Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency services
An integral part of Brazil’s public health system, psychiatric emergency services have been instrumental in improving qualified support for crisis situations involving mental disorders in an equitable, universally accessible, and humanized way. The purpose of this article is to present a systematic...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Psiquiatria (ABP)
2024-10-01
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| Series: | Brazilian Journal of Psychiatry |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462024000100501&lng=en&tlng=en |
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| author | Leonardo Baldaçara Flávia Ismael Daniel Kawakami Gislene Alves da Rocha Elie Leal de Barros Calfat Deisy Mendes Porto Beatriz Ferroli Cavalcante Beatriz Plotegher Zaramella Flávio Veloso Ribeiro Roberto Mendes dos Santos Roberta Rossi Grudtner Teng Chei Tung Antônio Geraldo da Silva |
| author_facet | Leonardo Baldaçara Flávia Ismael Daniel Kawakami Gislene Alves da Rocha Elie Leal de Barros Calfat Deisy Mendes Porto Beatriz Ferroli Cavalcante Beatriz Plotegher Zaramella Flávio Veloso Ribeiro Roberto Mendes dos Santos Roberta Rossi Grudtner Teng Chei Tung Antônio Geraldo da Silva |
| author_sort | Leonardo Baldaçara |
| collection | DOAJ |
| description | An integral part of Brazil’s public health system, psychiatric emergency services have been instrumental in improving qualified support for crisis situations involving mental disorders in an equitable, universally accessible, and humanized way. The purpose of this article is to present a systematic review and consensus on the infrastructure and the ideal team for psychiatric emergencies services in Brazil. The authors searched electronic databases including MEDLINE (PubMed), SciELO, and Cochrane, in addition to documents from the World Health Organization, the Brazilian Ministry of Health, and other authorities. Of the 6839 manuscripts found, 46 were included. The content analysis summarized consensus statements through the Delphi method, and, after a series of interactive versions, a final report was produced. Models for changing psychiatric emergency services are assessed. It was determined that the emergency care network must be supervised by qualified management, and all health equipment and units must be effectively integrated. Psychiatric emergency services need adequate infrastructure, qualified staff (including a psychiatrist), sufficient consultation and observation space, tools and resources for differential diagnosis, training for all staff members, and communication with the health care network to facilitate referrals following patient discharge. Standardized models should be available to public health managers to guide the development of new services and adjust existing ones, always seeking improvement. The authors propose a model of psychiatric emergency services. |
| format | Article |
| id | doaj-art-0357050db6b34d55bfd79eeb9418fc8a |
| institution | OA Journals |
| issn | 1809-452X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj-art-0357050db6b34d55bfd79eeb9418fc8a2025-08-20T02:09:25ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2024-10-014610.47626/1516-4446-2024-3567Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency servicesLeonardo Baldaçarahttps://orcid.org/0000-0002-5201-8515Flávia IsmaelDaniel Kawakamihttps://orcid.org/0000-0001-7197-6906Gislene Alves da Rochahttps://orcid.org/0000-0003-2844-7915Elie Leal de Barros Calfathttps://orcid.org/0000-0001-6223-1056Deisy Mendes Portohttps://orcid.org/0000-0001-9671-358XBeatriz Ferroli Cavalcantehttps://orcid.org/0000-0002-6317-1689Beatriz Plotegher Zaramellahttps://orcid.org/0000-0002-5502-024XFlávio Veloso Ribeirohttps://orcid.org/0000-0002-0240-1495Roberto Mendes dos Santoshttps://orcid.org/0000-0003-0829-5483Roberta Rossi Grudtnerhttps://orcid.org/0000-0003-4873-6706Teng Chei Tunghttps://orcid.org/0000-0001-8163-2445Antônio Geraldo da Silvahttps://orcid.org/0000-0003-3423-7076An integral part of Brazil’s public health system, psychiatric emergency services have been instrumental in improving qualified support for crisis situations involving mental disorders in an equitable, universally accessible, and humanized way. The purpose of this article is to present a systematic review and consensus on the infrastructure and the ideal team for psychiatric emergencies services in Brazil. The authors searched electronic databases including MEDLINE (PubMed), SciELO, and Cochrane, in addition to documents from the World Health Organization, the Brazilian Ministry of Health, and other authorities. Of the 6839 manuscripts found, 46 were included. The content analysis summarized consensus statements through the Delphi method, and, after a series of interactive versions, a final report was produced. Models for changing psychiatric emergency services are assessed. It was determined that the emergency care network must be supervised by qualified management, and all health equipment and units must be effectively integrated. Psychiatric emergency services need adequate infrastructure, qualified staff (including a psychiatrist), sufficient consultation and observation space, tools and resources for differential diagnosis, training for all staff members, and communication with the health care network to facilitate referrals following patient discharge. Standardized models should be available to public health managers to guide the development of new services and adjust existing ones, always seeking improvement. The authors propose a model of psychiatric emergency services.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462024000100501&lng=en&tlng=enPsychiatric emergency servicesmental health servicesmental disordersfirst aidemergency roomemergency unit |
| spellingShingle | Leonardo Baldaçara Flávia Ismael Daniel Kawakami Gislene Alves da Rocha Elie Leal de Barros Calfat Deisy Mendes Porto Beatriz Ferroli Cavalcante Beatriz Plotegher Zaramella Flávio Veloso Ribeiro Roberto Mendes dos Santos Roberta Rossi Grudtner Teng Chei Tung Antônio Geraldo da Silva Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency services Brazilian Journal of Psychiatry Psychiatric emergency services mental health services mental disorders first aid emergency room emergency unit |
| title | Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency services |
| title_full | Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency services |
| title_fullStr | Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency services |
| title_full_unstemmed | Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency services |
| title_short | Brazilian Psychiatric Association consensus on the ideal infrastructure and team for psychiatric emergency services |
| title_sort | brazilian psychiatric association consensus on the ideal infrastructure and team for psychiatric emergency services |
| topic | Psychiatric emergency services mental health services mental disorders first aid emergency room emergency unit |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462024000100501&lng=en&tlng=en |
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