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| emergency room mental health assessment: Mental Health for Emergency Departments , 2009 |
| emergency room mental health assessment: Behavioral Emergencies for the Emergency Physician Leslie S. Zun, Lara G. Chepenik, Mary Nan S. Mallory, 2013-03-21 This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients. |
| emergency room mental health assessment: Inconvenient People Sarah Wise, 2012-10-04 This highly original book brilliantly exposes the phenomenon of false allegations of lunacy and the dark motives behind them in the Victorian period. Gaslight tales of rooftop escapes, men and women snatched in broad daylight, patients shut in coffins, a fanatical cult known as the Abode of Love... The nineteenth century saw repeated panics about sane individuals being locked away in lunatic asylums. With the rise of the ‘mad-doctor’ profession, English liberty seemed to be threatened by a new generation of medical men willing to incarcerate difficult family members in return for the high fees paid by an unscrupulous spouse or friend. Sarah Wise uncovers twelve shocking stories, untold for over a century and reveals the darker side of the Victorian upper and middle classes – their sexuality, fears of inherited madness, financial greed and fraudulence – and chillingly evoke the black motives at the heart of the phenomenon of the ‘inconvenient person.' ‘A fine social history of the people who contested their confinement to madhouses in the 19th century, Wise offers striking arguments, suggesting that the public and juries were more intent on liberty than doctors and families’ Sunday Telegraph |
| emergency room mental health assessment: Clinical Manual of Emergency Psychiatry, Second Edition Michelle B. Riba, M.D., M.S., Divy Ravindranath, M.D., M.S., Gerald Scott Winder, M.D., 2015-09-16 The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents. The editors have created an accessible text with many useful features: * A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service.* Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting.* Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly* Constructive take-home points at the end of each chapter that summarize key information and caution against common clinical errors.* References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators. |
| emergency room mental health assessment: The SAFER-R Model George Everly, Jr., 2017-04 Psychological Crisis Intervention: The SAFER-R Model is designed to provide the reader with a simple set of guidelines for the provision of psychological first aid (PFA). The model of psychological first aid (PFA) for individuals presented in this volume is the SAFER-R model developed by the authors. Arguably it is the most widely used tactical model of crisis intervention in the world with roughly 1 million individuals trained in its operational and derivative guidelines. This model of PFA is not a therapy model nor a substitute for therapy. Rather it is designed to help crisis interventionists stabile and mitigate acute crisis reactions in individuals, as opposed to groups. Guidelines for triage and referrals are also provided. Before plunging into the step-by-step guidelines, a brief history and terminological framework is provided. Lastly, recommendations for addressing specific psychological challenges (suicidal ideation, resistance to seeking professional psychological support, and depression) are provided. |
| emergency room mental health assessment: Primary Care Institute of Medicine, Committee on the Future of Primary Care, 1996-09-05 Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals. |
| emergency room mental health assessment: Helping Kids in Crisis Fadi Haddad, Ruth Gerson, 2015-04-01 Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides expert guidance to practitioners responding to high-stakes situations, such as children considering or attempting suicide, cutting or injuring themselves purposely, and becoming aggressive or violently destructive. Children experiencing behavioral crises frequently reach critical states in venues that were not designed to respond to or support them -- in school, for example, or at home among their highly stressed and confused families. Professionals who provide services to these children must be able to quickly determine threats to safety and initiate interventions to deescalate behaviors, often with limited resources. The editors and authors have extensive experience at one of the busiest and best regional referral centers for children with psychiatric emergencies, and have deftly translated their expertise into this symptom-based guide to help non-psychiatric clinicians more effectively and compassionately care for this challenging population. The book is designed for ease of use and its structure and features are helpful and supportive: The book is written for practitioners in hospital or community-based settings, including physicians in training, pediatricians who work in office-based or emergency settings, psychologists, social workers, school psychologists, guidance counselors, and school nurses -- professionals for whom child psychiatric resources are few. Clear risk and diagnostic assessment tools allow clinicians working in settings without access to child mental health professionals to think like trained emergency room child psychiatrists--from evaluation to treatment. The content is symptom-focused, enabling readers to swiftly identify the appropriate chapter, with decision trees and easy-to-read tables to use for quick de-escalation and risk assessment. A guide to navigating the educational system, child welfare system, and other systems of care helps clinicians to identify and overcome systems-level barriers to obtain necessary treatment for their patients. Finally, the book provides an extensive review of successful models of emergency psychiatric care from across the country to assist clinicians and hospital administrators in program design. An abundance of case examples of common emergency symptoms or behaviors provides professionals with critical, concrete tools for diagnostic evaluation, risk assessment, decision making, de-escalation, and safety planning. Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a vital resource for clinicians facing high-risk challenges on the front lines to help them intervene effectively, relieve suffering, and keep their young patients safe. |
