title: Emergency department mental health triage consultancy service: an evaluation of the first year of the service.
abstract: This article presents the findings of a review of the first year of a night emergency department (ED) mental health triage and consultancy service. During the first 12 months of operation of the service, data on key performance indicators were entered into an emergency mental health triage and consultancy database. Data were also obtained from pre- and post-satisfaction surveys completed by ED staff and from self-appraisal statements generated by the five mental health nurses who undertook the position during the review period. The findings show the ED mental health triage and consultancy service positively impacted on the functioning of the emergency department. This was evidenced by staff' perceptions regarding the value of the service and through shorter "seen by times", a reduction in the number of patients with psychiatric/psychosocial problems who left the department without being seen, and the effective management of patients presenting with psychiatric/psychosocial problems, particularly those presenting with deliberate self-harm. The review provided evidence regarding the value of the emergency mental health triage and consultancy service and highlighted the advanced practice role undertaken by mental health nurses in this position.
authors.affiliation: Fremantle Hospital, Alma Street, Fremantle, WA 6160, Australia.
authors.forename: Stuart
authors.initials: S
authors.lastname: McDonough
authors.forename: Dianne
authors.initials: D
authors.lastname: Wynaden
authors.forename: Michael
authors.initials: M
authors.lastname: Finn
authors.forename: Sunita
authors.initials: S
authors.lastname: McGowan
authors.forename: Rose
authors.initials: R
authors.lastname: Chapman
authors.forename: Sean
authors.initials: S
authors.lastname: Hood
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D016529:Emergency Nursing / Q000458:organization & administration*; D004637:Emergency Services, Psychiatric / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009551:Night Care / Q000458:organization & administration*; D009720:Nurse Clinicians / Q000458:organization & administration*; D024802:Nurse's Role; D009730:Nursing Assessment / Q000458:organization & administration; D015403:Nursing Evaluation Research; D017060:Patient Satisfaction; D010564:Personnel, Hospital / Q000523:psychology; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration*; D018570:Risk Assessment / Q000458:organization & administration; D013997:Time Factors; D014218:Triage / Q000458:organization & administration*