Assessment and general approach

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Introduction: Clinicians in overburdened emergency departments (EDs) and other acute care environments provide a broad array of services. In addition to handling emergent medical or surgical conditions such as trauma, heart attack, or stroke, ED providers are often the front line of care for patients with psychiatric disorders. Demand for a full spectrum of care provided in EDs continues to grow. The Institute of Medicine report Hospital-Based Emergency Care: At the Breaking Point describes the ways in which demand for care in EDs far outpaces supply in the United States. The volume of patients with psychiatric complaints in EDs has continued to grow as part of this trend. Increasingly, ED providers are called on to assess and manage patients in psychiatric crisis, often for days at a time. A number of factors have contributed to this greater use of EDs by patients who are in need of psychiatric assessment and care. These factors include shortages of psychiatrists and other mental health professionals, limited and often fragmented systems of outpatient psychiatric care options, lack of other sources of support for persons with chronic mental illness, and steadily diminishing inpatient psychiatric beds, both acute and long-term. Not surprisingly, patients and families seeking help for psychiatric conditions for which the community provides no other services look to the ED as the provider of last resort. With fewer inpatient and outpatient resources available, patients wait longer in the emergency setting, contributing to crowding, and in some situations adversely affecting staff and patient safety.

Original languageEnglish (US)
Title of host publicationEmergency Psychiatry
PublisherCambridge University Press
Pages1-24
Number of pages24
ISBN (Print)9781139021319, 9780521879262
DOIs
StatePublished - Jan 1 2011

Fingerprint

Psychiatry
Hospital Emergency Service
Inpatients
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Crowding
Needs Assessment
Emergency Medical Services
Patient Safety
Ambulatory Care
Patient Care
Mental Health
Emergencies
Chronic Disease
Outpatients
Stroke
Myocardial Infarction
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Triplett, P. T., & Depaulo, J. R. (2011). Assessment and general approach. In Emergency Psychiatry (pp. 1-24). Cambridge University Press. https://doi.org/10.1017/CBO9781139021319.002

Assessment and general approach. / Triplett, Patrick Todd; Depaulo, J Raymond.

Emergency Psychiatry. Cambridge University Press, 2011. p. 1-24.

Research output: Chapter in Book/Report/Conference proceedingChapter

Triplett, PT & Depaulo, JR 2011, Assessment and general approach. in Emergency Psychiatry. Cambridge University Press, pp. 1-24. https://doi.org/10.1017/CBO9781139021319.002
Triplett PT, Depaulo JR. Assessment and general approach. In Emergency Psychiatry. Cambridge University Press. 2011. p. 1-24 https://doi.org/10.1017/CBO9781139021319.002
Triplett, Patrick Todd ; Depaulo, J Raymond. / Assessment and general approach. Emergency Psychiatry. Cambridge University Press, 2011. pp. 1-24
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