M58PH Research Methodology Methods And Design

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M58PH Research Methodology Methods And Design

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M58PH Research Methodology Methods And Design

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Course Code: M58PH
University: Coventry University

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Country: United Kingdom

Question 
Would a specific emergency department for those in mental health crisis reduce stress for the accident and emergency department.
Answer

Emergency departments of hospitals always play a critical role in managing the crisis of patients with various issues. Patients frequently visit the emergency department of hospitals when they are in crisis irrespective of their state of illness. Psychiatric patients present to the emergency department when they are in any kind of mental health crisis. In a study, researchers clearly disclosed the fact that 10% of the patients of emergency departments are of mental health illness (Willis, 2018). All the physicians, present in the emergency departments, need to deal with various patients and they treat them according to the priority and in this regard, many studies revealed that patients with mental health crisis need to wait a long to get the treatment when compared to the patients with physical health crisis. According to some reports, mental health patients wait longer than other patients to be assessed and treated (Willis, 2018). According to some reports, in UK, one in five hospitals, fail to hit their waiting-time target (Triggle & Jeavans, n.d). Even, in some cases, mental health patients are more likely to leave the hospital without finishing the treatment procedure. Patients with mental health issue need to leave hospital at their own risk and against any kind of medical advice (Willis, 2018). In a study, it has been clearly found that, 90% patients of emergency departments leave the hospitals within 7 hours of their visit but in case of mental health patients they can leave from 11.5 to 16.5 hours as they need to wait a long for the treatment (Willis, 2018). Sometimes, it becomes difficult to take care of the patients with physical as well as mental health illness simultaneously. Again, some studies highlighted a population in need of more targeted mental health supports (Zun, 2016). Emergency departments do a really great job in determining how to improve the care of all the medical patients who are in need of care but they sometimes lack behind in addressing all the unique needs of mental health patients. Psychiatric patients have a unique set of preferences and requirements that widely differs from the preferences and requirements of non-psychiatric patients. Psychiatric patients want verbal interventions as well as oral medications and in some cases they are unable to express their actual need. Physicians present in the emergency departments might show some negative attitudes towards the psychiatric patients which will lead to poor patient outcome. In this regard, an improved as well as specialized and specific emergency department for the patients with mental health crisis can be extremely effective. In many communities, emergency departments are the only option to treat acute mental health problems (Wise-Harris et al., 2017). A better environment in the emergency department specifically for the patients with mental health illness is highly necessary. A separate emergency department for the patients with mental health crisis would reduce the stress. Many studies clearly reflect poor access to the mental health care which is delivered in the outpatient settings (Saunders et al., 2018). A better understanding of this barrier is highly necessary in solving the issue and a specific emergency department to treat mental health crisis can be one of the most effective strategies and experts suggest a greater investment in community mental health services in this regard (Saunders et al., 2018).  
References
Saunders, N. R., Gill, P. J., Holder, L., Vigod, S., Kurdyak, P., Gandhi, S., & Guttmann, A. (2018). Use of the emergency department as a first point of contact for mental health care by immigrant youth in Canada: a population-based study. CMAJ, 190(40), E1183-E1191. Doi: https://doi.org/10.1503/cmaj.180277
Triggle, N. & Jeavans, C. (n.d). The hospitals that fail to treat patients on time. Retrieved from https://www.bbc.com/news/health-46212058
Willis, O. (2018, October 11). Emergency departments in ‘crisis’ as mental health patients left waiting: new report. Retrieved from https://www.abc.net.au/news/health/2018-10-08/emergency-department-mental-health-crisis/10344852
Wise-Harris, D., Pauly, D., Kahan, D., De Bibiana, J. T., Hwang, S. W., & Stergiopoulos, V. (2017). “Hospital was the only option”: experiences of frequent emergency department users in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 44(3), 405-412. Retrieved from https://www.researchgate.net/profile/Vicky_Stergiopoulos2/publication/297691231_Hospital_was_the_Only_Option_Experiences_of_Frequent_Emergency_Department_Users_in_Mental_Health/links/570a37dd08ae2eb9421f9b21/Hospital-was-the-Only-Option-Experiences-of-Frequent-Emergency-Department-Users-in-Mental-Health.pdf
Zun, L. (2016). Care of psychiatric patients: the challenge to emergency physicians. Western journal of emergency medicine, 17(2), 173. Doi: https://dx.doi.org/10.5811%2Fwestjem.2016.1.29648

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