| emergency room mental health assessment: Basic Emergency Care: Approach to the Acutely Ill and Injured World Health Organization, 2018-12-17 Developed by WHO and the International Committee of the Red Cross, in collaboration with the International Federation for Emergency Medicine, Basic Emergency Care (BEC): Approach to the acutely ill and injured is an open-access training course for frontline healthcare providers who manage acute illness and injury with limited resources.BEC teaches a systematic approach to the initial assessment and management of time-sensitive conditions where early intervention saves lives. It includes modules on: the ABCDE and SAMPLE history approach, trauma, difficulty in breathing, shock, and altered mental status. The practical skills section covers the essential time-sensitive interventions for these key acute presentations.The BEC package includes a Participant Workbook and electronic slide decks for each module. BEC integrates the guidance from WHO Emergency Triage, Assessment and Treatment (ETAT) for children, WHO Pocket Book of Hospital Care for Children, WHO Integrated Management of Pregnancy and Childbirth and the Integrated Management of Adult/Adolescent Illness (IMAI). |
| emergency room mental health assessment: Emergency Psychiatry Rachel L. Glick, Jon S. Berlin, Avrim Fishkind, 2008 Written and edited by leading emergency psychiatrists, this is the first comprehensive text devoted to emergency psychiatry. The book blends the authors' clinical experience with evidence-based information, expert opinions, and American Psychiatric Association guidelines for emergency psychiatry. Case studies are used throughout to reinforce key clinical points. This text brings together relevant principles from many psychiatric subspecialties—community, consultation/liaison, psychotherapy, substance abuse, psychopharmacology, disaster, child, geriatric, administrative, forensic—as well as from emergency medicine, psychology, law, medical ethics, and public health policy. The emerging field of disaster psychiatry is also addressed. A companion Website offers instant access to the fully searchable text. (www.glickemergencypsychiatry.com) |
| emergency room mental health assessment: Evaluation of the Department of Veterans Affairs Mental Health Services National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee to Evaluate the Department of Veterans Affairs Mental Health Services, 2018-03-29 Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€related outcomesâ€in particular, suicideâ€at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services. |
| emergency room mental health assessment: Handbook of Emergency Psychiatry for Clinical Administrators Gail M. Barton, Rohn S. Friedman, 2018-09-24 Originally published in 1986, this volume presents the clinical and administrative aspects of emergency psychiatry from the point of view of the clinician administrator involved in organizing and running an emergency service. Part 1 provides an administrative overview of psychiatric emergency care – the development of the field, the concepts, the patient profile, the team, the architecture, fiscal planning, legal constraints as well as training and research issues. Part 2 describes psychiatric emergency care delivery systems in the emergency department, the average hospital wards, the community mental health centers and health maintenance organizations. Part 3 gives examples of the process of administration – in one instance how a psychiatric emergency service developed, in the other how one functions day to day and what themes recur administratively. Part 4 focuses on protocols and models useful to the emergency service administrator: protocols, records, standards of care, politics, liaison with the court, mobile response, collaborative arrangements and disaster preparedness. Part 5 provides an annotated bibliography which reviews and draws attention to the relevant literature for the clinicians and administrators to use in practicing emergency psychiatry. |
| emergency room mental health assessment: Improving the Quality of Health Care for Mental and Substance-Use Conditions Institute of Medicine, Board on Health Care Services, Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders, 2006-03-29 Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€use conditions will benefit from this guide to achieving better care. |
| emergency room mental health assessment: Textbook of Patient Safety and Clinical Risk Management Liam Donaldson, Walter Ricciardi, Susan Sheridan, Riccardo Tartaglia, 2020-12-14 Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties. |
