Caring for behavioral health patients in the emergency department

Managing behavioral health (BH) patients in the emergency department (ED) presents unique challenges that require a comprehensive approach. The deinstitutionalization of BH patients and the lack of adequate community care have resulted in a rise in patients seeking assistance in the ED, often without the necessary resources to address their complex needs. In this white paper authored by Bill Briggs, the essential components of providing safe and effective BH care in the ED are outlined, including the importance of a cultural shift within the department, staff education, and the creation of a safe environment for both patients and staff.

The white paper details critical strategies for addressing safety concerns, implementing effective patient assessments, and accessing professional support, such as telepsychiatry and in-house mental health professionals. It emphasizes the need for well-defined policies, collaboration with community agencies for follow-up care, and ongoing performance improvement initiatives to ensure that EDs can meet the growing demand for behavioral health care.