Examining Mental Health Act usage in an urban emergency department

Objective: In this study we aimed to examine the characteristics of Mental Health Act (MHA) usage in the Emergency Department (ED) of an urban teaching hospital in Sydney. Methods: All MHA certificates written on individuals in the ED over a 12-week period in 2013 were collected. The medical record...

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Veröffentlicht in:Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists 2015-10, Vol.23 (5), p.517-519
Hauptverfasser: Derrick, Kate, Chia, Justin, O’Donovan, Sarah, Emerton, Alexandra, Hamlyn, Marika, Wand, Timothy
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container_end_page 519
container_issue 5
container_start_page 517
container_title Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists
container_volume 23
creator Derrick, Kate
Chia, Justin
O’Donovan, Sarah
Emerton, Alexandra
Hamlyn, Marika
Wand, Timothy
description Objective: In this study we aimed to examine the characteristics of Mental Health Act (MHA) usage in the Emergency Department (ED) of an urban teaching hospital in Sydney. Methods: All MHA certificates written on individuals in the ED over a 12-week period in 2013 were collected. The medical record of each individual was reviewed by a member of the research team using an audit tool developed for the study. Any uncertainty over individual cases was addressed through research team consensus. Results: A total of 172 MHA certificates were collected; 67 were written by police, 45 by ambulance, 54 by medical officers and three by accredited persons. Three magistrate orders for assessment were also received. Seventy percent of police and 60% of ambulance MHA certificates did not result in admission. Over a third were revoked by ED physicians. Forty-five people (32.4%) who presented voluntarily were subsequently detained. Conclusions: Police and ambulance MHA certification was a poor predictor of admission. Least restrictive measures were predominantly the outcome. Delegating ED physicians with authorised medical officer status assisted in facilitating this process. Formalised education and training on the principles and practicalities of MHA legislation should be ongoing for all professionals involved.
doi_str_mv 10.1177/1039856215590255
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Delegating ED physicians with authorised medical officer status assisted in facilitating this process. 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subjects Emergency Service, Hospital - statistics & numerical data
Hospitals, Teaching - statistics & numerical data
Hospitals, Urban - statistics & numerical data
Humans
Mental Health - legislation & jurisprudence
Mental Health - statistics & numerical data
New South Wales
Patient Admission - statistics & numerical data
title Examining Mental Health Act usage in an urban emergency department
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