| emergency room mental health assessment: Handbook of Emergency Psychiatry Hani R. Khouzam, Doris Tiu Tan, Tirath S. Gill, 2007-03-01 This user-friendly resource presents a patient-centered approach to managing the growing incidence of major psychiatric emergencies in the outpatient setting. Abundant illustrations, tables, and algorithms guide you through the wide range of disorders discussed, and a color-coded outline format facilitates rapid access to essential information necessary for making a proper diagnosis for optimal management outcomes. - Organizes information by patient presentation to help you distinguish among conditions that present with similar symptoms. - Discusses medical conditions presenting with psychiatric symptoms, where appropriate. - Highlights critical information in Hazard Signs boxes for quick, at-a-glance review. - Uses acronyms and memory aids to enhance recall of information in moments of crisis. - Features a chapter discussing the psychiatric effects of bioterrorism. - Offers an Improved Suicide Risk Scale with criteria on impulsivity, plan, and lethal level of attempt. - Provides valuable tips on interviewing and interacting with patients in various situations, as techniques will vary from depressed suicidal patients to manic and potentially assaultive individuals. - Includes appendixes that discuss common psychiatric medications used and important lab values in the ER. |
| emergency room mental health assessment: Massachusetts General Hospital Guide to Primary Care Psychiatry Theodore A. Stern, John B. Herman, Peter L. Slavin, 2004 From the leading psychiatry department in the world, comes the second edition of this unique, symptom-oriented approach to the diagnosis and treatment of psychiatric diseases. Features coverage of all the salient features of psychiatric diseases as well as new emphasis on evidence-based algorithms, psychopharmacological advances, and the pediatric patient. |
| emergency room mental health assessment: Homelessness, Health, and Human Needs Institute of Medicine, Committee on Health Care for Homeless People, 1988-02-01 There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field. |
| emergency room mental health assessment: Acute Psychiatric Emergencies Advanced Life Support Group (ALSG), 2020-03-30 Acute Psychiatric Emergencies is designed for all medical and healthcare professionals working with patients in mental health crisis. This manual is a key component of the Acute Psychiatric Emergencies (APEx) course, which uses a structured approach developed by leading psychiatry and emergency medicine specialists with years of practical experience. This valuable resource provides a practical approach for dealing with mental health emergencies, helping healthcare professionals from different specialties speak a common language and develop a shared understanding that expedites excellent care. The manual outlines the assessment and management of patients who have self-harmed, those that are apparently drunk, the patient behaving strangely, the patient with acute confusion, and those that are aggressive. Presents a structured, practical approach for the emergency care of patients presenting in acute psychiatric crisis Covers common presentations of psychiatric emergencies Emphasises close co-operation of emergency and mental health teams Offers content designed jointly by practicing psychiatrists and emergency physicians from the Advanced Life Support Group (ALSG) Acute Psychiatric Emergencies will be useful for practitioners of emergency medicine, psychiatry, emergency and mental health nursing as well as other mental health and crisis care professionals. |
| emergency room mental health assessment: Emergency Psychiatry Arjun Chanmugam, Arjun S. Chanmugam, Patrick Triplett, Gabor Kelen, 2013-05-09 A rapid reference for management of patients with psychiatric disorders for emergency department physicians, primary care and acute care providers. |
| emergency room mental health assessment: A Case-based Approach to Emergency Psychiatry Katherine Maloy, 2016 Working in an emergency department as a psychiatrist or mental health clinician requires an ability to gain a patient's rapport, establish a differential diagnosis, assess risk, and make disposition decisions in a fast-paced and potentially chaotic setting. A Case-Based Approach to Emergency Psychiatry, written by psychiatrists who work daily in the emergency setting, will assist the emergency department clinician in learning these skills through vivid, complex cases that illustrate basic principles of assessment, diagnosis, and treatment. |
| emergency room mental health assessment: Pocket Book of Hospital Care for Children World Health Organization, 2013 The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem. |
| emergency room mental health assessment: Mental Health Atlas 2017 World Health Organization, 2018-08-09 Collects together data compiled from 177 World Health Organization Member States/Countries on mental health care. Coverage includes policies, plans and laws for mental health, human and financial resources available, what types of facilities providing care, and mental health programmes for prevention and promotion. |
| emergency room mental health assessment: Psychiatric Clinical Skills David S Goldbloom, 2010 Psychiatric Clinical Skills is a practical guide to engaging and assessing people who have mental health problems. Written by a team of experienced clinicians, it focuses on what to ask and how to ask and covers a wide spectrum of clinical problems and settings. It includes a chapter written from the perspective of people who live with mental health problems. As well as covering the full range of mental health disorders, the guide includes informaition about: culture competence assessment of children, adolescents and older adults assessment of families use of standardized rating scales documentation. Each chapter includes easy-to-use features such as clinical vignettes, chapter overviews and key-point summaries. |
