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. 2021 Feb;33(1):74-81.
doi: 10.1111/1742-6723.13583. Epub 2020 Jul 18.

Evaluating an emergency department-based mental health liaison nurse service: A multi-site translational research project

Timothy Wand  1   2 , Gemma Collett  2 , Alexa Cutten  3 , Amanda Stack  4 , Michael Dinh  1   5 , Kendal Bein  1 , Timothy Green  1   6 , Saartje Berendsen Russell  1   2 , James Edwards  1 , Kathryn White  2
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Evaluating an emergency department-based mental health liaison nurse service: A multi-site translational research project

Timothy Wand et al. Emerg Med Australas. 2021 Feb.

Abstract

Objective: We aimed to translate and evaluate a model of mental health liaison nursing (MHLN) care that was embedded within EDs.

Methods: The 12 month mixed-methods translational research study incorporated descriptive data on ED presentations, waiting times for MHLN intervention, time spent in ED and discharge arrangements across three EDs in New South Wales. The study involved an inner-city ED (where the model was first established) and two rural sites. Surveys were conducted on a subset of ED patients (n = 58), and emergency and psychiatry staff (n = 52).

Results: Triage category 3 presentations accounted for 49% of the MHLN team workload. Response times and ED length of stay varied between city and rural sites, with rural sites demonstrating prompt response times and reduced ED length of stay. The model was strongly endorsed by patients and staff, with 95% of staff and 85% of patients across the three sites recommending the model be implemented in other emergency settings. The need for adequate resources to maintain designated levels of staffing and sustain this model of care was highlighted.

Conclusion: Findings from the present study indicate that a model of ED-based MHLN care developed in a metropolitan setting was successfully translated to two rural sites. However, the model needs to adhere to certain key principles, and be adequately resourced in order to be sustainable and improve outcomes for ED patients and access to community care.

Keywords: emergency department; mental health; patient satisfaction; staff satisfaction; translational research.

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References

    1. Australian Institute of Health and Welfare. Mental Health Services in Australia. 2018. [Cited 8 Jan 2020.] Available from URL: https://www.aihw.gov.au/reports/mental-health-services/mental-health-ser...
    1. Australasian College for Emergency Medicine. Waiting Times in Emergency Departments for People Presenting with Acute Mental and Behavioural Conditions. Melbourne: Australasian College for Emergency Medicine, 2018.
    1. Perera J, Wand T, Bein K et al. Rates of emergency department presentations for self-harm, suicidal ideation and intentional poisoning in NSW, Australia. A study using state-wide linked emergency data 2010-2014. Med. J. Aust. 2018; 208: 348-53.
    1. Fleury MJ, Grenier G, Farand L, Ferland F. Use of emergency rooms for mental health reasons in Quebec: barriers and facilitators. Adm. Policy Ment. Health 2019; 46: 18-33.
    1. Van Der Linden MC, Balk FJE, Van Der Hoevenc BJH, Van Loond M, De Voeghte FJ, Van Der Linden N. Emergency department care for patients with mental health problems, a longitudinal registry study and a before and after intervention study. Int. Emerg. Nurs. 2019; 44: 14-9.

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