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Related Experiment Video

Updated: Jan 19, 2026

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Patient satisfaction with psychiatric care.

David Skuse1

  • 1Behavioural and Brain Sciences Unit, Institute of Child Health, London WC1 1EH, UK, email d.skuse@ich.ucl.ac.uk.

International Psychiatry : Bulletin of the Board of International Affairs of the Royal College of Psychiatrists
|September 12, 2019
PubMed
Summary

Patients with mental health issues experienced excessively long waits in accident and emergency departments, leading many to leave before assessment. This highlights critical delays in psychiatric care access, even with triage systems in place.

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Area of Science:

  • Psychiatry
  • Mental Health Nursing
  • Healthcare Management

Background:

  • Growing emphasis on patient perspectives in healthcare.
  • Limited research on patient experiences in psychiatric emergency care.
  • Accident and Emergency (A&E) departments often serve as critical access points for individuals with mental health crises.

Purpose of the Study:

  • To investigate the experiences of patients with mental health problems attending an A&E department.
  • To identify key issues affecting patient care and satisfaction in this setting.
  • To understand reasons for patients leaving A&E before assessment.

Main Methods:

  • Survey of patients with mental health problems attending an Australian A&E department.
  • Data collection focused on waiting times and patient experiences.
  • Analysis of patient flow and reasons for departure.

Main Results:

  • Significant waiting times for assessment were reported by patients.
  • Many patients left the A&E department before receiving an assessment, often after self-harming.
  • Triage processes, while present, did not sufficiently reduce wait times for all patients.

Conclusions:

  • Long waiting times in A&E departments pose a barrier to accessing timely mental health care.
  • Patient experience in psychiatric emergency care requires significant improvement.
  • Systemic issues in A&E patient flow management need addressing to improve outcomes for individuals with mental health needs.