Responding to Mental Health Emergencies: Implementation of an Innovative Telehealth Service in Rural and Remote New South Wales, Australia
Abstract
Introduction Mental health is a national priority in Australia, and the need is greatest where access to specialist care is poorest, in the rural and remote regions of the nation. The Mental Health Emergency Care-Rural Access Project (MHEC) was developed to provide 24-hour access to mental health specialists in rural and remote New South Wales using video conferencing equipment.Method An evaluation of the service activity of MHEC using a concurrent mixed methods approach.Results Use of the service increased from a low base to around 60 video assessments per month at the end of the study period. Use of video assessments was greatest in the remote zone (30.7 video assessments/10,000 population/year). The number of people referred to a mental health inpatient unit declined (50 fewer patients, representing a decrease from 73% to 52% of all admissions between 2008 and 2009). Both patients and providers found the service helpful. Most patients (81%) stated that they would recommend or use the service again.Discussion This service is well positioned to have an increasing effect on emergency nursing and patient outcomes, as well as potentially on transportations. Continued use of MHEC suggests that video conference technology is acceptable and offers responsive specialist emergency mental health care to rural and remote communities.
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Flexibility of being able to access resources at any time is a facilitating factor made possible by the technology used.
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- Authors
- Saurman, E., Perkins, D., Roberts, R., Roberts, A., Patfield, M., & Lyle, D.
- Affiliations
- The University of Sydney (AU)
- Venue
- Journal of Emergency Nursing
- Publisher
- Elsevier BV
- Published
- 2011-09
- Volume
- 37
- Issue
- 5
- Pages
- 453-459
- ISSN
- 0099-1767 (ISSN-L)
- OpenAlex
- W2116510231
- Cited by
- 40
- References
- 15
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 3 · 2017: 1 · 2016: 3 · 2015: 6 · 2014: 3 · 2013: 2
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Emergency Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NSW Ministry of Health
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- psychiatric emergencies, telemedicine, videoconferencing, rural mental health services, remote communities, emergency nursing, service implementation, New South Wales
- MeSH terms
- Mental Disorders, Community Mental Health Services, Emergencies, Female, Health Services Accessibility, Humans, Male, Mental Health, New South Wales, Organizational Innovation, Quality of Health Care, Program Evaluation, Emergency Nursing, Telemedicine, Rural Health Services, Remote Consultation
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