Evaluation of the ED MHAOD Hub at St Vincent's hospital.

IF 1.2 4区医学 Q4 PSYCHIATRY

Australasian Psychiatry Pub Date : 2025-02-03 DOI:10.1177/10398562251316201

Hamed Akhlaghi, Kelly Mullins, Sam Freeman, Shradha Sherry Vasan, Greta Moon, Yvonne Bonomo, Jonathan Karro

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引用次数: 0

Abstract

Introduction: In response to the 2021 Royal Commission into Victoria's Mental Health System, the Victorian government established six purpose-built Mental Health Alcohol and Other Drug (MHAOD) emergency department (ED) Hubs. This study evaluates the MHAOD Hub at St Vincent's Hospital Melbourne (SVHM), which opened in March 2022 as metropolitan Melbourne's first multidisciplinary Mental Health and Drug or Alcohol Hub integrated into the St Vincent's Emergency Department.

Methods: This retrospective analysis covers patient admissions to the MHAOD Hub from March 2022 to June 2024, documenting demographics, clinical characteristics and outcomes.

Results: 8553 MHAOD admissions were recorded. The Hub admitted a high proportion of vulnerable populations, including 8.4% Aboriginal and/or Torres Strait Islanders and 36.5% homeless individuals. 76.5% of presentations to the Hub were categorised as Australasian Triage Category (ATS) 1, 2 or 3. The most common discharge diagnosis was alcohol-related diagnosis (18.95%) followed by suicidality (14.71%) and psychosis (5.66%). 17.1% of presentations were admitted to the psychiatric ward.

Conclusion: This study highlights the effectiveness of MHAOD Hub care in improving timely access to care and addressing the needs of vulnerable populations. Future research should focus on qualitative assessments to capture the nuanced patient and staff experiences and further evaluate long-term outcomes.

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来源期刊

Australasian Psychiatry 医学-精神病学

CiteScore

2.80

自引率

5.60%

发文量

159

审稿时长

6-12 weeks

期刊介绍： Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.