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Delayed Access to Involuntary Mental Health Examinations.

Laura Brennaman1, Blake Boursaw2, Annette Christy3

  • 1Florida Community Health Action Information Network (CHAIN), Coconut Creek, FL, USA. laura@floridachain.org.

The Journal of Behavioral Health Services & Research
|November 27, 2015
PubMed
Summary
This summary is machine-generated.

Access to involuntary mental health examinations in emergency departments (EDs) is often delayed. Factors like male gender, older age, and intoxication significantly increase wait times for these critical psychiatric evaluations.

Keywords:
Emergency Mental HealthHonest BrokerMental HealthMental Health ServiceSafe Transfer

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Area of Science:

  • Emergency Medicine
  • Psychiatry
  • Health Services Research

Background:

  • Emergency departments (EDs) are critical access points for individuals requiring involuntary mental health examinations.
  • Delays in accessing these examinations can negatively impact patient outcomes and strain healthcare resources.

Purpose of the Study:

  • To examine delayed access to involuntary mental health examinations for patients in EDs.
  • To identify factors influencing these delays.

Main Methods:

  • Retrospective review of medical records for 170 adult patients requiring involuntary mental health examinations at two Florida hospitals.
  • Analysis guided by the health services utilization model, considering societal, system, and individual factors.

Main Results:

  • The mean delay for involuntary mental health examinations was 14.9 hours.
  • Being male, increased age, and intoxication were significantly associated with longer delays.

Conclusions:

  • Findings highlight key determinants of delayed access to involuntary mental health evaluations in ED settings.
  • Informed resource allocation can improve long-term outcomes for patients requiring involuntary psychiatric care.