{"title":"Interinstitutional collaboration for psychiatric emergencies.","authors":"G M Barton, R Gomez","doi":"10.1300/j261v03n02_21","DOIUrl":"https://doi.org/10.1300/j261v03n02_21","url":null,"abstract":"","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"291-302"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychiatric emergency services: a case study.","authors":"M Frank, E Sinnott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this chapter we have attempted to describe one emergency service as it has evolved. It is generally recognized as a very good service, and yet, as the vignettes demonstrate, there are continuing administrative problems. It is our belief that these difficulties and dilemmas are representative of those faced by administrators of emergency psychiatric services, and we view them as a continuing challenge to those committed to clinical administration.</p>","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"169-81"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fiscal planning in developing psychiatric emergency services.","authors":"G M Barton","doi":"10.1300/j261v03n02_07","DOIUrl":"https://doi.org/10.1300/j261v03n02_07","url":null,"abstract":"<p><p>Two actual budgets are highlighted here to emphasize their worth as models for other programs to copy. Their deficiencies are also discussed so that more attention to headings and content might be paid by administrators facing similar budgetting processes. The need for programs to expand considerable more effort initially to plan fiscally for their emergency psychiatry service is emphasized. With a proper needs assessment and statistical forecasting, resource planning and allocation can be estimated more accurately. Even with the wild fluctuations of case load which all emergency psychiatric services experience, trends do become obvious with scrutiny. Ongoing statistical data can further define future budgets more accurately. More attention to the standard expense categories will clarify where the money is expected to go. More care in identifying income generation through better billing procedures, bill itemization, community fund identification, governmental supplement requests can be clearly documented by an income budget. Without it a program looks like an errant stepchild--spending everyone else's hard earned money and not contributing to the fiscal stability of the parent organization.</p>","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"63-73"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21171347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The community mental health center's emergency services.","authors":"G M Barton","doi":"10.1300/j261v03n02_12","DOIUrl":"https://doi.org/10.1300/j261v03n02_12","url":null,"abstract":"","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"133-6"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21149425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Profile of psychiatric emergency patients.","authors":"R S Friedman","doi":"10.1300/j261v03n02_03","DOIUrl":"https://doi.org/10.1300/j261v03n02_03","url":null,"abstract":"<p><p>From this mass of data, one can assemble a statistical composite profile of the psychiatric emergency patient. This patient is young, unmarried, female, living near the emergency department, poor, diagnosed as psychotic, exhibiting some acutely disruptive or life-threatening behavior, having a history of prior contact with the psychiatric system, arriving at night by herself, and at risk for medical illness or substance abuse. Such a composite profile is misleading, however, for it is unlikely that there is a homogeneous population seeking help in psychiatric emergency services. Rather it seems likely that the composite data conceals a number of demographic and clinical subgroups: the young unmarried borderline woman, the chronically psychotic deinstitutionalized single young male, the middle-aged alcoholic, and the other depressed and organically-impaired patient are examples of such subgroups. When these groups are lumped together in overall figures, salient features and differences are obscured. Studies of these subgroups are needed. Secondly, there is substantial variation between the different studies reported above. Thus, while this summary can give some general guidance for clinical and administrative planning, it is crucial for every psychiatric emergency service to monitor its own utilization statistics. Where the profile of emergency service users does not match that of the underlying census data or that of those persons most at risk for serious psychiatric illness, administrators must raise the question of over- or under-utilization. Finally, there is a need for further studies to build on this preliminary data. Such studies must use uniform diagnostic criteria such as DSM III, prospective blind design, and better coding of the data to facilitate retrieval and processing of relevant information.</p>","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"25-35"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Architectural model considerations in planning a psychiatric emergency service.","authors":"G M Barton","doi":"10.1300/j261v03n02_06","DOIUrl":"https://doi.org/10.1300/j261v03n02_06","url":null,"abstract":"","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Annotated bibliography of emergency psychiatry.","authors":"G M Barton","doi":"10.1300/j261v03n02_24","DOIUrl":"https://doi.org/10.1300/j261v03n02_24","url":null,"abstract":"","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"327-80"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21171346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Protocols, algorithms, and procedures in emergency psychiatry.","authors":"G M Barton, B S Comstock","doi":"10.1300/j261v03n02_16","DOIUrl":"https://doi.org/10.1300/j261v03n02_16","url":null,"abstract":"","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"185-216"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21149426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emergency psychiatric services for medical and surgical inpatients.","authors":"M Fauman","doi":"10.1300/j261v03n02_11","DOIUrl":"https://doi.org/10.1300/j261v03n02_11","url":null,"abstract":"","PeriodicalId":79878,"journal":{"name":"Emergency health services review","volume":"3 2-3","pages":"123-31"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}