TY  - JOUR
PY  - 2020//
TI  - Urgent outpatient care following mental health ED visits: a population-based study
JO  - Psychiatric services
A1  - Barker, Lucy C.
A1  - Sunderji, Nadiya
A1  - Kurdyak, Paul
A1  - Stergiopoulos, Vicky
A1  - González, Alejandro
A1  - Kopp, Alexander
A1  - Vigod, Simone N.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: Follow-up after psychiatric emergency department (ED) contact is key to optimizing outcomes for vulnerable patients. We aimed to quantify the likelihood of receiving outpatient mental health care after psychiatric ED visits in a population-level sample. <br><br>METHODS: Among individuals who presented for a psychiatric ED visit in Ontario, Canada (2010-2012) and were not admitted to hospital (N=143,662), the authors estimated the likelihood of outpatient physician mental health care within 14 days post-ED visit and compared this across presenting diagnoses. <br><br>RESULTS: About 40.2% (N=57,797) had a follow-up mental health visit within 14 days post-ED. Follow-up was lower among individuals presenting with substance use disorders (25.2%) than among those presenting with disorders not primarily related to substance use (44.5%) (χ<sup>2</sup>=3,784.7, df=1, p<0.001). Follow-up differed among those presenting with schizophrenia (46.4%), bipolar disorder (56.1%), and major depressive disorder (51.1%) (χ<sup>2</sup>=61.7, df=2, p<0.001). <br><br>CONCLUSIONS: Post-ED outpatient mental health follow-up is low. Systemwide coordination is needed to connect these high-acuity patients with care, especially those with presentations related to substance use.<p />  <p>Language: en</p>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201900466
ID  - ref1
ER  -