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https://www.readbyqxmd.com/read/27779363/predictors-for-clinical-deterioration-of-mental-state-in-patients-assessed-by-telephone-based-mental-health-triage
#1
Natisha Sands, Stephen Elsom, Rebecca Corbett, Sandra Keppich-Arnold, Roshani Prematunga, Michael Berk, Julie Considine
Patient safety research focussing on recognizing and responding to clinical deterioration is gaining momentum in generalist health, but has received little attention in mental health settings. The focus on early identification and prompt intervention for clinical deterioration enshrined in patient safety research is equally relevant to mental health, especially in triage and crisis care contexts, yet the knowledge gap in this area is substantial. The present study was a controlled cohort study (n = 817) that aimed to identify patient and service characteristics associated with clinical deterioration of mental state indicated by unplanned admission to an inpatient psychiatric unit following assessment by telephone-based mental health triage...
October 25, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/26931611/crisis-averted-how-consumers-experienced-a-police-and-clinical-early-response-pacer-unit-responding-to-a-mental-health-crisis
#2
Eloisa Evangelista, Stuart Lee, Angela Gallagher, Violeta Peterson, Jo James, Narelle Warren, Kathryn Henderson, Sandra Keppich-Arnold, Luke Cornelius, Elizabeth Deveny
When mental health crisis situations in the community are poorly handled, it can result in physical and emotional injuries. The purpose of this study was to ascertain the experiences and opinions of consumers about the way police and mental health services worked together, specifically via the Alfred Police and Clinical Early Response (A-PACER) model, to assist people experiencing a mental health crisis. Semi-structured in-depth interviews were conducted with 12 mental health consumers who had direct contact with the A-PACER team between June 2013 and March 2015...
August 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/26733103/perceptions-of-crisis-care-in-populations-who-self-referred-to-a-telephone-based-mental-health-triage-service
#3
Natisha Sands, Stephen Elsom, Sandra Keppich-Arnold, Kathryn Henderson, Phillipa A Thomas
Although psychiatric crises are very common in people with mental illness, little is known about consumer perceptions of mental health crisis care. Given the current emphasis on recovery-oriented approaches, shared decision-making, and partnering with consumers in planning and delivering care, this knowledge gap is significant. Since the late 1990s, access to Australian mental health services has been facilitated by 24/7 telephone-based mental health triage systems, which provide initial psychiatric assessment, referral, support, and advice...
April 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/26597480/outcomes-achieved-by-and-police-and-clinician-perspectives-on-a-joint-police-officer-and-mental-health-clinician-mobile-response-unit
#4
Stuart J Lee, Phillipa Thomas, Chantelle Doulis, Doug Bowles, Kathryn Henderson, Sandra Keppich-Arnold, Eva Perez, Simon Stafrace
Despite their limited mental health expertise, police are often first to respond to people experiencing a mental health crisis. Often the person in crisis is then transported to hospital for care, instead of receiving more immediate assessment and treatment in the community. The current study conducted an evaluation of an Australian joint police-mental health mobile response unit that aimed to improve the delivery of a community-based crisis response. Activity data were audited to demonstrate utilization and outcomes for referred people...
December 2015: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/26365233/investigating-the-validity-and-usability-of-an-interactive-computer-programme-for-assessing-competence-in-telephone-based-mental-health-triage
#5
Natisha Sands, Stephen Elsom, Sandra Keppich-Arnold, Kathryn Henderson, Peter King, Karen Bourke-Finn, Debra Brunning
Telephone-based mental health triage services are frontline health-care providers that operate 24/7 to facilitate access to psychiatric assessment and intervention for people requiring assistance with a mental health problem. The mental health triage clinical role is complex, and the populations triage serves are typically high risk; yet to date, no evidence-based methods have been available to assess clinician competence to practice telephone-based mental health triage. The present study reports the findings of a study that investigated the validity and usability of the Mental Health Triage Competency Assessment Tool, an evidence-based, interactive computer programme designed to assist clinicians in developing and assessing competence to practice telephone-based mental health triage...
February 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/26189488/inpatient-views-and-experiences-before-and-after-implementing-a-totally-smoke-free-policy-in-the-acute-psychiatry-hospital-setting
#6
Sacha L Filia, Caroline T Gurvich, Anton Horvat, Clare L Shelton, Lynda J Katona, Amanda L Baker, Simon Stafrace, Sandra Keppich-Arnold, Jayashri Kulkarni
In the present study, we examined the views and experiences of patients admitted to an acute psychiatry unit before and after the implementation of a totally smoke-free policy. Forty-six inpatients completed a questionnaire assessing their views before the smoking ban. Another 52 inpatients completed a questionnaire assessing their views and experiences after the smoking ban. Before the totally smoke-free policy, 69.6% smoked, with 67.7% smoking more when admitted to the psychiatry ward. Before the smoking ban, 54...
