Psychiatry at the Front Line: CPNs working outside regular hours in an inner‐city A&E department
- 1 December 1998
- journal article
- research article
- Published by Wiley in Journal of Psychiatric and Mental Health Nursing
- Vol. 5 (6), 445-450
- https://doi.org/10.1046/j.1365-2850.1998.560445.x
Abstract
This paper reports on a study that examines the characteristics of patients with mental health problems, seen outside regular working hours, by CPNs working within an in an inner‐city A&E department. The study examined the range of presenting problems for each individual attendance rather than the primary diagnosis or main presenting problem. There were significant differences in the pattern of presentations between patients with and without a mental health professional (MHP) involved in their care. Patients with a MHP involved in their care were much more likely to present with psychosis and suicidal ideation in the absence of deliberate self‐harm. Those without a MHP were much more likely to have deliberately harmed themselves, to have interpersonal problems, to have misused alcohol or drugs or to have work/financial problems. The CPNs worked in an autonomous manner and appeared to reduce the intensity of the duty psychiatrists' workload by filtering out patients judged not to be in need of their specialist input.Keywords
This publication has 22 references indexed in Scilit:
- Urgent psychiatric assessment in an inner-city A&E departmentPsychiatric Bulletin, 1997
- Evaluating models of working at the interface between mental health services and primary careThe British Journal of Psychiatry, 1997
- Liaison mental health nursing: origins, definition and prospectsJournal of Advanced Nursing, 1997
- Can a mental health nurse be a nurse practitioner?Nursing Standard, 1996
- A psychiatric emergency walk-in clinic: a dangerous substitute for primary care?Psychiatric Bulletin, 1995
- The consequences of an open referral system to a community mental health serviceActa Psychiatrica Scandinavica, 1993
- Psychiatric Morbidity in an Accident and Emergency DepartmentThe British Journal of Psychiatry, 1990
- Psychiatric presentations to an accident and emergency departmentPsychiatric Bulletin, 1989
- Community psychiatric nursing intervention in an accident and emergency department: a clinical pilot studyJournal of Advanced Nursing, 1987
- Comparison of doctors and nurses in the assessment of deliberate self-poisoning patientsPsychological Medicine, 1980