Exceeding the Legal Time Limits for Involuntary Mental Health Examinations: A Study of Emergency Department Delays. (August 2015)

• Record Type: Journal Article
• Authors: Brennaman, Laura
• Is Part Of: Policy, politics and nursing practice. Volume 16:Number 3/4(2015)
• Page Start: 67
• Page End: 78
• Publication Date: 2015-08
• Subjects: boarding -- health services -- mental -- length of stay -- mentally ill commitment -- mentally ill person -- psychiatric emergency services; Nursing -- Practice -- Periodicals; Nursing -- Standards -- Periodicals; Medical policy -- Periodicals; Health Policy -- Periodicals; Nursing -- Periodicals; Politics -- Periodicals; Public Policy -- Periodicals; 610.73
• DOI: 10.1177/1527154415602296
• Languages: English
• ISSNs: 1527-1544

Abstract

This study addressed delays to involuntary mental health examinations experienced by individuals in emergency departments (EDs). Florida statute specifies that involuntary mental health examinations shall take place only at state-designated facilities "without unnecessary delay"—no longer than 12 h until transfer—for individuals in hospital EDs. Individuals in EDs needing involuntary mental health examinations sometimes wait for admission to inpatient units because of unavailability of mental health services. Data collectors at two hospitals reviewed the records of 170 randomly selected ED patients requiring involuntary mental health examinations. Nearly one-half (48.8%) of participants waited longer than the 12-h maximum allowed by Florida law for transfer to an authorized facility. Factors that associated with prolonged waits were being male, increased age, being a Medicare beneficiary, and being intoxicated. State agencies responsible for the regulation of hospitals and mental health facilities should use this data and engage front-line caregivers to identify statutory remedies.