Mental health triage in the ER: A qualitative study

Journal of Evaluation in Clinical Practice

Volumn 13, Issue 2, 2007, Pages 303-309

  Coristine, Ron W ^b   Hartford, Kathleen ^a,b,c   Vingilis, Evelyn ^c,d   White, Dawn ^e,f  

^a NRA220 ^*  (Canada)

^b LAWSON HEALTH RESEARCH INSTITUTE   (Canada)

^c UNIVERSITY OF WESTERN ONTARIO   (Canada)

^d Population and Community Health Unit

^e London Health Services Centre   (Canada)

^f LONDON HEALTH SCIENCES CENTRE   (Canada)

Author keywords

Community mental health; Crisis worker; Emergency room mental health services; Mental illness; Social stressors; Triage

Indexed keywords

ARTICLE; COMPUTER PROGRAM; CONTENT ANALYSIS; EMERGENCY WARD; GENERAL HOSPITAL; HEALTH CENTER; HEALTH SERVICE; HOSPITAL PERSONNEL; HUMAN; INFORMATION PROCESSING; MENTAL DISEASE; MENTAL HEALTH; MENTAL HEALTH SERVICE; NURSING STAFF; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; QUALITATIVE RESEARCH; SOCIAL STRESS;

EMERGENCY SERVICE, HOSPITAL; HUMANS; MENTAL DISORDERS; ONTARIO; QUALITATIVE RESEARCH; TRIAGE;

EID: 33947418051     PISSN: 13561294     EISSN: 13652753     Source Type: Journal    
DOI: 10.1111/j.1365-2753.2006.00759.x     Document Type: Article

References (31)

