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A Psychiatric Emergency Clinic: A Study of Attendances Over Six Months

Published online by Cambridge University Press:  29 January 2018

Meng Hooi Lim
Meng Hooi Lim*
Affiliation:
The Middlesex Hospital, London W1N 8AA, and The Bethlem Royal and Maudsley Hospitals, London SE5 8AF
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Summary

Two thousand three hundred and ninety consecutive visits to a walk-in psychiatric emergency service were studied to examine issues relevant to service provision. Only a third of patients were from the catchment area. Psychotic patients and those admitted or kept overnight (guests) were more frequent after hours and among non-medical referrals, especially family and police referrals; but suicidal patients often came from other hospitals. At index visit a third of patients were offered follow-up, but attendance was poor. Factors influencing attendance were examined. Keeping overnight avoided unnecessary admissions. There was little evidence that patients abused the service.

The findings suggest that a psychiatric emergency service should be available to all referrals 24 hours a day.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 143 , Issue 5 , November 1983 , pp. 460 - 466
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

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References

Anstee, B. H. (1972) Psychiatry in the casualty department. British Journal of Psychiatry, 120, 625–9.CrossRefGoogle ScholarPubMed
Bassuk, E. L., Winter, R. & Apsler, R. (1983) Cross-cultural comparison of British and American psychiatric emergencies. American Journal of Psychiatry, 140, 2, 180–4.Google ScholarPubMed
Berrios, G. E. (1982) Psychiatric emergencies. Hospital Update, 8, 303–14.Google Scholar
Bouras, N. & Brough, D. I. (1982) The development of the Mental Health Advice Centre in Lewisham Health District. Health Trends, 14, 65–9.Google Scholar
Bouras, N. & Tufnell, G. (1983) Mental Health Advice Centre: The Crisis Intervention Team. Research Report 2. Lewisham and North Southwark Health Authority.Google Scholar
Bowman, M. J. & Sturgeon, D. A. (1977) A clinic within a general hospital for the assessment of urgent psychiatric problems. Lancet, ii, 1067–8.Google Scholar
Brothwood, J. (1965) The work of a psychiatric emergency clinic. British Journal of Psychiatry, 111, 631–4.Google Scholar
Caplan, G. (1964) Principles of Preventive Psychiatry. London: Tavistock Publications.Google Scholar
Cooper, J. E. (1979) Crisis Admission Units and Emergency Psychiatric Services. Public Health in Europe 11. Copenhagen: World Health Organization.Google Scholar
Eastwood, M. R., Mindham, R. H. S. & Tennant, T. G. (1970) The physical status of psychiatric emergencies. British Journal of Psychiatry, 116, 545–50.CrossRefGoogle ScholarPubMed
Faris, E. L. & Dunham, H. W. (1960) Mental Disorders in Urban Areas: An Ecological Study of Schizophrenia and Other Psychoses. New York: Hafner.Google Scholar
Gerson, S. & Bassuk, E. (1980) Psychiatric emergencies: an overview. American Journal of Psychiatry, 137, 1, 1–11.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community: The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Goldberg, D., Kay, C. & Thompson, L. (1976) Psychiatric morbidity in general practice and the community. Psychological Medicine, 6, 565–9.Google ScholarPubMed
Grad, J. & Sainsbury, P. (1968) The effects that patients have on their families in a community care and a control psychiatric service—a two-year follow-up. British Journal of Psychiatry, 114, 265–78.CrossRefGoogle Scholar
Hare, E. H. (1971) Triennial Statistical Report: Years 1967–1969. London: the Bethlem Royal Hospital and the Maudsley Hospital.Google Scholar
Hauxwell, J. (1971) A social worker's view of an emergency clinic—its workers and users. British Journal of Social Work, 1, 3, 305–14.Google Scholar
Horwitz, A. (1977) The pathways into psychiatric treatment: some differences between men and women. Journal of Health and Social Behaviour, 18, 169–78.CrossRefGoogle ScholarPubMed
Jones, K. (1982) Scull's dilemma. British Journal of Psychiatry, 141, 221–6.Google Scholar
Marks, J. N., Goldberg, D. P. & Hillier, V. F. (1979) Determinants of the ability of general practitioners to detect psychiatric illness. Psychological Medicine, 9, 337–53.CrossRefGoogle ScholarPubMed
Mindham, R. H. S., Kelleher, M. J. & Birley, J. L. T. (1973) A psychiatric casualty department. Lancet, ii, 1169–71.Google Scholar
Morrice, J. K. W. (1968) Emergency psychiatry. British Journal of Psychiatry, 114, 485–91.Google Scholar
Nie, N. H., Hull, C. H., Jenkins, J. C., Steinbrenner, K. & Brent, D. H. (1975) Statistical Package for the Social Sciences. 2nd edition. New York: McGraw Hill.Google Scholar
Ratna, L. (1979) The Practice of Psychiatric Crisis Intervention. League of Friends, Napsbury Hospital, St. Albans, Herts.Google Scholar
Ratna, L. (1982) Crisis intervention in psychogeriatrics: a two-year follow-up study. British Journal of Psychiatry, 141, 296–301.Google Scholar
Satin, D. G. (1971) Help!: prevalence and disposition of psycho-social problems in the hospital emergency unit. Social Psychiatry, 6, 105–13.Google Scholar
Scott, P. D. (1977) Assessing dangerousness in criminals. British Journal of Psychiatry, 131, 127–42.Google Scholar
Shepherd, M., Cooper, B., Brown, A. & Kalton, G. (1966) Psychiatric Illness in General Practice. London: Oxford University Press.Google Scholar
Smout, S. M., Scott, M. & Fisher, P. (1983) Psychiatric crisis intervention in Tunbridge Wells. Bulletin of the Royal College of Psychiatrists, 7, 46–8.Google Scholar
Tidmarsh, D. & Wood, S. (1972) Psychiatric aspects of destitution: a study of the Camberwell Reception Centre. In Evaluating a Community Psychiatric Service: The Camberwell Register 1964–71 (eds. Wing, J. K. and Hailey, A. M.). London: Oxford University Press.Google Scholar
Watson, J. P. (1967) Psychiatric Aspects of the Work of an Accident and Emergency Department. Academic Dissertation for the Diploma in Psychological Medicine of the University of London.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in accordance with the Ninth Revision of the International Classification of Diseases. Geneva: World Health Organization.Google Scholar
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