| emergency room mental health assessment: Emergency Care for Children Institute of Medicine, Board on Health Care Services, Committee on the Future of Emergency Care in the United States Health System, 2007-05-08 Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems. |
| emergency room mental health assessment: Emergency Triage Assessment and Treatment (ETAT) World Health Organization, 2005-10-25 The Manual for participants is also available separately (ISBN 9241546875) |
| emergency room mental health assessment: Vignettes in Patient Safety Michael S. Firstenberg, Stanislaw P. Stawicki, 2017-09-13 It is clearly recognized that medical errors represent a significant source of preventable healthcare-related morbidity and mortality. Furthermore, evidence shows that such complications are often the result of a series of smaller errors, missed opportunities, poor communication, breakdowns in established guidelines or protocols, or system-based deficiencies. While such events often start with the misadventures of an individual, it is how such events are managed that can determine outcomes and hopefully prevent future adverse events. The goal of Vignettes in Patient Safety is to illustrate and discuss, in a clinically relevant format, examples in which evidence-based approaches to patient care, using established methodologies to develop highly functional multidisciplinary teams, can help foster an institutional culture of patient safety and high-quality care delivery. |
| emergency room mental health assessment: Emergency Department Treatment of the Psychiatric Patient Susan Stefan, 2006-03-16 Many hospital emergency departments are overcrowded and short-staffed, with a limited number of available hospital beds. It is increasingly hard for emergency departments and their staff to provide the necessary level of care for medical patients. Caring for people with psychiatric disabilities raises different issues and calls on different skills. In Emergency Department Treatment of the Psychiatric Patient, Dr. Stefan uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders. She relies on interviews with emergency department nurses, doctors and psychiatrists, as well as surveys of people with psychiatric disabilities to present the perspectives of both the individuals seeking treatment, and those providing it. This eye-opening book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis. In addition to presenting a new analysis of the source of these problems, Dr. Stefan also suggests an array of alternatives to emergency department treatment for people in psychiatric crisis. Moreover, the author proposes standards for treatment of these individuals when they do inevitably end up in a hospital emergency department. Emergency Department Treatment of the Psychiatric Patient presents a thoughtful and thorough analysis of the difficulties faced by people with psychiatric disabilities when seeking emergency medical care. It is essential reading for anyone working in a hospital emergency department, as well as health care policy makers, and advocates and lawyers for people with psychiatric disabilities. |
| emergency room mental health assessment: InterRAI Emergency Screener for Psychiatry (ESP) Assessment Form and User's Manual Terry Rabinowitz, 2013 The interRAI Emergency Screener for Psychiatry (ESP) is a short screening tool for acute mental health emergency screening with a 24-hour observation period. It can be used in hospital settings, emergency departments and mobile crisis teams--Provided by publisher. |
| emergency room mental health assessment: Psychiatric Triage and Screening: Trends, Parameters, and Limitations When Evaluating Patients in an Emergency Room Setting Malik Abdur-Razzaq, 2011-08-08 Numerous societal factors have given rise to acute psychiatric conditions in patients referred for mental health evaluation and treatment at a specified emergency room (ER). Some of these risk factors include homelessness, domestic violence, unemployment |
| emergency room mental health assessment: Emergencies in Mental Health Practice Phillip M. Kleespies, 2000-01-27 Focusing on acute clinical situations in which there is an imminent risk of serious harm or death to self or others, this practical resource helps clinicians evaluate and manage a wide range of mental health emergencies. Authors examine how to distinguish crises that are emergencies from those that are not, and provide basic instruction in crisis theory and emergency interviewing. The volume then provides guidelines for intervening with suicidal patients, potentially violent patients, and vulnerable victims of violence, as well as patients facing life-and-death medical decisions, with careful attention to risk management and forensic issues. Also addressed are emergency-related conditions including self-mutilation, alcohol and drug-related crises, adverse reactions to psychotropic medication, and psychological symptoms of medical conditions. Finally, chapters consider the effects of emergency intervention on clinicians and offer suggestions for managing stress. |
