University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Population and Global Health
  • Melbourne School of Population and Global Health - Research Publications
  • View Item
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Population and Global Health
  • Melbourne School of Population and Global Health - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

    Police and clinician diversion of people in mental health crisis from the Emergency Department: a trend analysis and cross comparison study

    Thumbnail
    Download
    Published version (541Kb)

    Citations
    Scopus
    Altmetric
    10
    Author
    McKenna, B; Furness, T; Brown, S; Tacey, M; Hiam, A; Wise, M
    Date
    2015-01-01
    Source Title
    BMC Emergency Medicine
    Publisher
    BIOMED CENTRAL LTD
    University of Melbourne Author/s
    Tacey, Mark
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    McKenna, B., Furness, T., Brown, S., Tacey, M., Hiam, A. & Wise, M. (2015). Police and clinician diversion of people in mental health crisis from the Emergency Department: a trend analysis and cross comparison study. BMC EMERGENCY MEDICINE, 15 (1), https://doi.org/10.1186/s12873-015-0040-7.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/258162
    DOI
    10.1186/s12873-015-0040-7
    Abstract
    BACKGROUND: The Northern Police and Clinician Emergency Response (NPACER), a combined police and clinician second response team, was created to divert people in mental health crisis away from the hospital emergency department (ED) to care in the community or direct admission to acute inpatient services. The aim of this study was to evaluate the NPACER by comparing trends in service utilisation prior to and following its inception. METHODS: A retrospective comparison of electronic records was undertaken with interrupted time series analysis to assess the impact of NPACER on ED presentations over 27-months (N = 1776). Chi-squared tests were used to analyze service utilization; (1) in the six-months before and after the implementation of NPACER and (2) within the post NPACER period between times of the day it was operational. RESULTS: NPACER reduced the number of mental health crisis presentations to the ED. When the NPACER team was operational, 16% of people in crisis went to ED compared with 100% for all other times of the day, over a six-month period. The NPACER team enabled direct access to the inpatient unit for 51 people assessed at a police station and in the community compared with no direct access when NPACER was not operational. CONCLUSIONS: NPACER enabled reductions in presentations to the ED by diverting people to more appropriate and less restrictive environments. The model also facilitated direct admission to acute inpatient mental health services when people in crisis were assessed in the community or transported to a police station for assessment.

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [45689]
    • Melbourne School of Population and Global Health - Research Publications [4369]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors