General Hospital Psychiatry
Volume 25, Issue 2 , Pages 124-129 , March 2003

Organization and function of academic psychiatric emergency services

  • Glenn W Currier, MD, MPH

      Affiliations

    • University of Rochester Medical Center, Rochester, NY, USA
    • Corresponding Author InformationCorresponding author. Tel.:+1-585-275-9908; fax:+1-585-506-0064.
  • ,
  • Michael Allen, MD

      Affiliations

    • University of Colorado School of Medicine, Denver, CO, USA

References 

  1. Allen MH. Definitive treatment in the psychiatric emergency service. Psychiatr Q. 1996;67:247–262
  2. Brasch JS, Ferencz JC. Training issues in emergency psychiatry. Psychiatr Clin North Am. 1999;22:941–954
  3. Currier GW. Psychiatric bed reductions and mortality among persons with mental disorders (a seven-country comparison). Psychiatric Services. 2000;51(7):851
  4. Gerson S, Bassuk E. Psychiatric emergencies (an overview). Am J Psychiatry. 1980;137:1–11
  5. Allen MH. Level 1 psychiatric emergency services: the tools of the crisis sector. Psychiatr Clin North Am. 1999;22:713–734
  6. Stroul BA.Psychiatric crisis response systems: a descriptive study. Community Support Program Center for Mental Health Services 1993:9–51
  7. Currier G, Allen MH. American association for emergency psychiatry survey I: psychiatric emergency service structure and function (abstract). Presented at the American Psychiatric Association Institute on Psychiatric Services, October 30-November 2, 1999; New Orleans, LA
  8. Allen MH, Currier GW, Hughes DH, Carpenter D, Docherty JP. The expert consensus guideline series: treatment of behavioral emergencies. Postgraduate Medicine April 2001:1–90
  9. Korn C, Currier GW, Henderson S. Medical screening of psychiatric patients in a general emergency department. Journal of Emergency Medicine. 2000;18(2):173–176
  10. Currier GW, Allen MH. Cocaine toxicology testing at psychiatric emergency department presentation. American Journal of Forensic Psychiatry. 1998;9(3):55–66
  11. Lagomasino I, Daly R, Stoudemire A. Medical assessment of patients presenting with psychiatric symptoms in the emergency setting. Psychiatr Clin North Am. 1999;22:819–850
  12. Colenda CC, Greenwald BS, Crossett JH, et al.  Barriers to effective psychiatric emergency services for elderly persons. Psychiatr Serv. 1997;48:321–325
  13. Claassen CA, Gilfillan S, Orsulak P, et al.  Substance use among patients with a psychotic disorder in a psychiatric emergency room. Psychiatr Serv. 1997;48:353–358
  14. Limandri BJ, Tilden VP. Domestic violence (ethical issues in the health care system). AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4:493–502
  15. Currier GW, Barthauer LM, Begier E, Bruce ML. Training and experience of psychiatric residents in identifying domestic violence. Psychiatr Serv. 1996;47:529–530

 The emergency room is the interface between community and health care institution. Whether through outreach or in-hospital service, the psychiatrist in the general hospital must have specialized skill and knowledge to attend the increased numbers of mentally ill, substance abusers, homeless individuals, and those with greater acuity and comorbidity than previously known. This Special Section will address those overlapping aspects of psychiatry, medicine, neurology, psychopharmacology, and psychology of essential interest to the psychiatrist who provides emergency consultation and treatment to the general hospital population.

PII: S0163-8343(02)00287-6

doi: 10.1016/S0163-8343(02)00287-6

General Hospital Psychiatry
Volume 25, Issue 2 , Pages 124-129 , March 2003