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Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study
Journal article   Peer reviewed

Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study

Donna Marynowski-Traczyk, Marianne Wallis, Marc Broadbent, Paul Scuffham, Jesse T Young, Amy N. B Johnston, Gerard FitzGerald, Ed Heffernan, Stuart A Kinner, Ping Zhang, …
Australian Health Review, Vol.46(5), pp.519-528
2022
PMID: 34793296
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Optimising emergency department and acute careView
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Abstract

services patient crisis interventions exploration priorities consumers issues Health systems Emergency medicine Mental health services Health system performance (incl. effectiveness of programs)
Objective The aim of this study was to identify potential model of care approaches and systems processes for people presenting to acute healthcare settings with mental health problems, including mental illnesses. Methods Five (consensus) nominal group technique sessions were conducted in 2019 with a purposive sample of stakeholders from health, police, ambulance and consumer agencies (n = 21). Sessions were recorded, transcribed and analysed for thematic content. Results Potential model of care approaches and systems processes for people with mental health problems in the emergency department include: a skilled collaborative approach to care; consumer-focused service; knowledge improvement; early assessment; the development of models, systems and processes; and the built environment. In the broader acute care setting, the themes of formal care, linking of services, enhancing informal and innovative care options, improving information sharing and enhancing training and education were identified. Conclusions Coherent and multifaceted approaches to the provision of care to people with mental health problems and diagnosed mental illnesses who are requiring emergency care include the linking and sharing of systems and information, changing the built environment and exploring new models of service delivery.

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