The Psychiatric Emergency Service: Where We've Been and Where We're Going
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The Psychiatric Emergency Service (PES) has evolved into a separate service with its own space and staff specialized for the handling of psychiatric emergencies. A study of trends in our PES reveals increased need for children's services, issues with managed care and an expansion in the use of the PES as a filter for the mental health system in dealing with substance abuse. Education and research have been added to the missions of the PES and there is strong potential for future development in this area. PESs of the future may be very different, with advances in communication, safety, computerized records and databases. New dilemmas in balancing the patient's right to confidentiality and autonomy against the potential of these advances are bound to occur.
- Gerson S, Bassuk E: Psychiatric emergencies: an overview. American Journal of Psychiatry 137:1–11, 1980.
- Baxter S, Chodorkoff B, Underhill R: Psychiatric emergencies: dispositional determinants and the validity of the decision to admit. American Journal of Psychiatry 124:1542–1546, 1968.
- Oldham JM, Lin A, Breslin L: Comprehensive psychiatric emergency services. Psychiatric Quarterly 61:57–66, 1990.
- Surles RC, Petrila J, Evans ME: Redesigning emergency room psychiatry in New York. Administration and Policy in Mental Health 22:97–104, 1994.
- Hughes DH: Trends and treatment models in emergency psychiatry. Hospital and Community Psychiatry 44:927–928, 1993.
- Hillard JR: The past and future of psychiatric emergency services in the U.S. Hospital and Community Psychiatry 45:541–543, 1994.
- Norusis MJ: SPSS/PC+ Base System User's Guide. Chicago: SPSS Inc., 1992.
- Ellison JM, Hughes DH, White KA: An emergency psychiatry update. Hospital and Community Psychiatry 40:250–260, 1989.
- Rome HP: The multiple problems of adolescence. Psychiatric Annals 15:583–584, 1985.
- Hillard JR, Slomowitz M, Levi LS: A retrospective study of adolescents' visits to a general hospital psychiatric emergency service. American Journal of Psychiatry 144:432–435, 1987.
- Sadka, S: Psychiatric emergencies in children and adolescents. New Directions for Mental Health Services 67:65–74, 1995.
- Breslow RE, Klinger BI, Erickson BJ: The disruptive behavior disorders in the psychiatric emergency service. General Hospital Psychiatry 21:214-219, 1999.
- Angold A, Costello EJ: Depressive comorbidity in children and adolescents: empirical, theoretical and methodological issues. American Journal of Psychiatry 150:1779–1791, 1993.
- Zuccolillo M: Co-occurrence of conduct disorder and its adult outcomes with depressive and anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry 31:547–556, 1992.
- Fehon DC, Becker DF, Grilo CM: Diagnostic comorbidity in hospitalized adolescents with conduct disorder. Comprehensive Psychiatry 38:141–145, 1997.
- Breslow RE, Klinger BI, Erickson BJ: Characteristics of managed care patients presenting to the psychiatric emergency service. Psychiatric Services 47:1259–1261, 1996.
- Raskin VD, Miller NS: The epidemiology of the comorbidity of psychiatric and affective disorders. Journal of Addiction Disorders 12:45–57, 1993.
- Elangovan N, Berman S, Meinzer A: Substance abuse among patients presenting at an inner-city psychiatric emergency room. Hospital and Community Psychiatry 44:782–784, 1993.
- Miller NS, Owley T, Eriksenn A: Working with drug/alcohol addicted patients in crisis. Psychiatric Annals 24:592–597, 1994.
- Szuster RR, Schanbacher BL, McCann SC: Underdiagnosis of psychoactive substance induced organic mental disorders in emergency psychiatry. American Journal of Drug and Alcohol Abuse 16:319–327, 1990.
- Schneier FR, Siris SG: A review of psychoactive substance use and abuse in schizophrenia: patterns of drug choice. Journal of Nervous and Mental Disease 175:641–652, 1987.
- Serper MR, Alpert M, Richardson NA, Dickson S, Allen MH, Werner A: Clinical effects of recent cocaine use on patients with acute schizophrenia. American Journal of Psychiatry 152:1464–1469, 1995.
- Barbee JG, Clark PD, Crapanzano MS: Alcohol and substance abuse among schizophrenic patients presenting to an emergency psychiatric service. Journal of Nervous and Mental Disease 177:400–407, 1989.
- Breslow RE, Klinger BI, Erickson BJ: Acute intoxication and substance abuse among patients presenting to a psychiatric emergency service. General Hospital Psychiatry 18:183–191, 1996.
- Breslow RE, Klinger BI, Erickson BJ: County drift: a type of geographic mobility of chronic psychiatric patients. General Hospital Psychiatry 20:44–47, 1998.
- Jarvis E: On the supposed increase of insanity. American Journal of Insanity 8:334–364, 1851.
- The Psychiatric Emergency Service: Where We've Been and Where We're Going
Volume 71, Issue 2 , pp 101-121
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