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  • 32 - The emergency department

  • from Part III - Working with specific units
  • Edited by Geoffrey Lloyd, Priory Hospital, London, Elspeth Guthrie, University of Manchester
  • Book:
    Handbook of Liaison Psychiatry
    Published online:
    10 December 2009
    Print publication:
    24 May 2007, pp 751-760

  • Summary

    Emergency department (ED) staff may see patients with mental health and substance misuse problems as a numerically small, but potentially high-risk, group and quietly resent being the unacknowledged out-of-hours support to local community mental health services. An extensive working knowledge of local mental health and substance misuse services (both in the state-run and voluntary sectors) and housing services (including options for the homeless) is required if alternatives to unnecessary hospital admission are to be generated, especially out-of-hours. The starting point for this work varies from place to place and from country to country. This chapter assumes that ED is currently served round the clock by a rota of junior psychiatrists who are on-site at the general hospital but employed by a separate mental health trust. EDs in Australia and the USA often have dedicated spaces where intoxicated patients can be nursed.