Coates Dominiek
J Psychosoc Nurs Ment Health Serv. 2018 Aug 1;56(8):23-30. doi: 10.3928/02793695-20180212-01. Epub 2018 Feb 16.
There is variation in the way mental health services respond to urgent and emergency presentations, with few evidence-based models reported in the literature, and no agreed on best practice models. To inform the development of urgent and emergency psychiatric care models, a literature review was performed. The review sought to identify strengths and critiques of varying models, evidence gaps, and areas for future research. After review, significant variation was found in the design and scope of urgent and emergency care models. Most models are either community or hospital based, with few integrated models that span community and hospital care. The development of integrated models has the potential to reduce service duplication and support a shift toward provision of least restrictive care. The overall evidence base of urgent and emergency care models is limited, with few studies in the area, and there is a need for further research. [Journal of Psychosocial Nursing and Mental Health Services, 56(8), 23-30.].
心理健康服务机构对紧急情况的应对方式存在差异，文献中报道的循证模型很少，也没有公认的最佳实践模型。为了为紧急精神科护理模型的开发提供参考，我们进行了一项文献综述。该综述旨在确定不同模型的优势和批评意见、证据空白以及未来研究的领域。经过综述发现，紧急护理模型的设计和范围存在显著差异。大多数模型要么基于社区，要么基于医院，很少有跨越社区和医院护理的综合模型。综合模型的开发有可能减少服务重复，并支持向提供限制最少的护理方式转变。紧急护理模型的总体证据基础有限，该领域的研究很少，因此需要进一步研究。[《心理社会护理与心理健康服务杂志》，56(8)，23 - 30。]
