Evidence map›Paper›PMID 39333997›Full record

ArticleBMC psychiatry2024

Reducing mental health emergency visits: population-level strategies from participatory modelling.

Catherine Vacher, Nicholas Ho, Adam Skinner, Paul Crosland, Seyed Hossein Hosseini, Sam Huntley, Yun Ju Christine Song, Grace Yeeun Lee, Andrea N Natsky, Sarah Piper and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

14 authors.

Catherine VacherYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia. catherine.vacher@sydney.edu.au.ORCID 0000-0002-6923-0993
Nicholas HoYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0001-9843-0866
Adam SkinnerYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-9823-1506
Paul CroslandYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-6445-7486
Seyed Hossein HosseiniYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-0400-5613
Sam HuntleyYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-2137-5755
Yun Ju Christine SongYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0001-8776-6305
Grace Yeeun LeeYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-7234-1870
Andrea N NatskyYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-5290-754X
Sarah PiperYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-3344-0382
Raphael HasudunganYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0009-0002-6048-1005
Sebastian RosenbergYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-3374-8694
Jo-An Occhipinti *Youth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0002-2380-1092
Ian B Hickie *Youth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, Sydney, NSW, 2050, Australia.ORCID 0000-0001-8832-9895

Funding

BHP Foundation "Right care, first time, where you live" program, supported by a $12.8 million partnership with the BHP Foundation
6 · The paper itself

Abstract

backgroundEmergency departments (EDs) are often the front door for urgent mental health care, especially when demand exceeds capacity. Long waits in EDs exert strain on hospital resources and worsen distress for individuals experiencing a mental health crisis. We used as a test case the Australian Capital Territory (ACT), with a population surge of over 27% across 2011-2021 and a lagging increase in mental health care capacity, to evaluate population-based approaches to reduce mental health-related ED presentations.

methodsWe developed a system dynamics model for the ACT region using a participatory approach involving local stakeholders, including health planners, health providers and young people with lived experience of mental health disorders. Outcomes were projected over 2023-2032 for youth (aged 15-24) and for the general population.

resultsImproving the overall mental health care system through strategies such as doubling the annual capacity growth rate of mental health services or leveraging digital technologies for triage and care coordination is projected to decrease youth mental health-related ED visits by 4.3% and 4.8% respectively. Implementation of mobile crisis response teams (consisting of a mental health nurse accompanying police or ambulance officers) is projected to reduce youth mental health-related ED visits by 10.2% by de-escalating some emergency situations and directly transferring selected individuals to community mental health centres. Other effective interventions include limiting re-presentations to ED by screening for suicide risk and following up with calls post-discharge (6.4% reduction), and limiting presentations of frequent users of ED by providing psychosocial education to families of people with schizophrenia (5.1% reduction). Finally, combining these five approaches is projected to reduce youth mental health-related ED presentations by 26.6% by the end of 2032.

conclusionsPolicies to decrease youth mental health-related ED presentations should not be limited to increasing mental health care capacity, but also include structural reforms.

Indexed as

Emergency Service, HospitalMental DisordersMental Health ServicesAdolescentAustralian Capital TerritoryEmergency Services, PsychiatricFemaleHumansMaleYoung AdultDecision analysisEmergency departmentMental healthParticipatory modellingPublic healthSimulationStrategic planningSystem dynamicsSystems modelling

Identifiers

PMID39333997
PMCPMC11429926

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.