Warren Kealy-Bateman1, Andrew McDonald2, Paul S Haber3, Tim Green4, Bethany White5, Viktoria Sundakov6, Cathal O'Cionnaith7, Nicholas Glozier8. 1. Clinical Senior Lecturer, University of Wollongong, Wollongong, NSW, and; Senior Staff Specialist Psychiatrist, Department of Psychiatry, Royal Prince Alfred Hospital, Camperdown, NSW, Australia. 2. Director of Clinical Services, Mental Health, Sydney Local Health District, Concord, NSW, Australia. 3. Clinical Director, Drug Health Services, Sydney Local Health District, Camperdown, NSW, and; Professor and Head, Discipline of Addiction Medicine, The University of Sydney, Sydney, NSW, Australia. 4. Clinical Senior Lecturer, Sydney Medical School, The University of Sydney, Sydney, NSW, and; Senior Staff Specialist, Emergency Department, Royal Prince Alfred Hospital, Camperdown, NSW, Australia. 5. Postdoctoral Research Associate, Central Clinical School, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia. 6. Director, Department of Psychiatry, Royal Prince Alfred Hospital, Camperdown, NSW, Australia. 7. Registrar, Mental Health, Sydney Local Health District, Camperdown, NSW, Australia. 8. Professor of Psychological Medicine, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.
Abstract
OBJECTIVES: There is emerging interest in models of care that focus on assessment and brief inpatient treatment (two to three days) including psychiatric emergency care centre units and short-stay units in Australia. We present the development of a functionally integrated Missenden Assessment Unit and six-bed short-stay unit in the new Professor Marie Bashir Centre at Royal Prince Alfred Hospital in inner-city Sydney. The focus was on collaboration between emergency, drug and alcohol and mental-health services in developing the short-stay unit and Missenden Assessment Unit with joint admission and resource use. We outline the models of care and findings from the 2016 evaluation following the initial two years of operation and consider ongoing challenges. CONCLUSION: The Missenden Assessment Unit provides an alternative point of presentation for mental-health drug and alcohol patients. The short-stay unit provides coordinated, therapeutic interventions. The Missenden Assessment Unit/short-stay unit reduced the burden of presentations to the emergency department while providing the opportunity for training and collaboration. Further refinement of the models of care should occur with policy development and via research.
OBJECTIVES: There is emerging interest in models of care that focus on assessment and brief inpatient treatment (two to three days) including psychiatric emergency care centre units and short-stay units in Australia. We present the development of a functionally integrated Missenden Assessment Unit and six-bed short-stay unit in the new Professor Marie Bashir Centre at Royal Prince Alfred Hospital in inner-city Sydney. The focus was on collaboration between emergency, drug and alcohol and mental-health services in developing the short-stay unit and Missenden Assessment Unit with joint admission and resource use. We outline the models of care and findings from the 2016 evaluation following the initial two years of operation and consider ongoing challenges. CONCLUSION: The Missenden Assessment Unit provides an alternative point of presentation for mental-health drug and alcohol patients. The short-stay unit provides coordinated, therapeutic interventions. The Missenden Assessment Unit/short-stay unit reduced the burden of presentations to the emergency department while providing the opportunity for training and collaboration. Further refinement of the models of care should occur with policy development and via research.
Entities:
Keywords:
PECC; SSU; drug health services; emergency services; length of stay; mental-health services; psychiatric emergency care centre; short-stay unit
Authors: Katie Anderson; Lucy P Goldsmith; Jo Lomani; Zena Ali; Geraldine Clarke; Chloe Crowe; Heather Jarman; Sonia Johnson; David McDaid; Paris Pariza; A-La Park; Jared A Smith; Elizabeth Stovold; Kati Turner; Steve Gillard Journal: BJPsych Open Date: 2022-07-25