Brennaman Laura, Boursaw Blake, Christy Annette, Meize-Growchowski Robin
Florida Community Health Action Information Network (CHAIN), Coconut Creek, FL, USA.
College of Nursing, University of New Mexico, Albuquerque, NM, USA.
J Behav Health Serv Res. 2017 Oct;44(4):666-683. doi: 10.1007/s11414-015-9487-2.
Delayed access to involuntary mental health examination for people who receive care in emergency departments (EDs) was examined, and factors that influenced delayed access were explored. A retrospective review of records for the 12 months prior to data collection was conducted to address the study questions. The health services utilization model served as the conceptual framework for this study. Societal, system, and individual factors were considered in examining access to involuntary emergency mental health examination by adult ED patients. Records of 170 people who sought care in EDs and who required involuntary mental health examinations at two hospitals in Florida served as the sources for study data. The mean duration of delay was 14.9 h. The determinants that were significantly associated with longer delays were being male, increased age, and intoxication. The findings can inform the allocation of resources to increase opportunities for positive long-term outcomes following involuntary care.
对在急诊科接受治疗的患者延迟接受非自愿心理健康检查的情况进行了调查,并探讨了影响延迟接受检查的因素。为回答研究问题,对数据收集前12个月的记录进行了回顾性审查。卫生服务利用模型作为本研究的概念框架。在研究成年急诊科患者接受非自愿紧急心理健康检查的情况时,考虑了社会、系统和个人因素。佛罗里达州两家医院170名在急诊科就诊且需要进行非自愿心理健康检查的患者记录作为研究数据来源。延迟的平均时长为14.9小时。与较长延迟显著相关的决定因素是男性、年龄增加和中毒。这些研究结果可为资源分配提供参考,以增加非自愿治疗后实现积极长期结果的机会。