Cited by 126Emergency and Acute Care StudiesPsychiatric care and mental health servicesMental Health Treatment and Access

"Hospital was the only option": Experiences of frequent emergency department users in mental health.

Wise-Harris, Deborah, Pauly, Daniel, Kahan, Deborah, Tan de Bibiana, Jason, Hwang, Stephen W., Stergiopoulos, Vicky·2017·Administration and Policy in Mental Health and Mental Health Services Research

Abstract

The experiences of individuals with mental illness and addictions who frequently present to hospital emergency departments (EDs) have rarely been explored. This study reports findings from self-reported, quantitative surveys (n = 166) and in-depth, qualitative interviews (n = 20) with frequent ED users with mental health and/or substance use challenges in a large urban centre. Participants presented to hospital for mental health (35 %), alcohol/drug use (21 %), and physical health (39 %) concerns and described their ED visits as unavoidable and appropriate, despite feeling stigmatized by hospital personnel and being discharged without expected treatment. Supporting this population may require alternative service models and attention to staff training in both acute and community settings.

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Crossref · 10.1007/s10488-016-0728-3

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45 of 45 references verified0 citation errors · 0 not checkable

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Authors
Wise-Harris, D., Pauly, D., Kahan, D., Tan de Bibiana, J., Hwang, S. W., & Stergiopoulos, V.
Affiliations
  • St. Michael's Hospital (CA)
  • University of Toronto (CA)
Corresponding author
Stergiopoulos, Vicky
Venue
Administration and Policy in Mental Health and Mental Health Services Research
Published
2016-03-09
Volume
44
Issue
3
Pages
405-412
ISSN
  • 0894-587X (ISSN-L)
  • 1573-3289
OpenAlex
W2295360223
Cited by
126
References
45
Citations by year
2026: 5 · 2025: 10 · 2024: 18 · 2023: 20 · 2022: 17 · 2021: 17 · 2020: 20 · 2019: 9 · 2018: 3 · 2017: 3 · 2016: 4
FWCI
8.38
Type
journal article
Language
en
Open access
closed
Locations
  • Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Toronto Mental Health and Addictions Acute Care Alliance
  • Ontario Ministry of Health and Long-Term Care
  • Toronto Central Local Health Integration Network
Topics
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
frequent emergency department users, mental illness, substance use disorders, alcohol consumption, drug use, emergency department, patient experience, stigma, employee training, community mental health services
MeSH terms
Adult, Mental Disorders, Emergency Service, Hospital, Female, Health Status, Humans, Interviews as Topic, Male, Middle Aged, Urban Population, Substance-Related Disorders, Qualitative Research

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