August 2015: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/25438620/handover-of-patient-information-from-the-crisis-assessment-and-treatment-team-to-the-inpatient-psychiatric-unit
#7
Amanda Waters, Natisha Sands, Sandra Keppich-Arnold, Kathryn Henderson
Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community and mental health services in many Australian and international health services, facilitating access to assessment, treatment, and admission to hospital. No previous research has investigated the handover between crisis assessment and treatment teams and inpatient psychiatric units, despite the importance of handover to care planning...
June 2015: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/25358653/establishing-female-only-areas-in-psychiatry-wards-to-improve-safety-and-quality-of-care-for-women
#8
Jayashri Kulkarni, Emmy Gavrilidis, Stuart Lee, Tamsyn E Van Rheenen, Jasmin Grigg, Emily Hayes, Adeline Lee, Roy Ong, Amy Seeary, Shelley Andersen, Rosie Worsley, Sandra Keppich-Arnold, Simon Stafrace
OBJECTIVE: Our aim was to assess the impact of creating a female-only area within a mixed-gender inpatient psychiatry service, on female patient safety and experience of care. METHOD: The Alfred hospital reconfigured one of its two psychiatry wards to include a female-only area. Documented incidents compromising the safety of women on each ward in the 6 months following the refurbishment were compared. Further, a questionnaire assessing perceived safety and experience of care was administered to female inpatients on both wards, and staff feedback was also obtained...
December 2014: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/23897730/demonstrating-the-impact-and-model-of-care-of-a-statewide-psychiatric-intensive-care-service
#9
Stuart Lee, Yitzchak Hollander, Lisa Scarff, Ryan Dube, Sandra Keppich-Arnold, Simon Stafrace
OBJECTIVE: To characterise patients and their outcomes following referral to a Statewide psychiatric intensive care service. METHOD: This study conducted a medical audit for patients referred to the Statewide service during the first four years of operation (2007-2011). Demographics and the presence of alcohol and other drug and forensic comorbidities were documented along with the treatment received prior to and during admission. RESULTS: In the first four years of operation, 58 referrals were received, 41 resulting in admission and seven in secondary consultation delivered to the referring inpatient psychiatry service...
October 2013: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/23293999/mental-health-telephone-triage-managing-psychiatric-crisis-and-emergency
#10
Natisha Sands, Stephen Elsom, Elijah Marangu, Sandra Keppich-Arnold, Kathryn Henderson
PURPOSE: The study aims to identify and articulate how mental health telephone triage (MHTT) clinicians manage psychiatric crisis and emergency via the telephone. DESIGN AND METHODS: An observational design was employed in the study. Wireless headsets were used to observe 197 occasions of MHTT. FINDINGS: Clinicians use a range of practical strategies, therapeutic skills, and psychosocial interventions to manage psychiatric crises and emergencies via the telephone...
January 2013: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/22860919/identifying-the-core-competencies-of-mental-health-telephone-triage
#11
Natisha Sands, Stephen Elsom, Marie Gerdtz, Kathryn Henderson, Sandra Keppich-Arnold, Nicolas Droste, Roshani K Prematunga, Zewdu W Wereta
AIMS AND OBJECTIVES: The primary aim of this study was to identify the core competencies of mental health telephone triage, including key role tasks, skills, knowledge and responsibilities, in which clinicians are required to be competent to perform safe and effective triage. BACKGROUND: Recent global trends indicate an increased reliance on telephone-based health services to facilitate access to health care across large populations. The trend towards telephone-based health services has also extended to mental health settings, evidenced by the growing number of mental health telephone triage services providing 24-hour access to specialist mental health assessment and treatment...
November 2013: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/5552463/doctors-s-fees
#12
W S Coglin, H T McDonald, P Keppich-Arnold
No abstract text is available yet for this article.
March 6, 1971: Medical Journal of Australia
https://www.readbyqxmd.com/read/5157187/the-value-of-human-life
#13
P Keppich-Arnold
No abstract text is available yet for this article.
November 20, 1971: Medical Journal of Australia
https://www.readbyqxmd.com/read/5117291/national-health-service
#14
P Keppich-Arnold
No abstract text is available yet for this article.
October 23, 1971: Medical Journal of Australia
https://www.readbyqxmd.com/read/5093877/national-health-service
#15
P Keppich-Arnold
No abstract text is available yet for this article.
July 24, 1971: Medical Journal of Australia
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