Medical Screening of Mental Health Patients In The Emergency Department: A Systematic Review
Bedside Tools and Guides:
ADEPT – for the management of confusion and agitation in the elderly
Managing Delirium and Agitation in the Older Emergency Department Patient: The ADEPT Tool
ICAR2E – for the identification of suicidal patients in the ED
ICAR2E Online Tool and Systematic Review - Published in The American Journal of Emergency Medicine
ICAR2E Editorial - Published in The American Journal of Emergency Medicine
"Medical Clearance" of Patients with Acute Mental Health Needs in the Emergency Department - A Literature Review and Practice Recommendations by the Wisconsin Chapter of the American College of Emergency Physicians and the Wisconsin Psychiatric Association
Wisconsin "SMART" Form
Serving Safely – CPE is part of a project working to improve interactions between police and those with mental illnesses and developmental disabilities. If you are interested in training or guidance - you can reach out at the website here https://www.vera.org/projects/serving-safely. Click here for a one-pager about the project.
White Papers - Practical Solutions to Boarding of Psychiatric Patients in the Emergency Department - Does Your Emergency Department Have a Psychiatric Boarding Problem? and Care of the Psychiatric Patient in the ED: A Review of the Literature
“Caring for Adult Patients with Suicide Risk: A Consensus Guide for Emergency Departments” - This guide is designed to assist Emergency Department (ED) health care professionals with decisions about the care and discharge of patients with suicide risk. It was developed with extensive input and guidance from a Consensus Panel of experts from emergency medicine and suicide prevention organizations including people with lived experience. Its main goal is to improve patient outcomes after discharge. From the Suicide Prevention Resource Center.
“Preventing Suicide in Emergency Department Patients” Online Course - Emergency departments (EDs) play an important role in suicide prevention. This online course teaches healthcare professionals who work in an ED how to conduct screening, assessment, and brief interventions, such as safety planning and lethal means counseling. It also addresses patient-centered care for patients with suicide risk, patient safety during the ED visit, and incorporating suicide prevention into discharge planning. This course can be completed in approximately two hours. You do not have to complete the course in one session. You can exit the course at any time and return later to the place where you left off. From the Suicide Prevention Resource Center.
Agitation Toolkit from the Depression and Bipolar Support Alliance. Includes training videos, information sheets, project BETA articles and more.
CDC's Suicide Technical Package - A select group of strategies based on the best available evidence to help communities and states sharpen their focus on prevention activities with the greatest potential to prevent suicide
WISQARS (Web-based Injury Statistics Query and Reporting System)- An interactive, online database that provides fatal and nonfatal injury, violent death, and cost of injury data (including suicide data) from a variety of trusted sources
Articles on Peer Support:
Mental Health and Emergency Medical Experts Encourage Support for Clinicians Health During Pandemic
Joint Statement for Care of Patients with Behavioral Health Emergencies and Suspected or Confirmed COVID-19.
Boarding of Mentally Ill Patients in Emergency Departments - This presentation is designed to help physicians and psychiatrists learn more about the boarding of mentally ill patients in EDs and possible solutions that pertain to both fields and associated professional societies, and provide a review of the APA Resource Document on this topic. The perspectives of both patients and emergency physicians will be considered in this presentation. - Free
Behavioral Health and Pandemics - The impact of the COVID-19 pandemic on the mental health of populations and mental health systems has been profound and will likely endure after the pandemic. To address the increased need for mental health services during and after the pandemic, it's important to carry lessons learned into the future.
Caring for the Care Providers - Emergency Departments across the country struggle with psychiatric patients who board in the ED for hours to days. Improve your skills and earn CME with this course on managing behavioral emergencies in the ED while avoiding burnout.
988 The Future of Suicide Prevention - 988 will the new direct, three-digit line to trained National Suicide Prevention Lifeline counselors, opening the door for millions of Americans to seek the help they need. Join Emmy Betz, MD, MPH, a leading suicide prevention researcher, John Draper, PhD, Executive Director of the National Suicide Prevention Lifeline and Tony Ng, MD, chair of the Coalition of Psychiatric Emergencies for a discussion about the change and what this means for emergency medicine.
When “Fine” is Not Fine - Peer support services are increasingly becoming an important part of the healthcare workforce as professionals continue to undergo prolonged stress due to the pandemic. An important component to implementing an effective peer support program often requires understanding various models as well as the advantages and disadvantages of different interventions.
Saving Lives in Emergency Departments Awards Ceremony - Join us to hear highlights from the ACEP/AFSP Innovation in Suicide Prevention Awardees! Hear about promising and innovative initiatives in the area of suicide prevention that improve patient outcomes and the lives of patients and providers. You'll hear about the new and exciting ways that acute care providers across the U.S. are making a difference in suicide prevention.
Preventing Physician Suicide, We all Have a Role to Play - Despite the high-risk of burnout, physicians who die by suicide are less likely to be receiving mental health treatment compared with non-physicians who died by suicide. Factors, such as stigma or fear of the potential negative impact on training and career often prevent physicians from seeking care. As such, peer-recognition of the signs and symptoms of burnout and depression, as well as knowledge for how to create a supportive environment, are extremely important in team-based settings.
Who’s Got Your Back? - Peer support provides a sense of belonging through shared experiences. When you can express frustrations and share coping strategies you are able to build a common foundation and deeper relationships. Social support systems take different shapes and forms, with a focus on both honest and real shared experiences. This webinar will teach you the value of peer support and how you can help your colleagues, or even ask them for help.
Helping and Hurting
Medical Clearance – Psych and EM on the Same Page? - In this week's episode, we talk to Drs. Tony Thrasher and Michael Repplinger about a new Emergency Medicine/Psychiatry Task Force designed to help physicians provide safe, efficient medical screenings of those in a mental health crisis.
Suicide Awareness and Prevention – Introducing 988 - We all know the value of the 911 system, and now there is a similar option for suicide awareness and prevention. This new tool can help in crisis or concern to help protect and assist those in need. The line go's live in July 2022.
Beaten Down by Corona: Healthcare Mental Health in the Time of COVID-19 - In this episode, we talk to Dr. Jack Rozel, Medical Director at resolve Crisis Services, Professor at UPMC, and President of the American Association of American Psychiatry. Recently, Emergency Medicine lost one of its own to suicide. Dr. Rozel discusses what we can do to maintain our mental health in this time of crisis.
The R.E.A.D.Y. (Real Emergency Aid Depends on You) Program is a one-hour course for the public designed to provide information about common behavioral and mental health issues. It teaches basic, practical skills to use in emergency mental health situations and crises. It also provides direction on how to communicate with someone until first responders arrive on site.
December 2016 Coalition on Psychiatric Emergencies Research Consensus Conference on Acute Mental Illness - Manuscripts
- National Council - Medical Director Institute Mass Violence in America
- Article - False links between violence, mental illness fast-tracked report release
Virtual Recover Resources: Free Online Meetings and Virtual Platforms PDF
Support for this Coalition was made possible through support from Teva Pharmaceuticals, Alexza, Galen, Magellan Healthcare and New Directions Behavioral Health.
Note: This page provides links to non-EMF web sites that provide additional information about these topics. You will leave the emfoundation.org domain, and EMF cannot attest to the accuracy of information on that page. Providing links to a non-EMF web site is not an endorsement of the other site or the information it contains by EMF or any of its employees or members. EMF assumes no liability for reliance of the site's content.