Disease-A-Month
Volume 53, Issue 11 , Pages 536-580 , November 2007

Best Practices for the Treatment of Patients with Mental and Substance Use Illnesses in the Emergency Department

References 

  1. Illinois Hospital Association. 2005 Emergency Department Utilization Survey. Naperville, IL: The Illinois Hospital Association; 2006;
  2. American College of Emergency Physicians. Emergency Departments See Dramatic Increase in People with Mental Illness. Washington, DC: American College of Emergency Physicians; 2004;
  3. The Lewin Group. Emergency Departments—An Essential Access Point to Care. http://www.aha.org/aha/trendwatch/2001/twmarch2001.pdf2001;AHA Trend Watch, 3, 1
  4. Institute of Medicine. Hospital-Based-Emergency Care: At the Breaking Point (Committee on the Future of Emergency Care in the U.S. Health System). Washington, DC: National Academy Press; 2006;
  5. Illinois Hospital Association. Memorandum: Psychiatric Bed Data. Naperville, IL: Illinois Hospital Association; 2004;
  6. Institute of Medicine. Hospital-Based-Emergency Care: At the Breaking Point (Committee on the Future of Emergency Care in the U.S. Health System). Washington, DC: National Academy Press; 2006;
  7. Larkin GL, Claassen A, Emond JA. Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatr Serv. 2005;56:671–677
  8. Mental Health Summit. http://mentalhealthsummit.uchicago.edu/facilities/index.shtml2007;
  9. Illinois Hospital Association. Memorandum: Psychiatric Bed Data. Naperville, IL: Illinois Hospital Association; 2004;
  10. Haugh R. Stressed out (Hospitals and health networks, Health Forum). 2007;April 2.
  11. Substance Abuse and Mental Health Services Administration. Blueprint for Change: Ending Chronic Homelessness for Persons with Serious Mental Illnesses and Co-Occurring Substance Use Disorders. DHHS Pub. No. SMA-04-3870 Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2003;
  12. The Kaiser Commission Medicaid and the Uninsured (The Uninsured: A Primer). 2006;October.
  13. Institute of Medicine. Hospital-Based-Emergency Care: At the Breaking Point (Committee on the Future of Emergency Care in the U.S. Health System). Washington, DC: National Academy Press; 2006;
  14. Rockville, MD President’s New Freedom Commission on Mental Health. Achieving the Promise: Transforming Mental Health Care in America (Final Report). http://www.mentalhealthcommission.gov2003;
  15. Institute of Medicine. Hospital-Based-Emergency Care: At the Breaking Point (Committee on the Future of Emergency Care in the U.S. Health System). Washington, DC: National Academy Press; 2006;
  16. American College of Emergency Physicians. Emergency Departments See Dramatic Increase in People with Mental Illness. Washington, DC: American College of Emergency Physicians; 2004;
  17. Dankwa C, Minor K. National Center for Rural Health Professions. Rockford, IL: University of Illinois at Rockford; 2003;
  18. Substance Abuse and Mental Health Services Administration. Drug Abuse Warning Network, 2005: National Estimates of Drug-Related Emergency Department Visits. http://oas.samhsa.gov/DAWN/2k5ed.cfmMarch, 2007. SAMHSA’s Office of Applied Studies
  19. Substance Abuse and Mental Health Services Administration. Blueprint for Change: Ending Chronic Homelessness for Persons with Serious Mental Illnesses and Co-Occurring Substance Use Disorders. DHHS Pub. No. SMA-04-3870 Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2003;
  20. The Lewin Group. Emergency Departments—An Essential Access Point to Care. AHA Trend Watch, 3, 1 http://www.aha.org/aha/trendwatch/2001/twmarch2001.pdf2001;March
  21. Illinois Hospital Association COMPdata (Adult Behavioral Health). Naperville, IL: COMPdata Monthly Monitor; 2005;April/May.
