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Related Experiment Video

Updated: Jun 11, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Integrated care pathway for self-harm: our way forward.

Mukesh Kripalani1, Sath Nag, Sagarika Nag

  • 1The Northern Deanery, Newcastle Upon Tyne, UK. drmukesh@doctors.org.uk

Emergency Medicine Journal : EMJ
|June 30, 2010
PubMed
Summary

This study introduces an integrated care pathway to manage self-harm patients, balancing emergency department wait times with required psychosocial assessments. The new method streamlines care, benefiting both acute and mental health services.

Related Experiment Videos

Last Updated: Jun 11, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Area of Science:

  • Emergency Medicine
  • Psychiatry
  • Healthcare Management

Background:

  • Balancing the 4-hour wait in Accident and Emergency (A&E) with National Institute for Clinical Excellence (NICE) psychosocial assessment (PSA) requirements for self-harm patients presents a significant challenge.
  • Existing protocols struggle to efficiently manage the demand for timely assessments post-self-harm presentation.

Purpose of the Study:

  • To propose and evaluate a novel integrated care pathway (ICP) for managing patients presenting with self-harm.
  • To address the demand for psychosocial assessments while adhering to A&E and NICE guidelines.

Main Methods:

  • Implementation of the Modified Sad Persons Scale (MSPS) by general hospital staff.
  • Automatic admission to general hospital for patients scoring 5 or above on the MSPS.
  • Dedicated liaison psychiatry team to conduct detailed psychosocial assessments the following day.

Main Results:

  • The majority of self-harm patients were admitted primarily due to medical concerns.
  • A small proportion of patients required subsequent psychiatric inpatient admission following assessment.

Conclusions:

  • The developed integrated care pathway (ICP) demonstrates effective multidisciplinary collaboration.
  • This approach yields mutually beneficial outcomes for both acute and mental health trusts, improving patient flow and care coordination.