TY - JOUR
AU - R. G. Thompson Jr.
AU - S. Mullinax
AU - R. De Monte
AU - S. McBain
AU - A. Porter
AU - C. Eastin
AU - S. J. Landes
AU - M. P. Wilson
A1 - 
AB - OBJECTIVE: The authors sought to determine the effectiveness of a self-administered computerized mental health screening tool in a general acute care emergency department (ED). METHODS: Changes in patient care (diagnosis of a past-year psychiatric disorder, request for psychiatric consultation, psychiatric referral at discharge, or transfer to psychiatric facility) and patient ED return visits (3 months after discharge vs. 3 months before) were assessed among ED physicians (N=451) who received patients' computerized screening reports (N=207) and those who did not (N=244). All patients received copies of screening results. RESULTS: The computerized mental health screening tool identified previously undiagnosed psychiatric problems. However, no statistically significant differences were found in physician care or patient ED return visits. CONCLUSIONS: Computerized mental health screening did not result in further psychiatric diagnoses or treatment; it also did not significantly reduce patient ED return visits. Collaboration among EDs and mental health treatment agencies, organizations, and researchers is needed to facilitate appropriate treatment referrals and linkage.
AD - Department of Psychiatry, College of Medicine (Thompson, McBain, Landes, Wilson), Department of Emergency Medicine, College of Medicine (Mullinax, Eastin, Wilson), and Department of Health Policy and Management, Fay W. Boozman College of Public Health (Porter), University of Arkansas for Medical Sciences, Little Rock; Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania (De Monte); Arkansas Department of Health, Little Rock (Porter); Behavioral Health Quality Enhancement Research Initiative, Central Arkansas Veterans Healthcare System, North Little Rock (Landes).
AN - 37161345
BT - Psychiatr Serv
C5 - Education & Workforce; Measures; Healthcare Disparities
CP - 11
DA - Nov 1
DO - 10.1176/appi.ps.20220523
DP - NLM
ET - 20230510
IS - 11
JF - Psychiatr Serv
LA - eng
N2 - OBJECTIVE: The authors sought to determine the effectiveness of a self-administered computerized mental health screening tool in a general acute care emergency department (ED). METHODS: Changes in patient care (diagnosis of a past-year psychiatric disorder, request for psychiatric consultation, psychiatric referral at discharge, or transfer to psychiatric facility) and patient ED return visits (3 months after discharge vs. 3 months before) were assessed among ED physicians (N=451) who received patients' computerized screening reports (N=207) and those who did not (N=244). All patients received copies of screening results. RESULTS: The computerized mental health screening tool identified previously undiagnosed psychiatric problems. However, no statistically significant differences were found in physician care or patient ED return visits. CONCLUSIONS: Computerized mental health screening did not result in further psychiatric diagnoses or treatment; it also did not significantly reduce patient ED return visits. Collaboration among EDs and mental health treatment agencies, organizations, and researchers is needed to facilitate appropriate treatment referrals and linkage.
PY - 2023
SN - 1075-2730
SP - 1180
EP - 1184+
ST - Effectiveness of a Self-Administered Computerized Mental Health Screening Tool in the Emergency Department
T1 - Effectiveness of a Self-Administered Computerized Mental Health Screening Tool in the Emergency Department
T2 - Psychiatr Serv
TI - Effectiveness of a Self-Administered Computerized Mental Health Screening Tool in the Emergency Department
U1 - Education & Workforce; Measures; Healthcare Disparities
U3 - 10.1176/appi.ps.20220523
VL - 74
VO - 1075-2730
Y1 - 2023
ER -