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Case 2 - An Innovative Strategy to Streamline Care for Behavioral Health in the Emergency Department

Published online by Cambridge University Press:  04 July 2017

Jennifer L. Wiler
Affiliation:
University of Colorado School of Medicine
Jesse M. Pines
Affiliation:
George Washington University, Washington DC
Michael J. Ward
Affiliation:
Vanderbilt University Medical Center, Tennessee
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Publisher: Cambridge University Press
Print publication year: 2017

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References

Emergency department visits by patients with mental health disorders – North Carolina, 2008–2010. MMWR. 2013 Jun 14;62(23):469472. American College of Emergency Physicians Psychiatric and Substance Abuse Survey 2008. Available at www.acep.org/uploadedFiles/ACEP/newsroom/NewsMediaResources/StatisticsData/Psychiatric%20Boarding%20Summary.pdf. Accessed December 13, 2015.
Baraff, LJ, Janowicz, N, Asarnow, JR. Survey of California emergency departments about practices for management of suicidal patients and resources available for their care. Academic Emergency Medicine. 2006 Oct;48(4):452458.Google ScholarPubMed
Schumacher Group: 2010 Survey Hospital Emergency Department Administrators. Available at http://schumachergroup.com/_uploads/news/pdfs/ED%20Challenges%20and%20Trends%2012.14.10.pdf. Accessed March 13, 2016.
Commonwealth of Pennsylvania Department of Drug and Alcohol Programs. Pennsylvania’s Client Placement Criteria for Adults. Available at www.ddap.pa.gov/Manuals/PA%20Client%20Placement%20Criteria%20(PCPC)%20Edition%203%20Manual.pdf. Accessed December 13, 2015.
Mansbach, JM, Wharff, E, Austin, SB, Ginnis, K, Woods, ER. Which psychiatric patients board on the medical service? Pediatrics. 2003;111(6 Pt. 1):e693–698.CrossRefGoogle ScholarPubMed
Armour, S. South Carolina psychiatric patient stuck 38 days in ER. www.bloomberg.com/news/articles/2013-07-18/south-carolina-psychiatric-patient-stuck-38-days-in-er. Accessed April 3, 2016.
Hnatow, D. Providing care for the acute mentally ill: a community response. Urgent Matters Patient Flow Enewsletter. 2005;2(6). Available at http://urgentmatters.org/e-newsletter/318774/318775/318777.Google Scholar
Breslow, RE, Klinger, BI, Erickson, BJ. Crisis hospitalization on a psychiatric emergency service. General Hospital Psychiatry. 1983;15:307315.CrossRefGoogle Scholar
Zeller, S, Calma, N, Stone, A. Effects of regional psychiatric emergency service on boarding of psychiatric patients in area emergency departments. The Western Journal of Emergency Medicine. 2014;15:16.CrossRefGoogle ScholarPubMed
Suicide Prevention Resource Center. Caring for adult patients with suicide risk: a consensus guide for emergency departments. Available at www.sprc.org/ed-guide. Accessed April 3, 2016.
Bengelsdorf, H, et al. A crisis triage rating scale: brief dispositional assessment of patients at risk for hospitalization. The Journal of Nervous and Mental Disease. 1984;172:424430.CrossRefGoogle ScholarPubMed
American Association of Community Psychiatry. Locus: level of care utilization system for psychiatric and addiction services. Available at www.ct.gov/dmhas/lib/dmhas/publications/CSPLOCUS.pdf. Accessed April 3, 2016.

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