Effectiveness of a self-administered computerized mental health screening tool in the emergency department
RG Thompson Jr, S Mullinax, R De Monte… - Psychiatric …, 2023 - Am Psychiatric Assoc
Psychiatric Services, 2023•Am Psychiatric Assoc
Objective: The authors sought to determine the effectiveness of a self-administered
computerized mental health screening tool in a general acute care emergency department
(ED). Methods: Changes in patient care (diagnosis of a past-year psychiatric disorder,
request for psychiatric consultation, psychiatric referral at discharge, or transfer to psychiatric
facility) and patient ED return visits (3 months after discharge vs. 3 months before) were
assessed among ED physicians (N= 451) who received patients' computerized screening …
computerized mental health screening tool in a general acute care emergency department
(ED). Methods: Changes in patient care (diagnosis of a past-year psychiatric disorder,
request for psychiatric consultation, psychiatric referral at discharge, or transfer to psychiatric
facility) and patient ED return visits (3 months after discharge vs. 3 months before) were
assessed among ED physicians (N= 451) who received patients' computerized screening …
Objective
The authors sought to determine the effectiveness of a self-administered computerized mental health screening tool in a general acute care emergency department (ED).
Methods
Changes in patient care (diagnosis of a past-year psychiatric disorder, request for psychiatric consultation, psychiatric referral at discharge, or transfer to psychiatric facility) and patient ED return visits (3 months after discharge vs. 3 months before) were assessed among ED physicians (N=451) who received patients’ computerized screening reports (N=207) and those who did not (N=244). All patients received copies of screening results.
Results
The computerized mental health screening tool identified previously undiagnosed psychiatric problems. However, no statistically significant differences were found in physician care or patient ED return visits.
Conclusions
Computerized mental health screening did not result in further psychiatric diagnoses or treatment; it also did not significantly reduce patient ED return visits. Collaboration among EDs and mental health treatment agencies, organizations, and researchers is needed to facilitate appropriate treatment referrals and linkage.
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