Use of Emergency Rooms for Mental Health Reasons in Quebec: Barriers and Facilitators.
Title | Use of Emergency Rooms for Mental Health Reasons in Quebec: Barriers and Facilitators. |
Publication Type | Journal Article |
Year of Publication | 2019 |
Authors | MJ Fleury, Grenier G, Farand L, Ferland F |
Journal | Adm Policy Ment Health |
Volume | 46 |
Issue | 1 |
Pagination | 18-33 |
Date Published | 2019 Jan |
ISSN | 1573-3289 |
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. |
DOI | 10.1007/s10488-018-0889-3 |
Alternate Journal | Adm Policy Ment Health |
PubMed ID | 30074113 |
Grant List | 30820 / / Fonds de Recherche du Québec - Santé / |