Patient-Centered Values and Experiences with Emergency Department and Mental Health Crisis Care

Kathleen C. Thomas, Hillary Owino, Sana Ansari, Leslie Adams, Julianne M. Cyr, Bradley N. Gaynes, Seth W. Glickman

Research output: Contribution to journalArticlepeer-review

Abstract

Little is known about what patients value in psychiatric crisis services or how they compare community-based services with those received in the emergency department. Three focus groups (n = 27) were held of participants who had received psychiatric crisis services in emergency departments or a community mental health center. Participants described care experiences and preferences. Focus groups were audio recorded, transcribed, and coded using a value-based lens. Themes included appreciation for feeling respected, basic comforts, and shared decision-making as foundations of quality care. Participants preferred the community mental health center. Research should address long-term outcomes to motivate change in psychiatric crisis care.

Original languageEnglish (US)
Pages (from-to)611-622
Number of pages12
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume45
Issue number4
DOIs
StatePublished - Jul 1 2018
Externally publishedYes

Keywords

  • Crisis
  • Emergency medicine
  • Mental health
  • Psychiatry
  • Substance abuse

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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