Kaskey G B, Ianzito B M
Hosp Community Psychiatry. 1984 Dec;35(12):1220-2. doi: 10.1176/ps.35.12.1220.
The increasing number of deinstitutionalized patients in crisis are placing new demands on general hospital emergency rooms. The authors discuss the approaches used in staffing and operating a psychiatric emergency service at a large general hospital in western Massachusetts. After studying the disposition of patients seen on the service, the authors determined that overnight hospitalization and crisis management could substantially reduce the need for longer hospital admissions. Subsequently a proposal was developed for a seven-bed emergency psychiatric treatment unit to provide brief, intensive psychiatric care for both voluntary and involuntary inpatients. The authors describe the staffing and layout of the unit, and the population to be served.
越来越多处于危机中的非住院患者给综合医院急诊室带来了新的需求。作者们讨论了在马萨诸塞州西部一家大型综合医院配备人员和运营精神科急诊服务所采用的方法。在研究了该服务中患者的处置情况后，作者们确定过夜住院和危机管理可以大幅减少长期住院的需求。随后制定了一项关于设立一个有七张床位的急诊精神科治疗单元的提议，为自愿和非自愿住院患者提供短期、强化的精神科护理。作者们描述了该单元的人员配备、布局以及服务对象。
