Nurius P S
Int J Psychiatry Med. 1983;13(3):239-54. doi: 10.2190/4fk1-btdj-af27-htjm.
Recent rapid and significant changes in the utilization patterns of emergency psychiatric services have culminated in markedly different patient profiles and intervention needs than those for which these services were originally intended. The resultant overextension and inappropriate utilization of the emergency unit have served to seriously jeopardize treatment efficacy and efficiency and to exacerbate the stress and difficulties associated with providing mental health intervention in an emergency room setting. Study findings of the patient profiles and patterns of use of emergency psychiatric services of a large metropolitan hospital are reported and examined in relation to these issues. Implications for a restructuring of treatment orientation and of the use of facility resources are discussed.
近期，急诊精神科服务利用模式发生了迅速且显著的变化，最终导致患者情况和干预需求与这些服务最初的设计大不相同。急诊室由此出现的过度扩张和不当利用，严重损害了治疗效果和效率，加剧了在急诊室环境中提供心理健康干预所带来的压力和困难。本文报告并研究了一家大型都市医院急诊精神科服务的患者情况及使用模式的研究结果，并探讨了这些问题对调整治疗方向和设施资源使用的影响。
