Academic Journal
Improving emergency department care for adults presenting with mental illness: a systematic review of strategies and their impact on outcomes, experience, and performance.
| العنوان: | Improving emergency department care for adults presenting with mental illness: a systematic review of strategies and their impact on outcomes, experience, and performance. |
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| المؤلفون: | Austin, Elizabeth E, Cheek, Colleen, Richardson, Lieke, Testa, Luke, Dominello, Amanda, Long, Janet C, Carrigan, Ann, Ellis, Louise A, Norman, Alicia, Murphy, Margaret, Smith, Kylie, Gillies, Donna, Clay-Williams, Robyn |
| بيانات النشر: | Frontiers Research Foundation |
| سنة النشر: | 2024 |
| المجموعة: | National Documentation Centre on Drug Use |
| مصطلحات موضوعية: | Substances in general, Mental health, Substance related mental health disorder, Patient / client care management, Patient / client attitude toward treatment (experience), Mental health care (Psychiatry / Psychology), Emergency care, Health care delivery, Adult, International |
| الوصف: | BACKGROUND: Care delivery for the increasing number of people presenting at hospital emergency departments (EDs) with mental illness is a challenging issue. This review aimed to synthesise the research evidence associated with strategies used to improve ED care delivery outcomes, experience, and performance for adults presenting with mental illness. METHOD: We systematically reviewed the evidence regarding the effects of ED-based interventions for mental illness on patient outcomes, patient experience, and system performance, using a comprehensive search strategy designed to identify published empirical studies. Systematic searches in Scopus, Ovid Embase, CINAHL, and Medline were conducted in September 2023 (from inception; review protocol was prospectively registered in Prospero CRD42023466062). Eligibility criteria were as follows: (1) primary research study, published in English; and (2) (a) reported an implemented model of care or system change within the hospital ED context, (b) focused on adult mental illness presentations, and (c) evaluated system performance, patient outcomes, patient experience, or staff experience. Pairs of reviewers independently assessed study titles, abstracts, and full texts according to pre-established inclusion criteria with discrepancies resolved by a third reviewer. Independent reviewers extracted data from the included papers using Covidence (2023), and the quality of included studies was assessed using the Joanna Briggs Institute suite of critical appraisal tools. RESULTS: A narrative synthesis was performed on the included 46 studies, comprising pre-post ( = 23), quasi-experimental ( = 6), descriptive ( = 6), randomised controlled trial (RCT; = 3), cohort ( = 2), cross-sectional ( = 2), qualitative ( = 2), realist evaluation ( = 1), and time series analysis studies ( = 1). Eleven articles focused on presentations related to substance use disorder presentation, 9 focused on suicide and deliberate self-harm presentations, and 26 reported mental illness presentations in ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| Relation: | Austin, Elizabeth E and Cheek, Colleen and Richardson, Lieke and Testa, Luke and Dominello, Amanda and Long, Janet C and Carrigan, Ann and Ellis, Louise A and Norman, Alicia and Murphy, Margaret and Smith, Kylie and Gillies, Donna and Clay-Williams, Robyn (2024) Improving emergency department care for adults presenting with mental illness: a systematic review of strategies and their impact on outcomes, experience, and performance. Frontiers in Psychiatry, 15, 1368129. https://doi.org/10.3389/fpsyt.2024.1368129. |
| DOI: | 10.3389/fpsyt.2024.1368129/full |
| DOI: | 10.3389/fpsyt.2024.1368129 |
| الاتاحة: | https://www.drugsandalcohol.ie/40700/ https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1368129/full https://doi.org/10.3389/fpsyt.2024.1368129 |
| رقم الانضمام: | edsbas.23809FEA |
| قاعدة البيانات: | BASE |
| DOI: | 10.3389/fpsyt.2024.1368129/full |
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