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S53.03 - Integrating emergency care, crisis intervention and acute treatment at the general hospital: Efficiency and costs

Published online by Cambridge University Press:  16 April 2020

P. Ohlendorf ,
D.I. Maire  and
M.F. Cochennec
P. Ohlendorf
Affiliation:
Service D'accueil, D'urgences Et de Liaison Psychiatriques, HUG, Geneva, Switzerland
D.I. Maire
Affiliation:
Service D'accueil, D'urgences Et de Liaison Psychiatriques, HUG, Geneva, Switzerland
M.F. Cochennec
Affiliation:
Service D'accueil, D'urgences Et de Liaison Psychiatriques, HUG, Geneva, Switzerland

Abstract

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Backgrounds and Aims:

We assessed the efficiency and costs of an innovative emergency service focusing on specialized evaluation and intensive treatment for the new acute mental patient.

Methods:

A computerized register provided continuous evaluation of the impact of the new unit on the global patient flows in a 500.000 inhabitants catchment area during 5 years. Furthermore, we carefully assessed the all population treated at the emergency room and the subpopulation population assigned to crisis intervention at the General hospital at emergency room discharge during 2-months. The efficiency and costs were investigated with: a) pre-post analyses (global flows), b)assessing the reliability of decision processes according to pre-established decision guidelines.

Results:

Well integrated, diagnostic assessment, acute treatment and crisis intervention for the new acute mental appeared to dramatically improve the efficiency of a large system of community psychiatry services.

Comment:

The study suggests that the emergency treatment of the new acute mental patient deserves more study.

Type
Symposium: The new acute mental patient: Diagnostic constructs and treatment innovation in emergency psychiatry
Information
European Psychiatry , Volume 23 , Issue S2: 16th AEP Congress - Abstract book - 16th AEP Congress , April 2008 , pp. S76
Copyright
Copyright © European Psychiatric Association 2008
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