Citation

Simakhodskaya Z, Haddad F, Quintero M, Malavade K. Prim. Psychiatry 2009; 16(9): 60-65.

Copyright

(Copyright © 2009, MBL Communications)

DOI

unavailable

PMID

unavailable

Abstract

Research has shown that follow-up rates with aftercare recommendations upon discharge from psychiatric emergency services are low. These patients are in need of additional wrap-around support services. This article illustrates how an innovative program has been effective in utilizing crisis intervention services and mobile crisis outreach within an emergency room (ER) setting and how these unique services can be integral in preventing psychiatric decompensation and repeated presentations to the ER. In addition, implementing these services helps ensure better compliance with follow-up recommendations, allowing for the resolution of the crisis, enhanced diagnositic clarification, and identification of barriers to continued care in the community. Essential elements of successful application of this model include providing an immediate appointment, having close follow up, and ensuring a collaborative and interdisciplinary approach that addresses the biopsychosocial needs of patients. Further research is needed to better understand the patient characteristics and systemic factors that contribute to issues of compliance with community mental health services upon discharge from a psychiatric emergency service. © MBL Communications Inc.

Language: en

Keywords

human; bipolar disorder; psychotherapy; depression; psychosis; patient safety; suicide attempt; crisis intervention; hospital; risk factor; psychoeducation; review; mental disease; health program; psychiatrist; community care; clinical feature; cognitive defect; mental health service; behavior therapy; psychopharmacology; practice guideline; emergency ward; emergency health service; health care; patient compliance; clinical protocol; hospital discharge; preventive health service; health care need; health care utilization; experimental therapy; diagnostic procedure; clinical assessment; clinical effectiveness