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We aimed to estimate the proportion of UK emergency departments with a psychiatric assessment room and to determine whether such rooms met criteria for conducting high-risk assessments. Liaison psychiatry services were asked whether their hospital had such a room, whether it met the criteria and whether respondents judged it to be sufficiently safe and private.
Of the 60 emergency departments included in the survey, 23% had a psychiatric assessment room that met all the safety criteria and was judged to be safe and private. Barriers to the establishment of an appropriate facility included it being a low priority for hospital management, a room being used for other purposes, and balancing safety requirements with the creation of a calming environment.
Mental illness is a common reason for presentation to emergency departments. Despite national recommendations, this survey indicates that many departments lack a sufficiently safe and private assessment room, which compromises the safety and privacy of patient care.
To make informed choices, patients need information about negative as
well as positive effects of treatments. There is little information about
negative effects of psychological interventions.
To determine the prevalence of and risk factors for perceived negative
effects of psychological treatment for common mental disorders.
Cross-sectional survey of people receiving psychological treatment from
184 services in England and Wales. Respondents were asked whether they
had experienced lasting bad effects from the treatment they received.
Of 14 587 respondents, 763 (5.2%) reported experiencing lasting bad
effects. People aged over 65 were less likely to report such effects and
sexual and ethnic minorities were more likely to report them. People who
were unsure what type of therapy they received were more likely to report
negative effects (odds ratio (OR) = 1.51, 95% CI 1.22–1.87), and those
that stated that they were given enough information about therapy before
it started were less likely to report them (OR = 0.65, 95% CI
One in 20 people responding to this survey reported lasting bad effects
from psychological treatment. Clinicians should discuss the potential for
both the positive and negative effects of therapy before it starts.
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