Abstract

Abstract Emergency Departments (EDs) continue to experience a rise in presentations and an even greater rise in mental health presentations. An older person in a mental health crisis presenting to the ED is more likely to experience

Highlights

  • Emergency Departments (EDs) are on the front line for individuals presenting with a range of acute mental health crises requiring urgent assessment and support [1]

  • According to the Client Management Interface (CMI), there were 303 adolescents admitted to the mental health adolescent unit, 1,392 adults admitted to the mental health ward, and 128 aged persons admitted to the aged persons mental health ward

  • The average ED length of stay (ED-LOS) for adults admitted to the mental health ward from the ED was 684.37 minutes (11.4 hours), with a range of 195 minutes (3.3 hours) to1296 minutes (21.6 hours)

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Summary

Introduction

Emergency Departments (EDs) are on the front line for individuals presenting with a range of acute mental health crises requiring urgent assessment and support [1]. These types of presentations continue to increase by about 6.5% each year, more than triple the amount of ED physical health presentations [2], creating significant demand on resources. Individuals requiring any type of admission to a hospital ward regularly experience an extended ED length of stay (ED-LOS) [5] These lengthy times in the ED have a range of poor consequences for the individual and the organisation. For the organisation, extended ED-LOS can result in an access block to hospital services, overcrowding of the ED [7], and higher organisational costs [8]

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