Process and Outcome Evaluation of an Emergency Department Intervention for Persons with Mental Health Concerns Using a Population Health Approach
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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.
- Blitz, C. L., Solomon, P. L., & Feinberg, M. (2001). Establishing a new research agenda for studying psychiatric emergency room treatment decisions. Mental Health Services Research, 3, 25–34. CrossRef
- Chen, H. (1990). Theory-driven evaluations. Newbury Park, California: Sage Publications.
- Chen, H. (2005). Practical program evaluation. Thousand Oaks, California: Sage Publications.
- Coristine, R., Hartford, K., Vingilis, E., & White, D. (in press). Mental health in the ER: A qualitative study. Journal of Evaluation in Clinical Practice.
- Crabtree, B. F., & Miller, W. L. (1992). Doing qualitative research (Vol. 3). London, U.K.: Sage Publications.
- Ellison, J. M., Hughes, D. H., & White, K. A. (1989). An emergency psychiatry update. Hospital Community Psychiatry, 40, 250–260.
- Gerson, S., & Bassuk, E. (1980). Psychiatric emergencies: An overview. American Journal of Psychiatry, 137, 1–11.
- Greene, J. C., Caracelli, V. J., & Graham, W. F. (1989) Toward a conceptual framework for mixed method evaluation designs. Educational Evaluation and Policy Analysis, 11, 105–118.
- Hartford, K., Heslop, L., Stitt, L., & Hoch, J. S. (2005). Design of an algorithm to identify persons with mental illness in a police administrative database. International Journal of Law and Psychiatry, 28, 1–11. CrossRef
- Hartford, K., Schrecker, T., Wiktorowicz, M., Hoch, J. S., & Sharp, C. (2003). Four decades of mental health policy in Ontario, Canada. Administration and Policy in Mental Health, 31, 65–73. CrossRef
- Hazlett, S. B., McCarthy, M. L., Londner, M. S., & Onyike, C. (2004). Epidemiology of adult psychiatric visits to US emergency departments. Academic Emergency Medicine, 11, 193–195. CrossRef
- Kitzinger, J. (1995). Qualitative research: Introducing focus groups. British Medical Journal, 311, 299–302.
- Mansell, I., Bennett, G., Northway, R., Mead, D., & Moseley, L. (2004). The learning curve: The advantages and disadvantages in the use of focus groups as a method of data collection. Nurse Researcher, 11, 79–88.
- McArthur, M., & Montgomery, P. (2004). The experience of gatekeeping: A psychiatric nurse in an emergency department. Issues in Mental Health Nursing, 25, 487–501. CrossRef
- Mertens, D. M. (2005). Research and evaluation in education and psychology. Thousand Oaks, California: Sage Publications
- Mitchell, B., & Rosen, E. (2001). Developing quality emergency mental health services: The London Mental Health Sciences experience. In World Assembly for Mental Health. Vancouver, B.C
- Nurius, P. S. (1983). Emergency psychiatric services: A study of changing utilization patterns and issues. International Journal of Psychiatry Medicine, 13, 239–254. CrossRef
- Osborne, J. (2003). Mental health triage. Emergency Nurse, 11, 14.
- Oyewumi, L. K., Odejide, O., & Kazarian, S. S. (1992a). Psychiatric emergency services in a Canadian city. II. Clinical characteristics and patients’ dispositions. Canadian Journal of Psychiatry, 37, 96–99.
- Oyewumi, L. K., Odejide, O., & Kazarian, S. S. (1992b). Psychiatric emergency services in a Canadian city: I. Prevalence and patterns of use. Canadian Journal of Psychiatry, 37, 91–95.
- Patton, M. Q. (2002). Qualitative research and evaluation methods (3 ed.). London, U.K.: Sage Publications Ltd.
- Posavec, E., & Carey, R. (2003). Program evaluation: Methods and case studies (6th ed.). Engelwood Cliff, New Jersey: Prentice Hall.
- Rossi, P. H., Freeman, H. E., & Lipsey, M. W. (1999). Evaluation: A systematic approach. Thousand Oaks, California: Sage Publications.
- Sealy, P., & Whitehead, P. (2004). Forty years of deinstitutionalization of psychiatric services in Canada: An empirical assessment. Canadian Journal of Psychiatry, 49, 249–257.
- Schrecker, T. (1999). Colloquium Report: Making the invisible,visible in research on psychiatric de-institutionalization. (Rep. No. CAREMH Report 1). Population & Community Health Unit.
- Schrecker, T. (2001). Psychiatric De-institutionalization: Identifying the barriers to improving outcomes. (Rep. No. CAREMH Report 2). Population & Community Health Unit.
- Smart, D., Pollard, C., & Walpole, B. (1999). Mental health triage in emergency medicine. Australian and New Zealand Journal of Psychiatry, 33, 57–66. CrossRef
- Steadman, H. J., Morrissey, J. P., Braff, J., & Monahan, J. (1986). Psychiatric evaluations of police referrals in a general hospital emergency room. International Journal of Law and Psychiatry, 8, 39–47. CrossRef
- Storer, D., Whitworth, R., Salkovskis, P., & Atha, C. (1987). Community psychiatric nursing intervention in an accident and emergency department: A clinical pilot study. Journal of Advances in Nursing, 12, 215–222. CrossRef
- Sundheim, S. T. P. V., & Ryan, R. M. (1999). Amnesiac Syndrome presenting as malingering in a man with developmentally disability. Psychiatric Services, 50, 966–968.
- Upfold, J. (2001). The triage and initial assessment of mental health patients in the emergency room. Emergency Psychiatry, 7, 14–17.
- Wynaden, D., Chapman, R., McGowan, S., McDonough, S., Finn, M., & Hood, S. (2003). Emergency department mental health triage consultancy service: A qualitative evaluation. Accident Emergency Nursing, 11, 158–165. CrossRef
- Process and Outcome Evaluation of an Emergency Department Intervention for Persons with Mental Health Concerns Using a Population Health Approach
Administration and Policy in Mental Health and Mental Health Services Research
Volume 34, Issue 2 , pp 160-171
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Mental health services
- Emergency department
- Author Affiliations
- 1. Department of Family Medicine, The University of Western Ontario, London, ON, Canada, N6A 5C1
- 2. Lawson Health Research, London, Canada
- 3. Regional Mental Health Centre London, London, Canada
- 4. London Health Sciences Centre, London, Canada
- 5. Department of Psychiatry, University of Western Ontario, London, Canada
- 6. Canadian Mental Health Association, London/Middlesex Branch, London, Canada
- 7. London Mental Health Crisis Service, London, Canada