An Analysis of Mental Health Care in the Emergency Department Setting

This report provides a critical evaluation of mental health services within the emergency department (ED) setting, focusing on the perspective of mental health clients. The analysis centers on a critique of the triage system and its impact on patient care, referencing the work of Anat Drach-Zahavy on mindful triage. The report highlights the growing demands and complexities faced by EDs in managing psychiatric patients, including longer waiting times and the need for accurate and efficient triage to prioritize care. It examines the principles of mindful triage and discusses its merits and drawbacks, including the potential for cognitive failures and the need for statistical evidence to support claims of improved service quality. The report concludes by emphasizing the importance of implementing effective triage systems to ensure timely and appropriate care for mentally ill patients within the ED, and recommends the use of quantitative research methods for future studies to gather more concrete data and analysis.

Emergency department from
the mental health clients
perspective

INTRODUCTION
The aim of this critique paper is to advocate for improved services, preventive and
comprehensive psychiatric care in emergency department. As the landscape of mental health
services from last few decades, has much improved that provide effective care to psychiatric
patients. Concerning on most severe as well as chronic mental health related problems,
emergence department of pharmaceutical therapies has shifted care to outpatient setting.
Therefore, being centred on asylum and long-term care of patients, mental health system care
system has become more decentralised, community-based and fragmented array of ill-people
(Taylor & Gibson, 2016). The paper hereby taken, is written by Anat Drach-Zahavy who has
made investigation to determine the concept of mindful triage. It also describes some practical
interventions of this system to identify if short communication open access has improved the
quality of care services, within emergency department of mental health centre.
Under this research paper, the author mainly described how Triage, an initial assessment
of mentally retarted individuals presented at emergency department, help in diagnosing current
state of them. For this purpose, some principles have been given in this scholarly article. In this
regard, main aim of present assignment is to critically analyse the merits and drawbacks aspects
of authors’ perspective.
CRITIQUE
According to the article given by Anat, it has been evaluated that emergency department
within mental asylum faces growing demands, longer waiting timss and rising acuteness (Short
Communication Open Access Mindful Triage: Improving the Quality of Care of Patients with
Mental Illness in the Emergency Department, 2019). In this regard, people make complaint that
ill-patients sometime sent back to the queue and their concerns are not considered seriously. This
societal stigma has affected their care in emergency department that sometime leads to cause
death. Therefore, to improve this system it becomes essential for long-centred mental institutions
to implement effective, efficient as well as accurate triage systems become crucial (Leland & et.
al., 2017). Triage refers to initial assessment of mental patients who admitted in ED, to diagnose
and prioritize the current state of such patients as quickly and accurately as possible, so that
proper treatment can be given on time.

For implementing this effective triage system within asylum, it is crucial for management of
health care sectors, to develop a professional team. Here, in this team, medical practitioners
should be capable to identify the precise clinical priorities of patients in ED, for providing right
care within short period of time. Despite the complex, unpredictable and dynamic working
environment, above may lead to reduce negatively impact the prognosis. As per views of Manias
& et. al. (2016), it has been evaluated that due to increasing presentations at emergency
department, which include over 40% of patients having no urgency leads to affect condition of
those patients, who requires immediate response. Henceforth, precise triage becomes complex
while handling the admissions of psychiatric patients. For this purpose, focusing on effectiveness
of mindfulness of triage system, investigators have described some principles with a case study.
It is based on a mental patient admitted within emergency department having breathlessness
issue (Schout & et. al., 2017). In this case, triage team have evaluated that patient belongs from
vulnerable society. They have diagnosed that suffered person had a chronic or panic attack.
In this regard, first principal of triage system is based on reluctance to easy interpretation. It
highlights mainly the cognitive failure of triage system, where health practitioners had made
mind that patient having mental issues have probably no serious issues (Slovak, Pope & Brewer,
2016). The second principle concerns on sensitivity of operations, i.e. triage team avoids to
identify cause for admission in emergency of mental ill patients, that results in affecting
condition of patients negatively. Commitment to resilience is third principle that describes how
triage team members were influenced through framing cognitive failure and avoid to give
commitment for resilience. Similarly, defence to expertise and preoccupation with failure are
fourth and fifth principles respectively. Both defines err in providing effective health care
services to metal patients within emergency department. As per perception of Wood & et. al.
(2016), it has been evaluated that the most positive aspect of this investigated report is
highlighting the consequences of easily interpretation of mental patients who are admitted in
emergency department of asylum. Examples or case study has been connected in entire parts
where health practitioners fail to provide proper treatment of time to patients in ED. Here, five
principles help in understanding the step-by-step procedure where cognitive failure can be
occurred.
To analyse consequence of such ignorance and simplifying interpretation about critical
condition of patients, investigators under their research paper, have given various principles for

the same. But they fail to provide any statistical figure through which seriousness of this case can
be measured. In this regard, through opinion of Treloar & et. al. (2016), it has reflected that the
main drawback of this report is that it fails to conduct an in-depth analysis on triage system
within mental healthcare sectors. There is no authenticate evidence or statistical figure has been
provided, which showcase whether services are improved within emergency department. By
implementing mindful in triage system, if quality of mental health services is really improved or
not, is not explained in appropriate manner. Along with this, as this research paper has strongly
argued that mindfulness in triage system increases the ‘ability for being more engaged in
purposeful as well as self-regulatory judgement (Orlowski & et. al., 2016). But, there is not much
practical interventions have been given that proves effectiveness of the same. It gives generalise
information only regarding to improve quality of health care practices for mental patients within
emergency department. Therefore, it has recommended to researchers to use effective data
analysis technique while gathering information. Along with this, they need to carry more detailed
analysis on chosen topic to get higher and better outcomes. For this purpose, they can use
quantitative research technique to apply statistical method for obtaining valid result.
CONCLUSION
By critically evaluation of given research paper, it has been concluded that there are
many reasons present within emergency department, where any carelessness results to cause
death of patients. In health and social care sectors, major attention in emergency department to
given to those patients who might get accidents, diabetic or chronic pain. While patients who are
admitted because of mental issues gain relatively less attention and proper quality of health care
services. To analyse consequence of such ignorance and simplifying interpretation about critical
condition of patients, investigators under their research paper, have given various principles for
the same. In order to give proper and timely treatment to mentally-ill patients, it is essential for
organisations deal in mental health asylum to implement triage system. This would help in
diagnosing the mental health issue more quickly so that better treatment can be provided.

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