Evaluation of the Psychiatric Decisions Unit (PDU): effect on emergency department presentations and psychiatric inpatient admissions.

Trethewey, Samuel P and Deepak, Shantal and Saad, Samuel and Hughes, Ellen and Tadros, George (2019) Evaluation of the Psychiatric Decisions Unit (PDU): effect on emergency department presentations and psychiatric inpatient admissions. Postgraduate medical journal. ISSN 1469-0756. This article is available to all UHB staff and students via ASK Discovery Tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs.

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Official URL: https://pmj.bmj.com/content/early/2019/02/14/postg...

Abstract

BACKGROUND

Busy emergency departments (EDs) are not the optimum environment for assessment of patients in mental health crisis. The Psychiatric Decisions Unit (PDU) was developed by the Birmingham and Solihull Mental Health Foundation Trust as an enhanced assessment service to ensure patients in mental health crisis receive optimal care.

AIMS

To evaluate the activities of the PDU and its impact on the frequency of ED presentations and inpatient admissions, and to explore patient satisfaction.

METHODS

Data were collected over a 6-month period during 2015 regarding patient demographics, referral sources, length of stay, and frequency of mental health-related ED presentations and inpatient psychiatric admissions. Comparison group data were used to evaluate the impact of the PDU. Patient satisfaction was measured using the 'Friends and Family Test' and structured feedback forms.

RESULTS

In total, 385 patients were referred to the PDU during the study period. Implementation of the PDU was associated with a 39% decrease in the number of patients taken to the ED by Street Triage and a 26% fall in inpatient psychiatric admissions via the Trusts' in-hospital liaison psychiatry team. Ninety-eight per cent of patients surveyed felt that they were treated with respect and understanding, and 94% reported that they were likely or extremely likely to recommend the service to friends and family.

CONCLUSIONS

Implementation of the PDU was associated with a reduction in the frequency of ED presentations and inpatient psychiatric admissions. This study suggests that patients are satisfied with the care provided at the PDU.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery Tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs.
Subjects: WM Psychiatry. Mental health
Divisions: Emergency Services > Emergency Department
Related URLs:
Depositing User: Jennifer Manders
Date Deposited: 28 Feb 2019 11:49
Last Modified: 28 Feb 2019 11:49
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1858

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