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Related Experiment Video

Updated: Jun 1, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

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Rapid response team for behavioral emergencies.

Jeannine Loucks1, Dana N Rutledge, Beverly Hatch

  • 1St. Joseph Hospital, Orange, CA, USA, jeannine.loucks@stjoe.org.

Journal of the American Psychiatric Nurses Association
|June 11, 2011
PubMed
Summary
This summary is machine-generated.

A behavioral emergency response team (BERT) helps manage psychiatric patients on non-psychiatric hospital units. While staff found BERT helpful, further training is needed for comfort in managing behavioral issues.

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Area of Science:

  • Healthcare Management
  • Psychiatric Nursing
  • Patient Safety

Background:

  • Managing psychiatric patients on non-behavioral health units presents challenges for staff.
  • Proactive de-escalation of behavioral issues is crucial for patient safety and effective treatment.
  • Existing hospital protocols may not adequately address acute psychiatric behavioral crises in general medical settings.

Purpose of the Study:

  • To evaluate the implementation and impact of a Behavioral Emergency Response Team (BERT) on non-psychiatric hospital units.
  • To assess staff experiences and comfort levels with managing psychiatric patients after BERT implementation.
  • To determine the effectiveness of a specialized team in de-escalating behavioral crises.

Main Methods:

  • A Behavioral Emergency Response Team (BERT), comprising experienced behavioral health nurses and social workers, was established.
  • BERT services were piloted on a medical pulmonary unit, followed by a 2-year gradual housewide rollout.
  • Tools developed included an activation algorithm, educational cue cards, and a staff performance improvement survey.

Main Results:

  • Staff nurses reported positive experiences with the BERT intervention.
  • The BERT model facilitated earlier treatment of behavioral issues in patients on general units.
  • Despite positive experiences, many staff nurses still expressed discomfort caring for psychiatric patients.

Conclusions:

  • A BERT can effectively support staff in managing psychiatric patients on non-behavioral health units.
  • While BERT improves response to behavioral crises, ongoing education is necessary to enhance staff confidence.
  • Further strategies may be needed to fully integrate psychiatric care competencies across all hospital units.