Innovative Use of Brief Interventions in Emergency Department Attendees: The Incidence of Mental Health Disorders and Alcohol Consumption

2.50
Hdl Handle:
http://hdl.handle.net/10755/243139
Category:
Full-text
Type:
Presentation
Title:
Innovative Use of Brief Interventions in Emergency Department Attendees: The Incidence of Mental Health Disorders and Alcohol Consumption
Author(s):
Lawrence, Petra; Fulbrook, Paul; Fischer, Jane
Author Details:
Lawrence, Petra, BN, (Hons), RN, petra_lawrence@health.qld.gov.au; Fulbrook, Paul, RN, PhD; Fischer, Jane, BA, MSc;
Abstract:
Purpose:

Systematic assessment of all Emergency Department (ED) presentations may identify low level mental illness and/or risky alcohol consumption. Preventative measures, if provided early, may prevent further deterioration and promote wellness.

Background: The 2007 National Health Survey revealed one in five adults aged 16 - 85 experienced a mental disorder in the previous year, however only 35% sought assistance. The potential demand for mental health care is high but is not being met by either the specialist or the general health system.Unplanned contact with the health care system via the ED offers clinician’s an opportunity to identify patients with psychiatric co-morbidity and refer them to appropriate therapy.

Study aims: To gather data regarding the incidence of low level mental health disorders and/or risky alcohol use; and determine the sample size required to trial a brief intervention and follow-up with ED attendees.

Methods:

A survey designed to gather descriptive, observational epidemiological data. All eligible patients who presented to the ED during specified data collection periods were invited to participate

Results:

Participation rate was 73.3% (n = 708)

  • 966 potential participants
    • 254 refusals (26.3%)
    • 4 exclusions (0.04%)

Alcohol

  • Almost 70% (n=493) reported drinking alcohol.
    • 10.9% at risky/harmful levels (AUDIT)
    • 31.1% at hazardous/dependent levels (PAT)

Mental Health

  • A significant proportion experienced low level mental health symptoms
    • DASS21 (mild/moderate): depression (18.1%), anxiety (22.6%) and stress (16.7%).
    • K10 (moderate): 19.5%

Co-morbidity

  • Within the target mental health group (mild and moderate symptoms)
    • Between 44-48% reported drinking at hazardous levels (AUDIT)
    • Between 29-39% reported drinking at harmful levels (AUDIT)
    • Approximately 30% drank at hazardous/dependent levels (PAT)

Conclusion:

Co-morbidity was apparent with positively significant correlations between mental health and measures of alcohol consumption. This group may be amenable to brief interventions.

Keywords:
Mental Health; Alcohol; Risk
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleInnovative Use of Brief Interventions in Emergency Department Attendees: The Incidence of Mental Health Disorders and Alcohol Consumptionen
dc.contributor.authorLawrence, Petraen
dc.contributor.authorFulbrook, Paulen
dc.contributor.authorFischer, Janeen
dc.author.detailsLawrence, Petra, BN, (Hons), RN, petra_lawrence@health.qld.gov.au; Fulbrook, Paul, RN, PhD; Fischer, Jane, BA, MSc;en
dc.identifier.urihttp://hdl.handle.net/10755/243139-
dc.description.abstract<b>Purpose: </b> <p>Systematic assessment of all Emergency Department (ED) presentations may identify low level mental illness and/or risky alcohol consumption. Preventative measures, if provided early, may prevent further deterioration and promote wellness. <p>Background: The 2007 National Health Survey revealed one in five adults aged 16 - 85 experienced a mental disorder in the previous year, however only 35% sought assistance. The potential demand for mental health care is high but is not being met by either the specialist or the general health system.Unplanned contact with the health care system via the ED offers clinician’s an opportunity to identify patients with psychiatric co-morbidity and refer them to appropriate therapy. <p>Study aims: To gather data regarding the incidence of low level mental health disorders and/or risky alcohol use; and determine the sample size required to trial a brief intervention and follow-up with ED attendees. <p><b>Methods: </b> <p>A survey designed to gather descriptive, observational epidemiological data. All eligible patients who presented to the ED during specified data collection periods were invited to participate <p><b>Results: </b> <p>Participation rate was 73.3% (n = 708<b>)</b> <ul> <li>966 potential participants <ul> <li>254 refusals (26.3%)</li> <li>4 exclusions (0.04%)</li> </ul> </li> </ul><p><b><i>Alcohol</i></b> <ul> <li>Almost 70% (n=493) reported drinking alcohol. <ul> <li>10.9% at risky/harmful levels (AUDIT)</li> <li>31.1% at hazardous/dependent levels (PAT)</li> </ul> </li> </ul><p><b><i>Mental Health</i></b> <ul> <li>A significant proportion experienced low level mental health symptoms <ul> <li>DASS21 (mild/moderate): depression (18.1%), anxiety (22.6%) and stress (16.7%). </li> <li>K10 (moderate): 19.5% </li> </ul> </li> </ul><p><b><i>Co-morbidity</i></b> <ul> <li>Within the target mental health group (mild and moderate symptoms) <ul> <li>Between 44-48% reported drinking at hazardous levels (AUDIT) </li> <li>Between 29-39% reported drinking at harmful levels (AUDIT)</li> <li>Approximately 30% drank at hazardous/dependent levels (PAT)</li> </ul> </li> </ul><p><b>Conclusion: </b> <p>Co-morbidity was apparent with positively significant correlations between mental health and measures of alcohol consumption. This group may be amenable to brief interventions.en
dc.subjectMental Healthen
dc.subjectAlcoholen
dc.subjectRisken
dc.date.available2012-09-12T09:18:16Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:18:16Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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