| emergency room mental health assessment: Psychiatric Mental Health Assessment and Diagnosis of Adults for Advanced Practice Mental Health Nurses Kunsook S. Bernstein, Robert Kaplan, 2022-07-12 This text provides a comprehensive and evidence-based introduction to psychiatric mental health assessment and diagnosis in advanced nursing practice. Taking a clinical, case-based approach, this textbook is designed to support graduate nursing students who are studying psychiatric mental health nursing as they develop their reasoning and decision-making skills. It presents: Therapeutic communication and psychiatric interviewing techniques, alongside basic psychiatric terminologies. The major psychiatric diagnoses, drawing on the DSM-5. A step-by-step guide to conducting a comprehensive psychiatric mental health assessment. Case examples demonstrating assessment across major psychopathologies. Good practice for conducting mental health evaluations. This is an essential text for all those undertaking psychiatric mental health nurse practitioner programs and a valuable reference for advanced practice nurses in clinical practice. |
| emergency room mental health assessment: Mental Health in Emergency Care Peta Marks, 2022-10-25 Mental Health in Emergency Care takes a practical, scenario-based approach to help students and recent graduates hone their knowledge and skills to address the mental health needs of people presenting to emergency care settings. Featuring typical presentations across community, pre-hospital and hospital contexts, the scenarios demonstrate how clinicians can identify underlying mental health issues that can often go undetected and contribute to poor health outcomes. Mental Health in Emergency Care provides a framework for thinking about mental health in emergency settings, and how to develop mental health knowledge and skills that can be applied in order to provide more holistic care to all patients. - Emphasis on mental health core principles for practice - recovery, person-centered, trauma informed care, collaborative practice, cultural safety - Focus on essential mental health nursing skills and the importance of mental health triage and assessment as part of a comprehensive approach - 18 scenarios written for clinicians, by clinicians, based on typical presentations across community, pre-hospital and hospital contexts - Red flags for possible mental health issues provide practical support - Includes lived experience perspectives for in-depth understanding - Provides relevant information on what to say and what to do in an emergency setting - A focus on self-care within emergency care settings - An eBook included with print purchase |
| emergency room mental health assessment: Public Health Law Research Alexander C. Wagenaar, Scott Burris, 2013-05-08 Public Health Law Research: Theory and Methods definitively explores the mechanisms, theories and models central to public health law research – a growing field dedicated to measuring and studying law as a central means for advancing public health. Editors Alexander C. Wagenaar and Scott Burris outline integrated theory drawn from numerous disciplines in the social and behavioral sciences; specific mechanisms of legal effect and guidelines for collecting and coding empirical datasets of statutory and case law; optimal research designs for randomized trials and natural experiments for public health law evaluation; and methods for qualitative and cost-benefit studies of law.. They also discuss the challenge of effectively translating the results of scientific evaluations into public health laws and highlight the impact of this growing field. “How exactly the law can best be used as a tool for protecting and enhancing the public’s health has long been the subject of solely opinion and anecdote. Enter Public Health Law Research, a discipline designed to bring the bright light of science to the relationships between law and health. This book is a giant step forward in illuminating that subject.” -- Stephen Teret, JD, MPH, Professor, Director, Center for Law and the Public's Health, Johns Hopkins Bloomberg School of Public Health “Wagenaar and Burris bring a dose of much needed rigor to the empirical study of which public health law interventions really matter, and which don’t.” -- Bernard S. Black, JD, Chabraja Professor, Northwestern University Law School and Kellogg School of Management Companion Web site: www.josseybass.com/go/wagenaar |
| emergency room mental health assessment: Interpretive Description Sally Thorne, 2016-06-03 This book is designed to guide both new and more seasoned researchers through the steps of conceiving, designing, and implementing coherent research capable of generating new insights in clinical settings. Drawing from a variety of theoretical, methodological, and substantive strands, interpretive description provides a bridge between objective neutrality and abject theorizing, producing results that are academically credible, imaginative, and clinically practical. Replete with examples from a host of research settings in health care and other arenas, the volume will be an ideal text for applied research programs. |
| emergency room mental health assessment: An Introduction to Quality Assurance in Health Care Avedis Donabedian, 2002-12-26 Avedis Donabedian's name is synonymous with quality of medical care. He unraveled the mystery behind the concept by defining it in clear operational terms and provided detailed blueprints for both its measurement(known as quality assessment) and its improvement(known as quality assurance). Many before him claimed that quality couldn't be defined in concrete objective terms. He demonstrated that quality is an attribte of a system which he called structure, a set of organized activities whihc he called process, and an outcome which results from both. In this book Donabedian tells the full story of quality assessment and assurance in simple, clear terms. He defines the meaning of quality, explicates its components, and provides clear and systematic guides to its assessment and enhancement. His style is lucid, succinct, systematic and yet personal, almost conversational. |
