Boudreaux Jason G, Crapanzano Kathleen A, Jones Glenn N, Jeider Thomas A, Dodge Vincent H, Hebert Marianne J, Kasofsky Jan M
LSU-OLOL Psychiatry Residency Program, LSUHSC Medical Education and Innovation Center, LSU Health Baton Rouge, 5246 Brittany Drive, Baton Rouge, LA, 70808, USA.
Emergency Medicine Residency Program, LSU Health Baton Rouge, Baton Rouge, LA, USA.
Community Ment Health J. 2016 Nov;52(8):1009-1014. doi: 10.1007/s10597-015-9935-8. Epub 2015 Sep 11.
Engagement in treatment for a person having a behavioral health crisis is critical to fully address the concerns of the individual as well as to prevent future crises. This study explored the benefits of establishing outreach visits from a local community mental health provider to psychiatric patients in an emergency department. Using retrospective analysis of data collected by a local mental health agency, the effect of receiving face to face contact in the emergency room with a community mental health worker (and/or telephone follow up) was compared to no outreach interaction. The effect of this intervention was a significant increase in initial appointment attendance at the local mental health clinic in the aftermath of a psychiatric crisis. Community mental health services provided in partnership with community emergency departments may improve patient engagement in aftercare and consequently help alleviate future behavioral health crises as well as return visits to the emergency department.
对于处于行为健康危机中的人而言，参与治疗对于全面解决个人担忧以及预防未来危机至关重要。本研究探讨了当地社区心理健康服务提供者对急诊科精神病患者进行外展探访的益处。通过对当地一家心理健康机构收集的数据进行回顾性分析，将在急诊室与社区心理健康工作者进行面对面接触（和/或电话随访）的效果与无外展互动的效果进行了比较。这种干预措施的效果是，在精神病危机过后，当地心理健康诊所的首次预约就诊率显著提高。与社区急诊科合作提供的社区心理健康服务可能会提高患者对后续护理的参与度，从而有助于缓解未来的行为健康危机以及减少急诊室的复诊次数。
