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Psychiatric Case Management in the Emergency Department.

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  • 1Stephanie B. Turner, EdD, MSN, RN, is an Assistant Professor at the University of Alabama Capstone College of Nursing. She currently teaches adult health nursing in the undergraduate nursing program and numerous courses in the RN to MSN mobility program. Her specialty areas include emergency, critical care, and adult health nursing. Marietta P. Stanton, PhD, RN, CNAA, BC, CMAC, CCM, CNL, is a Professor of Nursing at The University of Alabama, Capstone College of Nursing. She has published a number of articles in case management. She is certified through the Center for Case Management as a Case Management Administrator.

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Summary
This summary is machine-generated.

Case management effectively treats mental health patients in emergency departments (EDs). While underutilized, this strategy improves patient care and offers cost savings, warranting further research and implementation.

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Area of Science:

  • Healthcare Management
  • Emergency Medicine
  • Mental Health Services

Background:

  • The US faces a crisis in mental healthcare, with a 28% increase in emergency department (ED) visits for mental health conditions and substance abuse between 2006 and 2010.
  • Emergency departments are critical access points, handling a significant volume of hospital admissions, making them a logical setting for interventions.

Purpose of the Study:

  • To conduct a scoping review of case management interventions for mental health patients in the ED.
  • To assess the evidence base for case management in EDs to determine suitability for meta-analysis.
  • To identify relevant studies while acknowledging limitations.

Main Methods:

  • A scoping review methodology was employed to examine the range, extent, and evidence of case management in ED settings.
  • The review aimed to determine the quantity and quality of existing research.

Main Results:

  • Case management is a viable and effective intervention for managing mental health patients within the emergency department.
  • Mental health patients, particularly those with psychiatric conditions, are frequent ED visitors.
  • Case management is currently underutilized for ED patient management and follow-up, though protocols outside the main patient flow show success.

Conclusions:

  • Case management demonstrates effectiveness in treating mental health patients in the ED, with successful implementation noted in hospitals with specific protocols.
  • Staff training on psychiatric mental health issues enhances ED care.
  • Despite a limited number of studies, sufficient evidence exists to support further research, policy development, and practice changes in this area.