| emergency room mental health assessment: Handbook of Mental Health Assessment and Treatment in Jails Virginia Barber-Rioja, Alexandra Garcia-Mansilla, Bipin Subedi, Ashley Batastini, 2023 Few places are more chaotic than jail. For incarcerated individuals and staff alike, the volatility of the jail environment is based in large part on its status as a temporary institution. Unlike prisons, where all incarcerated individuals have been convicted of a crime and are serving long sentences (typically of more than a year), jails overwhelmingly house individuals who are waiting a disposition to their court case (approximately 74%; Sawyer & Wagner, 2020); a minority of jailed individuals are also serving sentences under a year for minor offenses. While a jail is a temporary holding area for persons awaiting adjudication, temporary can mean days or years depending on factors often outside the control of the jailed person. In jails, people charged with violent felonies are often housed alongside citizens arrested for minor crimes as they all await a disposition to their case. Unlike in prison, where incarcerated individuals know the outcome of their case and sentence length, in jail these are unknowns-- |
| emergency room mental health assessment: Patient Safety in Emergency Medicine Pat Croskerry, Karen S. Cosby, 2009 With the increased emphasis on reducing medical errors in an emergency setting, this book will focus on patient safety within the emergency department, where preventable medical errors often occur. The book will provide both an overview of patient safety within health care—the 'culture of safety,' importance of teamwork, organizational change—and specific guidelines on issues such as medication safety, procedural complications, and clinician fatigue, to ensure quality care in the ED. Special sections discuss ED design, medication safety, and awareness of the 'culture of safety.' |
| emergency room mental health assessment: Forensic Mental Health Assessment Kirk Heilbrun, David DeMatteo, Stephanie Brooks Holliday, Casey LaDuke, 2014 Forensic mental health assessment (FMHA) continues to develop and expand as a specialization. Since the publication of the First Edition of Forensic Mental Health Assessment: A Casebook over a decade ago, there have been a number of significant changes in the applicable law, ethics, science, and practice that have shaped the conceptual and empirical underpinnings of FMHA. The Second Edition of Forensic Mental Health Assessment is thoroughly updated in light of the developments and changes in the field, while still keeping the unique structure of presenting cases, detailed reports, and specific teaching points on a wide range of topics. Unlike anything else in the literature, it provides genuine (although disguised) case material, so trainees as well as legal and mental health professionals can review how high-quality forensic evaluation reports are written; it features contributions from leading experts in forensic psychology and psychiatry, providing samples of work in their particular areas of specialization; and it discusses case material in the larger context of broad foundational principles and specific teaching points, making it a valuable resource for teaching, training, and continuing education. Now featuring 50 real-world cases, this new edition covers topics including criminal responsibility, sexual offending risk evaluation, federal sentencing, capital sentencing, capacity to consent to treatment, personal injury, harassment and discrimination, guardianship, juvenile commitment, transfer and decertification, response style, expert testimony, evaluations in a military context, and many more. It will be invaluable for anyone involved in assessments for the courts, including psychologists, psychiatrists, social workers, and attorneys, as well as for FMHA courses. |
| emergency room mental health assessment: Models of Emergency Psychiatric Services That Work Mary Jo Fitz-Gerald, Junji Takeshita, 2020-08-28 This book describes a spectrum of possible solutions to providing comprehensive emergency psychiatric care. It discusses in detail all components of emergency psychiatric care, such as triage, security, management of suicide risk, violent patients, interdisciplinary treatment teams, administration, and telepsychiatry. It has been written by and is of interest to psychiatrists, emergency medicine physicians, nurses, social workers, administrators, the police and security staff. |
| emergency room mental health assessment: Drug Misuse National Collaborating Centre for Mental Health, 2008 Sets out clear recommendations, based on the best available evidence, for healthcare staff on how to work with people who misuse drugs (specifically opioids, stimulants and cannabis) to significantly improve their treatment and care. |
| emergency room mental health assessment: Applied Research and Evaluation in Community Mental Health Services Evelyn Vingilis, Stephen A. State, 2011 Groundbreaking essays on improving community mental health care. |
Mental Health in Emergency Departments - Royal College of …
An appropriate room should be available for the assessment and assistance of people with mental health needs within the ED. These should meet the standards of the Psychiatric
Care of the Psychiatric Patient in the Emergency Department
Association of Emergency Psychiatry has proposed an assessment algorithm for procedures that should be performed prior to the initial evaluation, including an attempt at de-escalation to …