1. Gerson, S. & Bassuk, E. (1980) Psychiatric emergencies: an overview. American Journal of Psychiatry, 137, 1-11.
2. Bassuk, E. L., Winter, R. & Aspler, R. (1983) Cross-cultural comparison of British and American psychiatric emergencies. American Journal of Psychiatry, 140, 180-184.
3. Perez, E., Minoletti, A., Blouin, J. & Blouin, A. (1986-87) Repeated Users of a Psychiatric Emergency Service in a Canadian General Hospital. Psychiatric Quarterly, 58, 189-201.
4. Solomon, P. & Beck, S. (1989) Patient's perceived service needs when seen in a psychiatric emergency room. Psychiatric Quarterly, 60, 215-226.
5. Smart, D., Pollard, C. & Walpole, B. (1999) Mental health triage in emergency medicine. Australian and New Zealand Journal of Psychiatry, 33, 57-66.
6. Burt, C. W. & McCaig, L. F. (2001) Trends in hospital emergency department utilization: United States, 1992-1999. Vital and Health Statistics 2001; 160: 1-34. Series 13. Hyatsville, MD: National Center for Health Statistics.
7. Arfken, C. L., Zeman, L. L., Yeager, L., Mischel, E. & Amirsadri, A. (2002) Frequent visitors to psychiatric emergency services: staff attitudes and temporal patterns. Journal of Behavioural Health Services and Research, 29 (4), 490-496.
8. Rose, C. & Jagim, M. (2003) Psychiatric triage RN's in the ED: a role that promotes patient safety and reduces bedlam in the ED. American Journal of Nursing, 103, 101-102, 105.
9. Hazlett, S. B., McCarthy, M. L., Londner, M. S. & Onyike, C. U. (2004) Epidemiology of adult psychiatric visits to U.S. emergency departments. Academic Emergency Medicine, 11, 193-195.
10. Kalucy, R., Thomas, L., Lia, B., Slattery, T. & Norris, D. (2004) Managing increased demand for mental health services in a public hospital emergency department: a trial of 'hospital in the home' for mental health consumers. International Journal of Mental Health Nursing, 14, 275-281.
11. Nurius, P. S. (1983-84) Emergency psychiatric services: a study of changing utilization patterns and issues. International Journal of Psychiatry and Medicine, 13, 239-254.
12. Summers, M. & Happell, B. (2003) Patient satisfaction with psychiatric services provided by a Melbourne tertiary hospital emergency department. Journal of Psychiatric Mental Health Nursing, 10, 351-357.
13. Osborne, J. (2003) Mental health triage. Emergency Nurse, 11, 14.
14. McDonough, S., Wynaden, D., Finn, M., McGowan, S., Chapman, R. & Hood, S. (2004) Emergency department mental health consultancy service: an evaluation of the first year of the service. Accident and Emergency Nursing, 12, 31-38.
15. Sealy, P. & Whitehead, P. (2004) Forty years of de- institutionalization of psychiatric services in Canada: an empirical assessment of the process. Canadian Journal of Psychiatry, 49, 249-257.
16. Mitchell, B. & Rosen, E. (2001) Developing quality emergency mental health services: the London Mental Health Sciences Centre experience. Paper Presented at the World Assembly for Mental Health 2001; Vancouver, Canada. July 22-27.
17. Upfold, J. (2001) The triage and initial assessment of mental health patients in the emergency room. Emergency Psychiatry, 1, 14-17.
18. Schrecker, T. (2000) 'Making the invisible, visible' in research on psychiatric de-institutionalization. Colloquium Proceedings. London, Ontario, Canada: The University of Western Ontario. Available at: http://caremh.ca/docs/ coreport1.pdf (accessed 4 November 2000).
19. Schrecker, T. (2001) Psychiatric de-institutionalization: identifying the barriers to improving outcomes. Colloquium Proceedings. London, Ontario, Canada: The University of Western Ontario. Available at: http://caremh.ca/docs/ coreport2.pdf (accessed 3 November 2001).
20. Crabtree, B. & Miller, W. (1992) Doing Qualitative Research: Research Methods for Primary Care, Vol. 3. Newbury Park, CA: Sage Publications.
21. Valanis, B. (1999) Epidemiology in Health Care. Stamford, CT: Appelton & Lange.
22. Lamb, H. R. (1984) Deinstitutionalization and the homeless mentally ill. Hospital and Community Psychiatry, 35, 899-907.
23. Solomon, P. & Davis, J. (1985) Meeting community service needs of discharged psychiatric patients. Psychiatric Quarterly, 57, 11-17.
24. Ellison, J. M., Blum, N. & Barsky, A. J. (1986) Repeat visitors in the psychiatric emergency service: a critical review of the data. Hospital and Community Psychiatry, 37, 37-41.
25. Sundheim, S. & Ryan, R. M. (1999) Amnesiac syndrome presenting as malingering in a man with developmental disability. Psychiatric Services, 50, 966-968.
26. Wynaden, D., Chapman, R., McGowan, S., McDonough, S., Finn, M. & Hood, S. (2003) Emergency department mental health triage consultancy service: a qualitative evaluation. Accident and Emergency Nursing, 11, 158-165.
27. Happell, B., Summers, M. & Pinikahana, J. (2002) The triage of psychiatric patients in the hospital emergency department: a comparison between emergency department nurses and psychiatric consultants. Accident and Emergency Nursing, 10, 65-71.
28. Happell, B., Summers, M. & Pinikahana, J. (2003) Measuring the effectiveness of the national mental health triage scale in an emergency department. International Journal of Mental Health Nursing, 12, 288-292.
29. Broadbent, M., Jarman, H. & Berk, M. (2002) Improving competence in emergency room mental health triage. Accident and Emergency Nursing, 10, 155-162.
30. Broadbent, M., Jarman, H. & Berk, M. (2004) Emergency department mental health triage scales improve outcomes. Journal of Evaluation in Clinical Practice, 10, 57-62.
31. Kevin, J. (2002) An examination of telephone triage in a mental health context. Issues in Mental Health Nursing, 23, 757-769.