Use of Emergency Rooms for Mental Health Reasons in Quebec: Barriers and Facilitators.

TitleUse of Emergency Rooms for Mental Health Reasons in Quebec: Barriers and Facilitators.
Publication TypeJournal Article
Year of Publication2019
AuthorsMJ Fleury, Grenier G, Farand L, Ferland F
JournalAdm Policy Ment Health
Volume46
Issue1
Pagination18-33
Date Published2019 Jan
ISSN1573-3289
Abstract

This study explored barriers and facilitators in mental health (MH) patient management in four Quebec (Canada) emergency rooms (ERs) that used different operational models. Forty-nine stakeholders (managers, physicians, ER and addiction liaison team members) completed semi-structured interviews. Barriers and facilitators affecting patient management emanated from health systems, patients, organizations, and from professionals themselves. Effective management of MH patients requires ER access to a rich network of outpatient, community-based MH services; integration of general and psychiatric ERs; on-site addiction liaison teams; round-the-clock ER staffing, including psychiatrists; ER staff training in MH; and adaptation to frequent and challenging ER users.

DOI10.1007/s10488-018-0889-3
Alternate JournalAdm Policy Ment Health
PubMed ID30074113
Grant List30820 / / Fonds de Recherche du Québec - Santé /

  • Douglas Hospital
  • Dobell Pavillion
  • Brain imaging centre