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Emergency Department Adult Mental Health Assessment Matrix. This Mental Health Assessment Matrix assists the ED practitioner in determining the risk the patient presents of self-harm or …
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Emergency Room Mental Health Assessment: Psychiatric Triage and Screening: Trends, Parameters, and Limitations When Evaluating Patients in an Emergency Room Setting Malik …
Psychiatric Evaluations in the Emergency Room 2014
This document outlines the generally accepted standard of care you should expect from professionals who perform psychiatric evaluations in the ER and also what you can do as a family …
Emergency Department Mental Health Triage Assessment Tool
Emergency Department Mental Health Triage and Risk Assessment Tool • Reflect on your own attitudes and beliefs around suicide, self harm and mental health • Describe increased …
Emergency Room Mental Health Assessment (book)
Emergency Room Mental Health Assessment Dr Katherine Maloy Psychiatric Triage and Screening: Trends, Parameters, and Limitations When Evaluating Patients in an Emergency Room
MENTAL HEALTH FOR EMERGENCY DEPARTMENTS
Accurate mental health triage is essential for the safe and effective delivery of mental health care in the ED. All patients presenting to EDs with mental health problems must be triaged appropriately. …
A brief guide to Section 136 for Emergency Departments
When a patient is brought to the ED under section 136 of the Mental Health Act; the nurse in charge and a senior clinician should review the patient with the police and ambulance crew to assess …
Guideline MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT IN …
responses to protect and improve people’s mental health and psychosocial well-being in the midst of an emergency. Populations affected by emergencies frequently experience enormous suffering.
Psychiatric Evaluations in the Emergency Room - NAMI Colorado …
This document outlines the generally accepted standard of care you should expect from professionals who perform psychiatric evaluations in the ER and also what you can do as a family …
Social Work and Case Management in the Emergency Department
23 Oct 2015 · mental health practitioners: assess and diagnose mental disorders. • Discharge planners, incorporating the patient’s social determinants into the follow-up plan • Grief …
Standards for Children and Young People in Emergency Care …
1. Emergency clinicians with responsibility for the care of children and young people receive training in how to assess and manage their mental health needs and support their family/carers 2. …
How are people’s mental health needs met in acute hospitals, and …
Between September 2017 and March 2019, mental health inspectors provided specialist support on 105 acute inspections to look at how well the mental health care needs of patients were being …
Centre for Clinical Effectiveness - Monash Health
The Innovation and Improvement team in collaboration with the Mental Health and Emergency Programs at Monash Health requested the Centre for Clinical Effectiveness identify available …
Selected Topics: Psychiatric Emergencies - ACEP
Patients who present to an emergency department (ED) with acute psychiatric symptoms typically require medi-cal screening, often termed ‘‘medical clearance’’ (MC).
Managing Psychiatric Patients in the Emergency Department
Learn about common psychiatric diagnoses, 1 in 4 people will have a psychiatric diagnosis in their life, far more common than broken bones . . . Participate in SECURE training and practice de …
MENTAL HEALTH ASSESSMENT UNIT (MHAU) - Royal Borough of …
How Kingston Hospital NHS Foundation Trust implemented a Mental Health Assessment Unit as an extension to their Emergency Department to support patients in crisis.
Mental Health Care in Emergency Departments: Qualitative data …
Mental health breaches have a broad impact on the functioning of the emergency services, affecting the experience and clinical outcomes of all patients, as well as financial consequences …
EYFS statutory framework for group and school-based providers
This Early Years Foundation Stage (EYFS) framework for group and school-based early years providers is mandatory1 for: all persons registered in England with Ofsted in the early years …
Mental Health in Emergency Departments - Royal College of Emergency …
The Core Principle of Mental Health in the Emergency Department: A patient presenting to ED with either a physical or mental health need should have access to ED staff that understand and can address their condition, and access to appropriate specialist services, regardless of their postcode, GP or time of arrival. Introduction.
Mental Health in Emergency Departments - Royal College of Emergency …
An appropriate room should be available for the assessment and assistance of people with mental health needs within the ED. These should meet the standards of the Psychiatric
Care of the Psychiatric Patient in the Emergency Department
Association of Emergency Psychiatry has proposed an assessment algorithm for procedures that should be performed prior to the initial evaluation, including an attempt at de-escalation to facilitate patient participation in the evaluation process. The first step—the initial assessm ent—is performed to place the
Emergency Department Adult Mental Health Assessment Matrix
Emergency Department Adult Mental Health Assessment Matrix. This Mental Health Assessment Matrix assists the ED practitioner in determining the risk the patient presents of self-harm or suicide as well as the risk of potential harm to staff. Risk assessment requires clinical judgement.
