serviços de emergência psiquiátrica e suas relações com a rede de saúde mental Brasileira

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