Managing increased demand for mental health services in a public hospital emergency department: A trial of 'Hospital-in-the-Home' for mental health consumers

Increasing demand from mental health consumers for crisis assessment and intervention in public Emergency Departments (ED) has placed considerable strain on the resources of the ED and long delays awaiting admission are experienced. At Flinders Medical Centre in South Australia, the Psychiatry Depar...

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Bibliographic Details
Published in:	International journal of mental health nursing Vol. 13; no. 4; pp. 275 - 281
Main Authors:	Kalucy, Ross, Thomas, Lyndall, Lia, Briony, Slattery, Terena, Norris, Diane
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Science Pty 01-12-2004 Wiley Subscription Services, Inc
Subjects:	Accident and emergency departments Adult Alternatives Australia Crisis assessment Crisis Intervention - organization & administration emergency department Emergency Service, Hospital - utilization Emergency Services, Psychiatric - organization & administration Emergency Services, Psychiatric - utilization Female Health Services Needs and Demand - trends Health Services Research Home Care Services, Hospital-Based - organization & administration Home Care Services, Hospital-Based - utilization Hospital at home schemes hospital-in-the-home Humans Male mental health mental health consumers Nursing Patients Pilot Projects Program Evaluation Psychiatric disorders South Australia South Australia
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Summary:	Increasing demand from mental health consumers for crisis assessment and intervention in public Emergency Departments (ED) has placed considerable strain on the resources of the ED and long delays awaiting admission are experienced. At Flinders Medical Centre in South Australia, the Psychiatry Department trialled a ‘hospital‐in‐the‐home’ service to relieve the pressure on the ED and enhance inpatient capacity. The trial has been successful in diverting mental health consumers directly to intensive home‐based services from the ED and freeing up beds in the inpatient unit. Evaluation showed that both consumers and their carers were highly satisfied with the hospital‐at‐home service.
Bibliography:	ark:/67375/WNG-XCJS0ST5-F ArticleID:INM345 istex:9B4C63FF2D871BF2A300E5FA7B0D20A6EA1354E5 In the Emergency Department at Flinders Medical Centre when a patient is assessed as needing admission but no beds are available a transfer to the relevant department/ward is documented in the hospital records even though the patient physically remains in the Emergency Department, but as the responsibility of the receiving department. D. Norris, RN, RPN, B App Sc(Nurs), Gd Dip MHN. B. Lia, RN, RPN, Dip App Sc (Nurs), Gd Dip Health Counselling, MMHN. R. Kalucy, MBBS, FRANZCP. L. Thomas, BA (Hons), MPHC. T. Slattery, RN, RPN, BNsg. Flinders Medical Centre is a large teaching hospital located in the southern suburban area of Adelaide, South Australia. Its Emergency Department manages approximately 50 000 patient visits per year. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	1445-8330 1447-0349
DOI:	10.1111/j.1440-0979.2004.00345.x