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Psychiatric emergencies: an overview

S Gerson, E Bassuk

    The American Journal of Psychiatry
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Psychiatric emergency services are crucial entry points for mental health care. A new model emphasizes patient and community resources over complex diagnoses for better outcomes.

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    Area of Science:

    • Psychiatry
    • Mental Health Services
    • Emergency Medicine

    Background:

    • Psychiatric emergency wards serve as critical access points for mental health care.
    • They are essential for individuals facing life challenges and for the chronically mentally ill in the community.
    • Existing literature on emergency psychiatric services requires critical review regarding utilization, environment, and decision-making.

    Purpose of the Study:

    • To critically review the literature on psychiatric emergency services.
    • To analyze how these services are utilized, the emergency room atmosphere, and factors influencing disposition decisions.
    • To propose an improved model for emergency psychiatric services.

    Main Methods:

    • Literature review of psychiatric emergency services.

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  • Analysis of patient utilization patterns.
  • Examination of factors affecting treatment disposition.

    • Main Results:

    • Psychiatric emergency wards are primary entry points for mental health services.
    • These services are vital for community-based chronically mentally ill patients.
    • Disposition decisions are influenced by various factors within the emergency room setting.

    Conclusions:

    • A revised model for psychiatric emergency services is proposed.
    • The model prioritizes evaluation of patient and community resources and competence.
    • Minimizing subtle diagnostic considerations is key to the proposed model.