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Mental Health & Substance Abuse Information Papers

Information and Resource Papers

Care of the Psychiatric Patient in the ED: A Review of the Literature
This paper provides an overview of the literature on psychiatric care in the ED and addresses the following topics: evaluation of psychiatric patients in the ED, medical clearance, best practices for reducing boarding, medical management, disposition, and community resources. Read the full paper

Practical Solutions to Boarding of Psychiatric Patients in the Emergency Department-Does Your Emergency Department Have a Psychiatric Boarding Problem?
Of the estimated 136 million emergency visits yearly, 5%, or nearly 7 million Americans, present to our emergency centers with a primary psychiatric emergency. Limited funding, limited resources, and patient placement difficulties have cumulated to the current crisis of mental health patients boarding in the emergency department. Read the full paper

Resources on Behavioral Crowding and Boarding in the Emergency Department
This psychiatric boarding toolkit provides resources to address patient handoff and frequency of evaluation, activiities of daily living for the boarded patient, initiation of mental health treatment while boarding, and development of ED psychiatric observational medicine. Read the full paper

Suicide Contagion in Adolescents: The Role of the Emergency Department
The intent of the paper is to educate emergency physicians about this emergency public health issue. The paper provides information about the definition of suicide contagion, types of contagion, screening, risk reduction, and available resources. Read the full paper

Synthetic Drug Overdose
Synthetic drug overdose is a complex problem. Federal, state and local health officials have started to provide drug abuse data surveillance to healthcare providers to help with care. The most commonly used databases are provided. Read the full paper

Additional Resources

ACEP Clinical Policy
Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department

Sobering Centers
Outlines information on the development of sobering centers and provides a table with information on 11 centers around the country.

ACEP Policy Statements
Pediatric Mental Health Emergencies in the Emergency Medical Services System
Addressing the Public Safety Dangers Associated with Impaired or Distracted Driving

Patient Resources (from NIH)
Step-by-Step Guides for Patients, Patient Friends and Family with Drug Abuse Problems

Mobile Integrated Healthcare
Mobile Integrated Healthcare/Community Paramedicine (MIH/CP) Primer

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