Emergency Room Mental Health Assessment [PDF]
Emergency Room Mental Health Assessment: Psychiatric Triage and Screening: Trends, Parameters, and Limitations When Evaluating Patients in an Emergency Room Setting Malik Abdur-Razzaq,2011-08-08 Numerous societal factors have given rise to acute psychiatric conditions in patients
Psychiatric Evaluations in the Emergency Room 2014
This document outlines the generally accepted standard of care you should expect from professionals who perform psychiatric evaluations in the ER and also what you can do as a family member to make sure the professional has access to the best information.
Emergency Department Mental Health Triage Assessment Tool
Emergency Department Mental Health Triage and Risk Assessment Tool • Reflect on your own attitudes and beliefs around suicide, self harm and mental health • Describe increased confidence and competence in dealing with mental health presentations and suicide/self harm behaviour in Emergency Departments •
Emergency Room Mental Health Assessment (book)
Emergency Room Mental Health Assessment Dr Katherine Maloy Psychiatric Triage and Screening: Trends, Parameters, and Limitations When Evaluating Patients in an Emergency Room
MENTAL HEALTH FOR EMERGENCY DEPARTMENTS
Accurate mental health triage is essential for the safe and effective delivery of mental health care in the ED. All patients presenting to EDs with mental health problems must be triaged appropriately. The triage assessment will determine: • Urgency – using the mental health/behavioural indicators of the Australasian Triage Scale
A brief guide to Section 136 for Emergency Departments
When a patient is brought to the ED under section 136 of the Mental Health Act; the nurse in charge and a senior clinician should review the patient with the police and ambulance crew to assess their medical needs and review their risks to self and others.
Guideline MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT IN EMERGENCY …
responses to protect and improve people’s mental health and psychosocial well-being in the midst of an emergency. Populations affected by emergencies frequently experience enormous suffering.
Psychiatric Evaluations in the Emergency Room - NAMI …
This document outlines the generally accepted standard of care you should expect from professionals who perform psychiatric evaluations in the ER and also what you can do as a family member to make sure the professional has access to the best information.
Social Work and Case Management in the Emergency Department
23 Oct 2015 · mental health practitioners: assess and diagnose mental disorders. • Discharge planners, incorporating the patient’s social determinants into the follow-up plan • Grief counseling (trauma, sudden death)
Standards for Children and Young People in Emergency Care Settings …
1. Emergency clinicians with responsibility for the care of children and young people receive training in how to assess and manage their mental health needs and support their family/carers 2. Emergency clinicians are familiar with current legislation surrounding consent, confidentiality, mental capacity and safeguarding 3.
How are people’s mental health needs met in acute hospitals, …
Between September 2017 and March 2019, mental health inspectors provided specialist support on 105 acute inspections to look at how well the mental health care needs of patients were being met across the trusts in emergency departments, acute medical wards, maternity wards, and children and young people’s services.
Centre for Clinical Effectiveness - Monash Health
The Innovation and Improvement team in collaboration with the Mental Health and Emergency Programs at Monash Health requested the Centre for Clinical Effectiveness identify available evidence to inform a model of care for mental health patients presenting to …
Selected Topics: Psychiatric Emergencies - ACEP
Patients who present to an emergency department (ED) with acute psychiatric symptoms typically require medi-cal screening, often termed ‘‘medical clearance’’ (MC).
Managing Psychiatric Patients in the Emergency Department
Learn about common psychiatric diagnoses, 1 in 4 people will have a psychiatric diagnosis in their life, far more common than broken bones . . . Participate in SECURE training and practice de-escalation to improve your confidence and comfort with patients in behavioral crisis.
MENTAL HEALTH ASSESSMENT UNIT (MHAU) - Royal Borough …
How Kingston Hospital NHS Foundation Trust implemented a Mental Health Assessment Unit as an extension to their Emergency Department to support patients in crisis.
Mental Health Care in Emergency Departments: Qualitative data …
Mental health breaches have a broad impact on the functioning of the emergency services, affecting the experience and clinical outcomes of all patients, as well as financial consequences for Trusts. Evidence shows that 1 in 10 mental health patients in ED abscond and anecdotal evidence from clinicians indicates that many have a poor experience.
EYFS statutory framework for group and school-based providers
This Early Years Foundation Stage (EYFS) framework for group and school-based early years providers is mandatory1 for: all persons registered in England with Ofsted in the early years register, or with an early years childminder agency (CMA): to provide early years childcare on domestic premises (CoDPs) 2; or.
