P013: What are the short-term goals of patients presenting the emergency department with an acute mental health complaint?. (15th May 2017)

• Record Type: Journal Article
• Authors: Barbic, S.; MacEwan, W.G.; Leon, A.; Chau, S.; Salehmohamed, Q.; Kim, B.; Khamda, B.; Mernoush, V.; Khoshpouri, P.; Osati, F.; Barbic, D.
• Is Part Of: CJEM. Volume 19(2017:May)Supplement 1
• Page Start: S82
• Page End: S82
• Publication Date: 2017-05-15
• Subjects: patient centered care, -- goals, -- mental health; Emergency Treatment -- Periodicals; Emergency Medicine -- Periodicals; Emergency medical services -- Canada -- Periodicals; Medical emergencies -- Canada -- Periodicals; Emergency medical services; Medical emergencies; Canada; Periodicals; 616.02505
• DOI: 10.1017/cem.2017.215
• Languages: English
• ISSNs: 1481-8035

Abstract

Abstract : Introduction: In the last year, Canada published its Strategy for Patient-Oriented Research (SPOR) to ensure that patients receive the right treatment at the right time. Approximately, one in five Canadians will experience a mental illness in their life time, with many presenting to the Emergency Department (ED) as their entry point into the system. In order to improve patient outcomes and focus on patient-identified priorities, the aim of this study was to identify the short-term goals of patients with an acute mental health complaint (AMHC) presenting to the ED.Methods: We prospectively recruited a convenience sample of patients presenting to an inner city, academic ED with an annual census of 85, 000 visits. Patients provided written informed consent and completed a survey package that included questions about employment intentions and short-term life goals. We collated the goals and used a content analysis to summarize the frequency of themes that emerged.Results: This study reports on the preliminary data from 108 of the targeted 200 patients (mean age 39.7 ±13.6 years; 65% male). A total of 75% of participants reported being unemployed, 84% of whom reported that they would like to gain some form of employment in the near future. Over half the sample (52%) identified that they were not satisfied with their current housing situation. In addition to improving housing and obtaining work, improving mental health (n=34), improving relationships with family or friends (n=27), going back to school (n=22) and managing addiction problems (n=20) were identified as the most common short-term goals. Other goals/priorities included improving physical health, traveling, exercising, and eating better.Conclusion: This study provides new information about the priorities of adults presenting with AMHC to the ED. It also offers insight into how to collaborate with patients to build sustainable, accessible, and coordinated care pathways that can bring about positive changes in their lives. This information can be used to compliment current care for mental health problems, ensuring greater quality, accountability, and continuity of care for this vulnerable patient group.