邀请紧急医疗服务参与改善行为健康紧急呼叫的后期管理：一项范围综述的研究方案。

Engaging emergency medical services to improve postacute management of behavioural health emergency calls: a protocol of a scoping literature review.

机构信息

Department of Population and Public Health Sciences, University of Southern California, Los Angeles, California, USA.

Division of Community Internal Medicine, Geriatrics, and Palliative Care, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.

出版信息

BMJ Open. 2023 Mar 13;13(3):e067272. doi: 10.1136/bmjopen-2022-067272.

DOI:10.1136/bmjopen-2022-067272

PMID:36914186

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10016281/

Abstract

INTRODUCTION

The public health crisis of escalating mental health, behavioural and substance-related emergencies has revealed the need to approach these complex events from a health perspective, rather than the traditional criminal justice standpoint. Despite law enforcement officers often being the first responders to emergency calls concerning self or bystander harm, they are not optimally equipped to manage these crises holistically or to connect affected individuals to necessary medical treatment and social support. Paramedics and other emergency medical services (EMS) providers are well positioned to deliver comprehensive medicosocial care during and in the immediate aftermath of these emergencies, moving beyond their traditional role in emergency evaluation, stabilisation and transport to a higher level of care. The role of EMS in bridging this gap and helping shift emphasis to mental and physical health needs in crisis situations has not been examined in prior reviews.

METHODS AND ANALYSIS

In this protocol, we delineate our approach to describing existing EMS programmes that focus specifically on supporting individuals and communities experiencing mental, behavioural and substance-related health crises. The databases to be searched are EBSCO CINAHL, Ovid Cochrane Central Register of Controlled Trials, Ovid Embase, Ovid Medline, Ovid PsycINFO and Web of Science Core Collection, with search date limits being from database inception to 14 July 2022. A narrative synthesis will be completed to characterise populations and situations targeted by the programmes, describe programme staffing and composition, detail the interventions and identify collected outcomes.

ETHICS AND DISSEMINATION

All data in the review will be publicly accessible and published previously, so approval by a research ethics board is not needed. Our findings will be published in a peer-reviewed journal and shared with the public.

TRIAL REGISTRATION NUMBER

https://doi.org/10.17605/OSF.IO/UYV4R.

摘要

简介

精神健康、行为和与物质相关的紧急情况不断升级，这一公共卫生危机凸显了从健康角度而非传统刑事司法立场来处理这些复杂事件的必要性。尽管执法人员通常是接到涉及自身或旁观者伤害的紧急求助电话的第一批响应者，但他们在全面管理这些危机或将受影响的个人与必要的医疗和社会支持联系起来方面，并未做好充分准备。护理人员和其他紧急医疗服务（EMS）提供者在这些紧急情况期间和之后立即提供全面的医疗社会护理的能力，使他们超越了传统的紧急评估、稳定和运输角色，进入更高水平的护理。EMS 在弥合这一差距、帮助将重点转移到危机情况下的精神和身体健康需求方面的作用，在之前的综述中并未得到检验。

方法和分析

在本方案中，我们描述了一种方法，用于描述专门支持经历精神、行为和与物质相关健康危机的个人和社区的现有 EMS 计划。将搜索的数据库是 EBSCO CINAHL、Ovid Cochrane 中央对照试验注册中心、Ovid Embase、Ovid Medline、Ovid PsycINFO 和 Web of Science 核心合集，搜索日期限制为从数据库创建到 2022 年 7 月 14 日。将完成叙述性综合，以描述计划针对的人群和情况，描述计划人员配备和组成，详细说明干预措施并确定收集的结果。