American Association for Emergency Psychiatry Recommendations to Address Psychiatric Staff Shortages in Emergency Settings
| Autor: | Janet S. Richmond, Victor Stiebel, Joseph J Rasimas, Dianna Dragatsi, John Samuel Rozel |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Ambulances Personnel Staffing and Scheduling Nurses Social Workers Economic shortage 03 medical and health sciences 0302 clinical medicine Physicians medicine Humans Psychology 030212 general & internal medicine Association (psychology) Psychiatry Academic Medical Centers Emergency Services Psychiatric Social work business.industry Mental Disorders Mental health 030227 psychiatry Psychiatry and Mental health Counselors Emergency psychiatry business Emergency Service Hospital |
| Zdroj: | Psychiatric services (Washington, D.C.). 72(4) |
| ISSN: | 1557-9700 |
| Popis: | The psychological sequelae of the COVID-19 crisis will increase demands for psychiatric care in already strained emergency and mental health systems. To address the shortage of psychiatrists (and nurse practitioners and physician assistants) in emergency settings (ESs), the American Association for Emergency Psychiatry (AAEP) has established recommendations for utilizing nonprescribing mental health professionals in the evaluation and management of psychiatric patients in these contexts.Faced with limited research on the roles and competencies of nonprescribing psychiatric emergency clinicians (PECs), a multidisciplinary committee of members of AAEP was tasked with developing recommendations for use of PECs.The committee developed eight recommendations regarding the role of PECs in evaluation and management of patients who present to ESs with behavioral emergencies. PECs should have the following competencies: conducting independent psychiatric and substance abuse evaluations; managing behavioral emergencies; aiding in the recognition of confounding medical illnesses, intoxication and withdrawal states, and adverse drug reactions; developing appropriate treatment plans; recognizing when consultation from a psychiatrist or emergency physician is indicated; possessing self-awareness and recognizing clinician-patient dynamics; understanding medicolegal issues, such as involuntary holds and decision-making capacity; and collaborating with clinical teams in ESs. PECs are not meant to replace psychiatrists but to extend the psychiatrist's reach. Use of PECs has already been implemented in some areas of the country.On the basis of the AAEP recommendations, ESs can address staffing shortages while ensuring safe management of patients with behavioral emergencies. With appropriate orientation and training, the PEC can serve effectively and competently in an ES. |
| Databáze: | OpenAIRE |
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