Evidence map›Paper›PMID 36001197›Full record

ArticleCommunity mental health journal2023

Long-Term Trends in Psychiatric Emergency Services Delivered by the Boston Emergency Services Team.

Rachel Oblath, Carolina N Herrera, Lawrence P O Were, Haniya Saleem Syeda, Alison Duncan, Tasha Ferguson, Bindu Kalesan, Daisy C Perez, Joan Taglieri, Christina P C Borba and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Community mental health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  9. Management of youth with suicidal ideation: Challenges and best practices for emergency departments.Journal of the American College of Emergency Physicians open · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Rachel OblathDepartment of Psychiatry, Boston Medical Center, Boston, USA. Rachel.oblath@bmc.org.ORCID 0000-0003-2729-6932
Carolina N HerreraDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, USA.
Lawrence P O WereDepartment of Health Sciences, Boston University's College of Health and Rehabilitation Sciences: Sargent College, Boston, USA.
Haniya Saleem SyedaDepartment of Psychiatry, Boston Medical Center, Boston, USA.
Alison DuncanDepartment of Psychiatry, Boston Medical Center, Boston, USA.
Tasha FergusonDepartment of Psychiatry, Boston Medical Center, Boston, USA.
Bindu KalesanDepartment of Medicine, Center for Clinical Translational Epidemiology and Comparative Effectiveness Research, Preventive Medicine and Epidemiology, Boston University School of Medicine, Boston, USA.
Daisy C PerezDepartment of Psychiatry, Boston Medical Center, Boston, USA.
Joan TaglieriDepartment of Psychiatry, Boston Medical Center, Boston, USA.
Christina P C Borba *Department of Psychiatry, Boston Medical Center, Boston, USA.
David C Henderson *Department of Psychiatry, Boston Medical Center, Boston, USA.
Boston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rising psychiatric emergency department (ED) presentations pose significant financial and administrative burdens to hospitals. Alternative psychiatric emergency services programs have the potential to alleviate this strain by diverting non-emergent mental health issues from EDs. This study explores one such program, the Boston Emergency Services Team (BEST), a multi-channel psychiatric emergency services provider intended for the publicly insured and uninsured population. BEST provides evaluation and treatment for psychiatric crises through specialized psychiatric EDs, a 24/7 hotline, psychiatric urgent care centers, and mobile crisis units. This retrospective review examines the sociodemographic and clinical characteristics of 225,198 BEST encounters (2005-2016). Of note, the proportion of encounters taking place in ED settings decreased significantly from 70 to 58% across the study period. Findings suggest that multi-focal, psychiatric emergency programs like BEST have the potential to reduce the burden of emergency mental health presentations and improve patient diversion to appropriate psychiatric care.

Indexed as

Emergency Services, PsychiatricMental Health ServicesBostonEmergency Service, HospitalHumansMental HealthEmergency medicineMental healthPsychiatryPublic health

Identifiers

PMID36001197
PMCPMC9399566
OpenAlexW4292877673

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.