Psychiatric emergency services and the system of care

Ralph Catalano, William McConnell, Peter Forster, Bentson McFarland, Dorothy Thornton

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objective: Admissions to psychiatric emergency services have frequently been cited as a gauge of how well a mental health system manages behavioral disorders. However, few measurements of the longitudinal association between psychiatric emergencies and characteristics of a mental health system have been described. The purpose of this study was to assess whether weekly admissions to psychiatric emergency services would increase when outpatient services were reduced, whether weekly admissions would increase when greater effort was made to identify and treat persons with acute mental illness, and whether weekly admissions would decrease when emergency services were enhanced to include postrelease case management. Methods: Time-series methods were applied to approximately 29,010 admissions to three psychiatric emergency services of the San Francisco Department of Public Health over a 180-week period. Results: Reduced outpatient services, efforts to identify acutely ill persons, and changes in emergency services themselves were found to affect admissions to emergency services. However, community events such as extreme weather, holidays, job loss, and the scheduling of receipt of income also affected the workload of the emergency service. Conclusions: The causes and course of mental illness inextricably tie a psychiatric emergency service to the overall mental health system and to events in the community it serves. These connections make it possible for managers to anticipate the use of emergency services and to detect disruptions in the remainder of the mental health services systems.

Original languageEnglish (US)
Pages (from-to)351-355
Number of pages5
JournalPsychiatric Services
Volume54
Issue number3
DOIs
StatePublished - Mar 1 2003

Fingerprint

Psychiatric Emergency Services
Emergencies
Mental Health
Ambulatory Care
mental health
Holidays
San Francisco
Weather
Case Management
Mental Health Services
mental illness
Workload
Psychiatry
department of public health
Public Health
job loss
holidays
human being
event
case management

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Catalano, R., McConnell, W., Forster, P., McFarland, B., & Thornton, D. (2003). Psychiatric emergency services and the system of care. Psychiatric Services, 54(3), 351-355. https://doi.org/10.1176/appi.ps.54.3.351

Psychiatric emergency services and the system of care. / Catalano, Ralph; McConnell, William; Forster, Peter; McFarland, Bentson; Thornton, Dorothy.

In: Psychiatric Services, Vol. 54, No. 3, 01.03.2003, p. 351-355.

Research output: Contribution to journalArticle

Catalano, R, McConnell, W, Forster, P, McFarland, B & Thornton, D 2003, 'Psychiatric emergency services and the system of care', Psychiatric Services, vol. 54, no. 3, pp. 351-355. https://doi.org/10.1176/appi.ps.54.3.351
Catalano R, McConnell W, Forster P, McFarland B, Thornton D. Psychiatric emergency services and the system of care. Psychiatric Services. 2003 Mar 1;54(3):351-355. https://doi.org/10.1176/appi.ps.54.3.351
Catalano, Ralph ; McConnell, William ; Forster, Peter ; McFarland, Bentson ; Thornton, Dorothy. / Psychiatric emergency services and the system of care. In: Psychiatric Services. 2003 ; Vol. 54, No. 3. pp. 351-355.
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