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

doi:10.1007/s10488-018-0849-y

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 journal › Article › peer-review

11 Scopus citations

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 language	English (US)
Pages (from-to)	611-622
Number of pages	12
Journal	Administration and Policy in Mental Health and Mental Health Services Research
Volume	45
Issue number	4
DOIs	https://doi.org/10.1007/s10488-018-0849-y
State	Published - Jul 1 2018
Externally published	Yes

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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10.1007/s10488-018-0849-y

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title = "Patient-Centered Values and Experiences with Emergency Department and Mental Health Crisis Care",

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.",

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AU - Owino, Hillary

AU - Ansari, Sana

AU - Adams, Leslie

AU - Cyr, Julianne M.

AU - Gaynes, Bradley N.

AU - Glickman, Seth W.

N1 - Funding Information: Funding Funding was provided by National Institute of Mental Health under the Grant number (R34MH107588). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Publisher Copyright: © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

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N2 - 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.

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KW - Crisis

KW - Emergency medicine

KW - Mental health

KW - Psychiatry

KW - Substance abuse

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

Abstract

Keywords

ASJC Scopus subject areas

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