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INPATIENT PSYCHIATRY

Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre

(Lecturer and Staff Specialist) , (Career Medical Officer) , (Mental Health Nurse Practitioner) , (Research Assistant) & (Associate Professor)
Pages 326-329 | Published online: 21 Jul 2010
 

Abstract

Objective: The Psychiatric Emergency Care Centre (PECC) is a relatively recent service development that aims to improve emergency care of psychiatric patients. The goal of this paper was to report on the characteristics of admissions to a recently established PECC.

Method: Several key characteristics of admissions to the PECC were documented for each of 376 patients in the first 6 months of its operation. These characteristics were then compared to the characteristics of admissions of 299 patients in the ‘virtual’ PECC (a PECC within the general emergency department) in the 6 months prior to the opening of the PECC.

Results: The most common presenting symptom in the PECC was suicidal ideation (47.6%, n = 179) and the most frequent diagnosis made in the PECC was adjustment disorder (35.9%, n = 135). When comparing admissions to the ‘virtual’ PECC, PECC admissions were characterized by a significantly less frequent use of physical restraint and haloperidol and midazolam as pro re nata (prn) medications.

Conclusions: Although further study is needed, one possible advantage of the PECC may be a less frequent use of physical restraint and certain prn medications (i.e. haloperidol and midazolam) for agitated and aggressive patients.

ACKNOWLEDGEMENTS

We thank the PECC staff who assisted with data collection.

DISCLOSURE

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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