0
ARTICLE |

Expanding Psychiatric Service in a Hospital Emergency Room FREE

Wayne S. Barry, MD; Fereidoon Kharabi, MD; Gary Nyman, MD; Chester W. Schmidt, MD
[+] Author Affiliations

Reprint requests to Baltimore City Hospitals, 4940 Eastern Ave, Baltimore, MD 21224 (Dr Barry).


JAMA. 1979;242(13):1394-1395. doi:10.1001/jama.1979.03300130038016
Text Size: A A A
Published online

Senior medical residents were used to extend psychiatric coverage in a busy hospital emergency room. Their service was supported by the backup consultation of senior psychiatric physicians. The medical residents worked in conjunction with psychiatric residents to provide 24-hour daily emergency psychiatric service to more than 350 patients during a 12-month period. There were no significant differences in the demographic composition of the patient population seen or in the disposition of individual patients made between the medical and psychiatric residents. The hospital was able to expand its psychiatric service in the emergency room without major increases in cost. The medical residents benefited by experiencing a more diversified patient care training program, and they earned a modest supplement to their house officer salary.

(JAMA 242:1394-1395, 1979)

REFERENCES

Bartolucci G, Drayer CS:  An overview of crisis intervention in the emergency rooms of general hospitals . Am J Psychiatry 130:953-960, 1973;.
Beahan LT:  Emergency mental health services in a general hospital . Hosp Community Psychiatry 21:81-84, 1970;.
Brown JH, Harvey ML:  Emergency services: Psychiatric emergencies in the general hospital: A review . Can Psychiatr Assoc 16:105-109, 1971;.
Caplan G: Theory and Practice of Mental Health Consultation . New York, Basic Books Inc, 1970;.
Hankoff LD, Mischoor MT, Tomlinson KE, et al:  A program of crisis intervention in the emergency medical setting . Am J Psychiatry 131:47-50, 1974;.
Jacobson GF:  Programs and techniques of crisis intervention , in Arieti S (ed): American Handbook of Psychiatry , ed 2. New York, Basic Books Inc, 1974;, pp 811-825.
Lieber AL, Waldman LE:  Violent outcome following psychiatric emergency room visits , in Findeiss JC (ed): Emergency Medical Care . New York, Stratton Intercontinental Medical Book Corp, 1974;, pp 221-225.
Sukhdeo H:  Handling psychiatric emergencies in a large metropolitan emergency room by a crisis intervention team , in Findeiss JC (ed): Emergency Medical Care . New York, Stratton Intercontinental Medical Book Corp, 1974;, pp 227-234.
Snodgrass RE:  Psychiatric problems in the hospital emergency room . J Ind State Med Assoc 67:247-251, 1974;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Bartolucci G, Drayer CS:  An overview of crisis intervention in the emergency rooms of general hospitals . Am J Psychiatry 130:953-960, 1973;.
Beahan LT:  Emergency mental health services in a general hospital . Hosp Community Psychiatry 21:81-84, 1970;.
Brown JH, Harvey ML:  Emergency services: Psychiatric emergencies in the general hospital: A review . Can Psychiatr Assoc 16:105-109, 1971;.
Caplan G: Theory and Practice of Mental Health Consultation . New York, Basic Books Inc, 1970;.
Hankoff LD, Mischoor MT, Tomlinson KE, et al:  A program of crisis intervention in the emergency medical setting . Am J Psychiatry 131:47-50, 1974;.
Jacobson GF:  Programs and techniques of crisis intervention , in Arieti S (ed): American Handbook of Psychiatry , ed 2. New York, Basic Books Inc, 1974;, pp 811-825.
Lieber AL, Waldman LE:  Violent outcome following psychiatric emergency room visits , in Findeiss JC (ed): Emergency Medical Care . New York, Stratton Intercontinental Medical Book Corp, 1974;, pp 221-225.
Sukhdeo H:  Handling psychiatric emergencies in a large metropolitan emergency room by a crisis intervention team , in Findeiss JC (ed): Emergency Medical Care . New York, Stratton Intercontinental Medical Book Corp, 1974;, pp 227-234.
Snodgrass RE:  Psychiatric problems in the hospital emergency room . J Ind State Med Assoc 67:247-251, 1974;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.