Impact of a Rapid-Access Ambulatory Psychiatry Encounter on Subsequent Emergency Department Utilization

Interventions to Reduce Repeat Presentations to Hospital Emergency Departments for Mental Health Concerns: A Scoping Review of the Literature

“…The studies included in this scoping review were published within the last ten years (2010 to 2021). Twenty studies were observational (non-interventional) [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] and the rest were interventional studies [ 45 , 46 , 47 , 48 , 49 , 50 ]. There were twenty-three studies conducted in North America (88.5%) [ 25 , 26 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ], while two were conducted in Europe [ 27 , ...…”

“…The participants in these studies were all patients with psychiatric diagnoses and who had had emergency visits for reasons related to their mental health issues. Among the 26 papers reviewed, thirteen studies targeted all age groups [ 25 , 26 , 27 , 33 , 34 , 35 , 38 , 39 , 40 , 42 , 43 , 46 , 49 ], while nine were conducted on an adult population older than 18 years of age [ 30 , 32 , 36 , 37 , 41 , 44 , 47 , 48 , 50 ]. Two studies examined the effects of programs designed for children and young adults between the ages of 0–18 years [ 31 , 45 ], and one study targeted patients who were younger than 26 years of age [ 29 ].…”

“…The studies included in this scoping review were published within the last ten years (2010 to 2021). Twenty studies were observational (non-interventional) [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] and the rest…”

“…The studies included in this scoping review were published within the last ten years (2010 to 2021). Twenty studies were observational (non-interventional) [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] and the rest were interventional studies [45][46][47][48][49][50]. There were twenty-three studies conducted in North America (88.5%) [25,26,[28][29][30][31][32][33][34][35][36][39][40][41][42][43][44][45][46][47][48][49], while two were conducted in Europe [27,…”

“…Among the 26 studies under review, n = 6, 23.07% discussed interventions involving multidisciplinary coordinated care, including HAP [26], PCMH [25], PBHCI [44], FHMC [28], MCC [30], and the Floresco's model [50]; In a total of 7 studies, 26.92% of the studies focused on interventions using various health services resources and seeking government assistance, including HEARTSMAP [45], QI [40], PAO [35], ACA [36], BHH [46], the model of Having Trained Psychiatric Professionals [31], and the rapid-access ambulatory psychiatric care [33]; n = 2, 7.69% of the studies addressed pharmacy-related methods, which are TOC [39] and PMEGs [42]; n = 2, 7.69.% discussed case management strategies, such as ICM [48] and CALM [34]; the remaining (n = 9, 34.63%) emphasized other types of intervention programs (Figure 4). Among the 26 studies under review, n = 6, 23.07% discussed interventions involving multidisciplinary coordinated care, including HAP [26], PCMH [25], PBHCI [44], FHMC [28], MCC [30], and the Floresco's model [50]; In a total of 7 studies, 26.92% of the studies focused on interventions using various health services resources and seeking government assistance, including HEARTSMAP [45], QI [40], PAO [35], ACA [36], BHH [46], the model of Having Trained Psychiatric Professionals [31], and the rapid-access ambulatory psychiatric care [33]; n = 2, 7.69% of the studies addressed pharmacy-related methods, which are TOC [39] and PMEGs [42]; n = 2, 7.69.% discussed case management strategies, such as ICM [48] and CALM [34]…”