Predictors for clinical deterioration of mental state in patients assessed by telephone-based mental health triage

Sands, Natisha, Elsom, Stephen, Corbett, Rebecca, Keppich-Arnold, Sandra, Prematunga, Roshani, Berk, Michael and Considine, Julie 2017, Predictors for clinical deterioration of mental state in patients assessed by telephone-based mental health triage, International journal of mental health nursing, vol. 26, no. 3, pp. 226-237, doi: 10.1111/inm.12267.

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Title Predictors for clinical deterioration of mental state in patients assessed by telephone-based mental health triage
Author(s) Sands, Natisha
Elsom, Stephen
Corbett, Rebecca
Keppich-Arnold, Sandra
Prematunga, Roshani
Berk, MichaelORCID iD for Berk, Michael
Considine, JulieORCID iD for Considine, Julie
Journal name International journal of mental health nursing
Volume number 26
Issue number 3
Start page 226
End page 237
Total pages 12
Publisher Wiley-Blackwell
Place of publication Milton, Qld.
Publication date 2017-06
ISSN 1445-8330
Keyword(s) clinical deterioration
mental health
patient safety
Summary 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. The main objective of the research was to produce knowledge to improve understandings of mental deterioration that can be used to inform early detection, intervention, and prevention strategies at the point of triage. The results of the study found that the clinical profile of admitted patients was one of complexity and severity. Admitted patients were more likely to have had complex psychiatric histories with multiple psychiatric admissions, severe psychotic symptoms, a history of treatment non-adherence, and poorer social functioning than non-admitted patients.
Language eng
DOI 10.1111/inm.12267
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
110319 Psychiatry (incl Psychotherapy)
1110 Nursing
1117 Public Health And Health Services
1701 Psychology
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Australian College of Mental Health Nurses
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