  22. Illinois Hospital Association. 2005 Emergency Department Utilization Survey. Naperville, IL: The Illinois Hospital Association; 2006;
  23. Smart D, Pollard C, Walpole B. Mental health triage in emergency medicine. Aust NZ J Psychiatry. 1999;33:57–66
  24. Lukens TW, Wolf SJ, Edlow JA, et al. Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Ann Emerg Med. 2006;47(1):79–99
  25. Zun LS. Evidence-based evaluation of psychiatric patients. J Emerg Med. 2004;28(1):35–39
  26. Zun LS, Leikin JB, Stotland NL, et al. A tool for the emergency medicine evaluation of psychiatric patients. Am J Emerg Med. 1996;14(3):329–333
  27. Zun LS, Hernandez R, Thompson R, et al. Comparison of EPs’ and psychiatrists’ laboratory assessment of psychiatric patients. Am J Emerg Med. 2004;22:175–180
  28. Massachusetts College of Emergency Physicians and Massachusetts Psychiatric Society. Consensus statement on Medical Clearance. www.macep.org/practice _information/medical_clearance.htm2003;
  29. Lukens TW, Wolf SJ, Edlow JA, et al. Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Ann Emerg Med. 2006;47(1):79–9983
  30. Massachusetts College of Emergency Physicians and Massachusetts Psychiatric Society. Consensus statement on Medical Clearance. www.macep.org/practice _information/medical_clearance.htm2003;
  31. Lukens TW, Wolf SJ, Edlow JA, et al. Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Ann Emerg Med. 2006;47(1):79–99
  32. Lukens TW, Wolf SJ, Edlow JA, et al. Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Ann Emerg Med. 2006;47(1):79–99
  33. Second Edition American Psychiatric Association. Practice Guideline for the Psychiatric Evaluation of Adults. http://www.psych.org/psych_pract/treatg/pg/PsychEval2ePG_04-28-06.pdf2006;
  34. Frank R, Fawcett L, Emmerson B. Development of Australia’s first psychiatric emergency centre. Australas Psychiatry. 2005;13(3):266–272
  35. Wand T. Psychiatric emergency centres, reinforcing the separation of mind and body. Int J Mental Health Nurs. 2005;14:218–219
  36. Illinois Mental Health and Developmental Disabilities Code 405. ILCS. 5/1-122.
  37. Illinois Hospital Association. 2005 Emergency Department Utilization Survey. Naperville, IL: The Illinois Hospital Association; 2006;
  38. Wright ER, Linde B, Rau NL, et al. The effect of organizational climate on the clinical care of patients with mental health problems. J Emerg Nurs. 2003;29(4):314–321
  39. Wright ER, Linde B, Rau NL, et al. The effect of organizational climate on the clinical care of patients with mental health problems. J Emerg Nurs. 2003;29(4):314–321
  40. In:  Kohen T,  Corrigan JM,  Donaldson MS editor. To err is human: Building a safer health system. Washington, DC: National Academy Press; 2000;
  41. Institute of Medicine. Improving the Quality of Health Care for Mental and Substance-Use Conditions (Crossing the Quality Charm: Adaptation for Mental Health and Addictive Disorders). In:  Daniels A,  England MJ,  Page A, et al. editor. Washington, DC: National Academy Press; 2006;

 The information contained in this report reflects the views of the authors of the research cited and of the members of the Illinois Hospital Association Behavioral Health Constituency Section Steering Committee and its Best Practices Task Force. The “best practices” described in this report are offered to aid in the consideration and discussion of practices that might be appropriate for an institution, based on the circumstances at that institution. They do not constitute either clinical or legal advice. It is also important to remember that “best practices” reflect current knowledge and practice, and necessarily evolve with time and experience.

PII: S0011-5029(07)00111-3

doi: 10.1016/j.disamonth.2007.10.001

Disease-A-Month
Volume 53, Issue 11 , Pages 536-580 , November 2007