Process and outcome evaluation of an emergency department intervention for persons with mental health concerns using a population health approach

被引:11
|
作者
Vingilis, Evelyn [1 ]
Hartford, Kathleen
Diaz, Kristine
Mitchell, Beth
Velamoor, Raj
Wedlake, Marnie
White, Dawn
机构
[1] Univ Western Ontario, Dept Family Med, London, ON N6A 5C1, Canada
[2] Lawson Hlth Res, London, ON, Canada
[3] Reg Mental Hlth Ctr London, London, ON, Canada
[4] London Hlth Sci Ctr, London, ON, Canada
[5] Univ Western Ontario, Dept Psychiat, London, ON N6A 5C1, Canada
[6] Canadian Mental Hlth Assoc, London Middlesex Branch, London, ON, Canada
[7] London Mental Hlth Crisis Serv, London, ON, Canada
关键词
mental health services; emergency department; intervention;
D O I
10.1007/s10488-006-0093-8
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose: To evaluate an emergency department's use of a mental health triage and mental health crisis counsellor for persons presenting with mental health concerns. Method: Mixed method (qualitative and quantitative), multiple measures. Results: 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. Conclusions: 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.
引用
收藏
页码:160 / 171
页数:12
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