Corpus ID: 53334529

Using the Behavioural Activity Rating Scale as a Vital Sign in the Psychiatric Emergency Service

@inproceedings{Simpson2017UsingTB,
  title={Using the Behavioural Activity Rating Scale as a Vital Sign in the Psychiatric Emergency Service},
  author={Scott A. Simpson and Marla Pidgeon and Kimberly D. Nordstrom},
  year={2017}
}
Improving mental health care in the emergency department (ED) is an increasingly urgent issue. With a decline in inpatient psychiatric capacity and the outpatient mental health system “in tatters,” emergency rooms have become “epicenters for psychiatric and behavioral emergencies.”1 More than 12% of annual emergency department visits are for psychiatric reasons.1 Moreover, psychiatric diagnoses are disproportionately represented among patients with frequent ED utilization. Lengths of… Expand

Figures and Tables from this paper

Models of Emergency Psychiatric Services That Work
Decreases in hospital and residential treatment services coupled with an increase in the general population and its mental illness burden have created a public health crisis in emergency psychiatry.Expand
A Quality Improvement Project on Agitation Management in the Emergency Department.
TLDR
The Behavioral Activity Rating Scale is a usable tool for emergency nurses to assess for patient agitation and with the incorporation of agitation management interventions, the ED team can potentially manage agitation before violence occurs. Expand
A Free Online Video Series Teaching Verbal De-escalation for Agitated Patients
TLDR
A video-based curriculum designed to teach medical students core principles in the management of agitation through verbal de-escalation is described, which is a promising tool for teaching skills to safely manage agitation. Expand
Agitation and Dementia: Prevention and Treatment Strategies in Acute and Chronic Conditions
TLDR
The present point of view aims at providing an extensive guide to facilitate the identification, prevention, and management of acute and chronic agitation in dementia patients. Expand

References

SHOWING 1-10 OF 14 REFERENCES
An evidence-based clinical guideline for initial management of behavioral emergencies.
  • A. White
  • Medicine
  • Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
  • 2010
TLDR
Evidencebased clinical practice guidelines are developed to help emergency nurses assess acuity, cause, and safety and to initiate an appropriate plan of care for patients who present with even the most puzzling or challenging behavioral emergency. Expand
Health Policy Considerations in Treating Mental and Behavioral Health Emergencies in the United States.
TLDR
A brief history of mental health services in the United States is provided and the current landscape of US psychiatric care is described, describing some of the glaring issues in US mental health care today and offering some potential remedies to improve care in acute behavioral emergencies. Expand
Emergency department mental health triage scales improve outcomes.
TLDR
The need for the inclusion of clients' reactions to the impact of this change to service delivery in future evaluations is examined and a number of mental health triage scales that have been evaluated for use in emergency departments are reviewed. Expand
The development and use of mental health triage scales in Australia.
TLDR
A lack of equity remains in emergency departments in the provision of care to people with a mental illness who make up one in five of adult Australians, and consideration should be given to the introduction of a national approach to the use of a mental health triage scale in Australian emergency departments. Expand
Risk for physical restraint or seclusion in the psychiatric emergency service (PES).
TLDR
Acute symptomatology and characteristics of the encounter were more likely to be associated with restraint/seclusion than patient demographics or diagnoses and can help clinicians identify patients at risk of behavioral decompensation. Expand
Violence, aggression and physical assault in healthcare settings.
  • T. Ferns
  • Medicine
  • Nursing standard (Royal College of Nursing (Great Britain) : 1987)
  • 2006
TLDR
How the terms violence, aggression and physical assault are conceptualised in the healthcare setting are considered and it is suggested that nursing staff need to identify and act on any incident that compromises their personal safety. Expand
Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup
TLDR
The proper foundations for appropriate training for de-escalation are detailed and intervention guidelines are provided, using the “10 domains of de- escalation,” to avoid coercive interventions that escalate agitation. Expand
Validation of the behavioural activity rating scale (BARS): A novel measure of activity in agitated patients
TLDR
BARS showed psychometrically valid properties for measurement of behavioral activity in acutely agitated patients with psychosis, and Virtually perfect inter- and intra-rater reliability was achieved. Expand
The culture of an emergency department: an ethnographic study.
TLDR
Examining the culture in an emergency department showed that culture is influenced and created by multiple elements and development and training opportunities are needed to improve relationships to promote safer, more efficient patient care. Expand
Impact of hospital security programmes and workplace aggression on nurse perceptions of safety.
TLDR
Several factors that influence nurses' perception of their risk of violence are not well correlated with their actual risk, and this study showed, for the first time, that these may differ from perceptions. Expand
...
1
2
...