Emergency department from the mental health client’s perspective

Clarke, Diana E.; Dusome, Debra; Hughes, Linda

doi:10.1111/j.1447-0349.2007.00455.x

Cited by 180 publications

(245 citation statements)

References 15 publications

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“…They report feeling that their concerns are not taken as seriously as if they had presented with a physical complaint (Clarke et al 2007). …”

Section: Ross and Goldner 2009)mentioning

confidence: 99%

“…Individuals and their families who use ED mental health services frequently complain of feeling that they've been sent to the back of the queue when they present at triage (Clarke et al 2007, Wand & Happell 2001. They report feeling that their concerns are not taken as seriously as if they had presented with a physical complaint (Clarke et al 2007).…”

Section: Ross and Goldner 2009)mentioning

confidence: 99%

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Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Clarke

Usick

Sanderson

et al. 2013

Int J Mental Health Nurs

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Visits to the Emergency Department (ED) for mental health reasons account for 10 to 15% of all visits. Consumers of mental health ED services, however, report that they often feel sent to the back of the queue and that their mental health concerns are not taken seriously, suggesting that societal stigma has impacted their care in the ED. In this paper, we systematically explore the research concerning the attitudes of ED professional staff towards those that present with issues related to mental health. Four themes emerge from the literature: consumer perspectives whose tenor is generally one of negativity; staff-reported attitudes and influencing factors such as age, experience, and confidence in working with mental health presentations; the environmental climate of the ED which may not be conducive to good mental health care; and interventions which have been used to evaluate changes in attitudes.

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“…They report feeling that their concerns are not taken as seriously as if they had presented with a physical complaint (Clarke et al 2007). …”

Section: Ross and Goldner 2009)mentioning

confidence: 99%

Section: Ross and Goldner 2009)mentioning

confidence: 99%

Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Clarke

Usick

Sanderson

et al. 2013

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…Poorer quality care is associated with clinicians’ negative attitudes towards people with mental illness and ‘diagnostic overshadowing’ (Clarke et al . 2007; Thornicroft et al . 2007).…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, a potential implication of disconnectedness, attributable to clinicians’ negative and stigmatising attitudes and poorer quality of care, especially in emergency departments (Clarke et al . 2007; Mazeh et al . 2003), is that it can lead to low rates of subsequent tertiary medical help seeking and greater medical comorbidity and mortality in consumers (Thornicroft et al .…”

Section: Discussionmentioning

confidence: 99%

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Mental health consumers' with medical co‐morbidity experience of the transition through tertiary medical services to primary care

Cranwell

Polacsek

McCann

2016

Int J Mental Health Nurs

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Medical comorbidity in people with long‐term mental illness is common and often undetected; however, these consumers frequently experience problems accessing and receiving appropriate treatment in public health‐care services. The aim of the present study was to understand the lived experience of mental health consumers with medical comorbidity and their carers transitioning through tertiary medical to primary care services. An interpretative, phenomenological analysis approach was used, and semistructured, video‐recorded, qualitative interviews were used with 12 consumers and four primary caregivers. Four main themes and related subthemes were abstracted from the data, highlighting consumer's and carers’ experience of transition through tertiary medical to primary care services: (i) accessing tertiary services is difficult and time consuming; (ii) contrasting experiences of clinician engagement and support; (iii) lack of continuity between tertiary medical and primary care services; and (iv) Mental Health Hospital Admission Reduction Programme (MH HARP) clinicians facilitating transition. Our findings have implications for organisational change, expanding the role of MH HARP clinicians (whose primary role is to provide consumers with intensive support and care coordination to prevent avoidable tertiary medical hospital use), and the employment of consumer and carer consultants in tertiary medical settings, especially emergency departments.

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Revising the paradigm for jail diversion for people with mental and substance use disorders: Intercept 0

Abreu

Parker

Noether

et al. 2017

Behavioral Sci & The Law

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A conceptual model for community-based strategic planning to address the criminalization of adults with mental and substance use disorders, the Sequential Intercept Model has provided jurisdictions with a framework that overcomes traditional boundaries between the agencies within the criminal justice and behavioral health systems. This article presents a new paradigm, Intercept 0, for expanding the utility of the Sequential Intercept Model at the front end of the criminal justice system. Intercept 0 encompasses the early intervention points for people with mental and substance use disorders before they are placed under arrest by law enforcement. The addition of Intercept 0 creates a conceptual space that enables stakeholders from the mental health, substance use, and criminal justice systems to consider the full spectrum of real-world interactions experienced by people with mental and substance use disorders with regard to their trajectories, or lack thereof, through the criminal justice system.

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Emergency department from the mental health client’s perspective

Cited by 180 publications

References 15 publications

Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Emergency department staff attitudes towards mental health consumers: A literature review and thematic content analysis

Mental health consumers' with medical co‐morbidity experience of the transition through tertiary medical services to primary care

Revising the paradigm for jail diversion for people with mental and substance use disorders: Intercept 0

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