Abstract
The organisation of psychiatric emergency services varies widely in the UK. These can usefully be viewed as a spectrum. At one end are traditional services where the GP acts as the primary filter to admissions. At the other extreme are crisis intervention teams aimed at managing the patient in the community. Somewhere along this spectrum of service provision lie the emergency walk-in clinics. There have been few studies on how effective these different arrangements are.
Highlights
The organisation of psychiatric emergency services varies widelyin the UK
Referrals come from a variety of sources including nearby casualty departments where they are first assessed by the casualty officer and screened by the on-call psychiatrist
Diagnosis, legal status and previous contact with the service were obtained from the interim hospital discharge letter
Summary
Barrow Hospital is a hospital with 265 beds on the southern slopes of Bristol It services a multi-ethnic population drawn from both rural and urban areas including nearby Weston-Super-Mare. Referrals come from a variety of sources including nearby casualty departments where they are first assessed by the casualty officer and screened by the on-call psychiatrist. (a) Referral source GP referrals accounted for 25.1% of "routine" and 40.6% of "out of hours" admissions (/>
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