Big Book of Emergency Department Psychiatry : a Guide to Patient Centered Operational Improvement

"This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED's is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals. Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED."--Provided by publisher Half Title 2 Series page 3 Title Page 6 Copyright Page 7 Table of Contents 8 Preface 10 Acknowledgments 14 Editors 16 Contributors 18 1: Front Line Perspectives 20 1: Emergency Psychiatry: An Emergency Psychiatrist’ s Perspective 22 Zoran Svorcan 22 2: Emergency Psychiatry: An Emergency Psychiatric Social Worker’ s Perspective 32 Elba Figueroa 32 3: Emergency Psychiatry: An Emergency Physician’ s Perspective 46 Ruwan Ekanayake 46 4: Emergency Psychiatry: An Emergency Nurse’ s Perspective 58 Jennifer McGrath 58 2: Structural Approaches to Patient Centered Care 66 5: Contemporary Psychiatric Care in the Emergency Department: Care Options, Treatment Teams, and Documentation Recommendations 68 Yener Balan and Christopher Lentz 68 6: Risk Assessments in the Emergency Room 110 Rebecca Fink 110 7: The Myth of Medical Clearance 124 Lev Libet, Yener Balan, and Seth Thomas 124 8: Discharge Planning 136 Yener Balan 136 9: Ethical Implications for the Emergency Department Psychiatrist 150 Jeffery Kahn 150 3: Clinical Care 164 10: Anxiety and Mood Disorders in an Emergency Context 166 Christopher Lentz 166 11: Psychotic Disorders in Emergency Departments 196 Christopher Lentz 196 12: The Diagnosis and Management of Substance Use Disorders in the Emergency Psychiatric Setting: A Primer 218 Noam Fast 218 13: Emergency Treatment of Agitation in Delirious and Demented Patients 254 Elyssa L. Barron, Alexis Briggie, and Howard L. Forman 254 14: Personality Disorders: An Empathic Approach 264 Yener Balan and Duygu Balan 264 15: A Primer on Medical Toxicology 274 Steven R. Offerman 274 4: Specialized Population Care 292 16: Children and Adolescents with Psychiatric Emergencies 294 Gary Lelonek 294 17: Correctional Emergency Psychiatry 308 Neil Leibowitz 308 5: Methods for Operational Improvement 324 18: Introduction to Emergency Psychiatry Operational Improvement 326 Karen Murrell 326 19: A Step-by-Step Guide for Improving Emergency Psychiatry 334 Karen Murrell and Yener Balan 334 20: Lean Flow and the Impact of the Long-Stay Patient 348 Karen Murrell 348 21: Change Management and Addressing Barriers to Improvement 358 Karen Murrell, Yener Balan, and Christopher Lentz 358 Index 364 This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in Emergency Department's is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals.