Emergency Department Treatment of the Psychiatric Patient: Policy Issues and Legal Requirements

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Oxford University Press, Mar 16, 2006 - Psychology - 232 pages
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Many hospital emergency departments are overcrowded and short-staffed, with a limited number of available hospital beds. It is increasingly hard for emergency departments and their staff to provide the necessary level of care for medical patients. Caring for people with psychiatric disabilities raises different issues and calls on different skills. In Emergency Department Treatment of the Psychiatric Patient, Dr. Stefan uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders. She relies on interviews with emergency department nurses, doctors and psychiatrists, as well as surveys of people with psychiatric disabilities to present the perspectives of both the individuals seeking treatment, and those providing it. This eye-opening book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis. In addition to presenting a new analysis of the source of these problems, Dr. Stefan also suggests an array of alternatives to emergency department treatment for people in psychiatric crisis. Moreover, the author proposes standards for treatment of these individuals when they do inevitably end up in a hospital emergency department. Emergency Department Treatment of the Psychiatric Patient presents a thoughtful and thorough analysis of the difficulties faced by people with psychiatric disabilities when seeking emergency medical care. It is essential reading for anyone working in a hospital emergency department, as well as health care policy makers, and advocates and lawyers for people with psychiatric disabilities.
 

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Having worked as a Security Officer or as you call "Security Guards", I see your writing as nothing but a far leftist anti security, anti, gun, pepper spray and baton ramblings and rant.
I very
easily can tell that other than research the writer has no clue to what responsibility is placed on Security. It is a damned if you do, damned if you don't scenario. You talk about patient rights, I too believe in patient rights, especially those with psychiatric problems but what you fail to see, is how many of these patients play the system. They pretend to be in mental health crisis because it is too cold outside and they have been banned from every Mission in town, so they come in, refuse to obey the rules, cause fights with staff, Security and or other patients. They then go through an interview with Mobile Crisis who rather than argue with the patient give them a place to stay for a few days out of the weather.
Then we have the other type of patient who is just a behavioral issue, who likes to intimidate and create problems everywhere they go. I have been in law enforcement and security for over 20 years prior to becoming a Security Officer with a Hospital which I have done for almost a decade. I wish that those writing these rules, policies and procedures would actually spend some time with the patients we watch, perhaps after they were assaulted, spit on and have their clothing ripped to shreds they may see a better picture. This is all talking about Psychiatric patients, we have not even touched on the drunks and drug addicted people that come in.
I will never understand where people like the author of this writing come from. People are shooting people in theaters, hospitals and schools. You have unarmed Officers disarming armed visitors and or patients visiting. You write about searching patients and about their rights, well how about the well being of our staff, visitors, patients or for that matter me? There seems to be very little if any regard for everyone else. I would better respect a writing that covered all involved and did not come off as the tenants of the Democrat party.
 

Contents

1 Introduction
3
2 Overview of Emergency Services for People with Psychiatric Disabilities
11
3 Patients Problems in Emergency Department Care
33
4 Professional Issues in Emergency Department Care
59
5 Legal Rights and Standards in Emergency Department Treatment of People with Psychiatric Disabilities
79
6 Solutions to Problems in Emergency Department Treatment of People with Psychiatric Disabilities
113
7 Conclusion
141
Emergency Department Treatment of People with Psychiatric Disabilities Findings and Proposed Standards
149
Notes
171
Index
207
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About the author (2006)

Susan Stefan, J.D., directs the National Emergency Department Project at the Center for Public Representation, based in Massachusetts. The Project seeks to improve the care of people with psychiatric disabilities when they are in crisis. Dr. Stefan, formerly at the University of Miami School of Law, is a leading authority on the civil rights of people with mental illnesses. She is a litigator and policy advocate, and author of two books, including Unequal Rights: Discrimination against People with Mental Disabilities and the Americans with Disabilities Act. She lives with her husband and dog in Rutland, Massachusetts.

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