The psychiatric decision unit as an emerging model in mental health crisis care: a national survey in England.
crisis care
crisis unit
emergency
mental health decision units
psychiatric decision unit
Journal
International journal of mental health nursing
ISSN: 1447-0349
Titre abrégé: Int J Ment Health Nurs
Pays: Australia
ID NLM: 101140527
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
14
01
2021
received:
11
12
2020
accepted:
31
01
2021
pubmed:
26
2
2021
medline:
29
7
2021
entrez:
25
2
2021
Statut:
ppublish
Résumé
Psychiatric decision units have been developed in many countries internationally to address the pressure on inpatient services and dissatisfactory, long waits people in mental health crisis can experience in emergency departments. Research into these units lags behind their development, as they are implemented by healthcare providers to address these problems. This is the first-ever national survey to identify their prevalence, structure, activities, and contextual setting within health services, in order to provide a robust basis for future research. The response rate was high (94%), and six PDUs in England were identified. The results indicated that PDUs open 24/7, accept only voluntary patients, provide recliner chairs for sleeping rather than beds, and limit stays to 12-72 hours. PDUs are predominantly staffed by senior, qualified mental health nurses and healthcare assistants, with psychiatry input. Staff:patient ratios are high (1:2.1 during the day shift). Differences in PDU structure and activities (including referral pathway, length of stay, and staff:patient ratios) were identified, suggesting the optimal configuration for PDUs has not yet been established. Further research into the efficacy of this innovation is needed; PDUs potentially have a role in an integrated crisis care pathway which provides a variety of care options to service users.
Types de publication
Journal Article
Langues
eng
Pagination
955-962Subventions
Organisme : Department of Health
ID : 17/49/70
Pays : United Kingdom
Organisme : Health Services and Delivery Research Programme
ID : 17/49/70
Informations de copyright
© 2021 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
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