Process and Outcome Evaluation of an Emergency Department Intervention for Persons with Mental Health Concerns Using a Population Health Approach

  • Evelyn Vingilis
  • Kathleen Hartford
  • Kristine Diaz
  • Beth Mitchell
  • Raj Velamoor
  • Marnie Wedlake
  • Dawn White
Original Paper

DOI: 10.1007/s10488-006-0093-8

Cite this article as:
Vingilis, E., Hartford, K., Diaz, K. et al. Adm Policy Ment Health (2007) 34: 160. doi:10.1007/s10488-006-0093-8



To evaluate an emergency department’s use of a mental health triage and mental health crisis counsellor for persons presenting with mental health concerns.


Mixed method (qualitative and quantitative), multiple measures.


Significant pre- and post-intervention reductions for wait time, security incidents and hospital admissions were found. Follow ups with a community agency, medications and a psychiatrist increased post-intervention, while follow ups with detox decreased post-intervention.


The qualitative and quantitative findings are congruent with other studies supporting the use of properly implemented mental health triage and crisis counsellors to improve the care of persons with mental health concerns.


Mental health services Emergency department Intervention 

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Evelyn Vingilis
    • 1
  • Kathleen Hartford
    • 2
  • Kristine Diaz
    • 3
  • Beth Mitchell
    • 4
  • Raj Velamoor
    • 5
  • Marnie Wedlake
    • 6
  • Dawn White
    • 7
  1. 1.Department of Family MedicineThe University of Western OntarioLondonCanada
  2. 2.Lawson Health ResearchLondonCanada
  3. 3.Regional Mental Health Centre LondonLondonCanada
  4. 4.London Health Sciences CentreLondonCanada
  5. 5.Department of PsychiatryUniversity of Western OntarioLondonCanada
  6. 6.Canadian Mental Health Association, London/Middlesex BranchLondonCanada
  7. 7.London Mental Health Crisis ServiceLondonCanada

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