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Patient emotion, behaviour, and symptoms may explain avoidance of the daily programming on an acute psychiatric inpatient treatment milieu. We compared changes of emotion, behaviour, and symptoms among acutely ill psychiatric inpatients assigned to Behavioural Activation Communication (BAC), a newly designed milieu program, and those assigned to a unit representing treatment as usual (TAU).
Participants included 144 adult inpatients treated between January 2011 and July 2011 at two similar psychiatric units at a medical centre. Psychiatric patients were assigned to either the BAC or the TAU unit based bed availability. At admission and discharge, patients completed the Brief Symptom Inventory, Positive Affect and Negative Affect Scale, and the Checklist of Unit Behaviors.
A comparison of BAC and TAU patients showed greater relative change on positive affect and of behavioural activation with the daily programming.
The BAC program is associated with a significant increase of positive emotion and activation of inpatients.
This chapter addresses three themes relevant to the coordination of care between the emergency medicine and psychiatry clinicians: who is involved in the coordination of care; creating a coordination team; and the benefits of nonclinical interdisciplinary collaboration. Coordinating care with mental health professionals suggests the challenge of understanding who's who, and who's likely to be doing what. Creating an effective team requires additional steps, including assessing the availability of willing resource-partners, recognizing the abilities and liabilities of those resource-partners, and designing a model for coordinating care. These themes were chosen to highlight differences in culture, training or approach and may provide providers with the clarity to decrease interdepartmental frustrations and improve patient outcomes. In addition to coordinating patient care, collaborations between psychiatry and emergency services can be helpful for growing departments in several ways including through education for capacity building, research initiatives, and improving well-being and morale.