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An emergency psychiatry update.

J M Ellison1, D H Hughes, K A White

  • 1Cambridge Hospital, Massachusetts 02139.

Hospital & Community Psychiatry
|March 1, 1989
PubMed
Summary
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Emergency psychiatry has expanded significantly since 1981, requiring specialized care for diverse patient groups and addressing new challenges like AIDS and substance abuse. This review highlights evolving trends in assessment, treatment, and medicolegal issues within psychiatric emergency services.

Area of Science:

  • Psychiatry
  • Emergency Medicine

Background:

  • The field of emergency psychiatry has seen substantial growth in scope and complexity since 1981.
  • Identifying specific patient populations with unique needs is crucial for effective care.

Purpose of the Study:

  • To review and analyze the evolving trends in emergency psychiatry since 1981.
  • To highlight key developments in patient assessment, treatment modalities, and emerging challenges.

Main Methods:

  • Literature review of trends in emergency psychiatry.
  • Analysis of changes in clinical practice, patient demographics, and substance abuse patterns.

Main Results:

  • Increased complexity in emergency psychiatric care, necessitating specialized approaches for vulnerable groups (adolescents, elderly, abuse victims, frequent visitors).

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  • Emergence of new public health concerns, including the Acquired Immunodeficiency Syndrome (AIDS) epidemic and increased use of cocaine and inhalants.
  • Growing attention to psychotropic medication use in emergency settings, with evolving rapid tranquilization techniques.
  • Ongoing medicolegal debates, violence prediction/control research, and the role of psychiatric emergency services in clinical training.

    • Conclusions:

    • Emergency psychiatry has become more complex, demanding tailored interventions for diverse patient groups.
    • Clinicians must adapt to new health threats and substance abuse trends.
    • The field is characterized by evolving treatment protocols, medicolegal considerations, and its importance as a training platform.