Mental Health for Emergency Departments: A Reference Guide, NSW Health 2015
This document is a reference guide for clinicians working as first responders to mental health presentations, particularly for emergency and acute presentations. It provides practical guidance in the initial clinical assessment and management of mental health presentations.
This document is a revision and update of the Mental Health for Emergency Departments - A Reference Guide" 2009. Its development involved extensive consultation with nursing, medical, and allied health clinicians from both emergency medicine and mental health services. It is based on the best clinical advice currently available. As such, it will require updating in the light of evidence and changes to clinical practice in the future.
Emergency Management of the high risk mental health patient - updated September 2016
Pamphlet developed by the ECI for use in EDs.
Medical assessment of the mental health patient - revised March 2015
Information prepared by the ECI including supporting evidence and an assessment form for use in EDs.
The purpose of this Guideline is to address the management and initial sedation requirements of patients who present to emergency departments with acute severe behavioural disturbance (ASBD). This guideline includes information for children, adolescents (children and adolescents includes those under 16 years) and adults under 65 years. Management of older persons over 65 years is not contained in this Guideline.
Managing Driving Safety for At Risk Clients – Example Template - This resource provides an adaptable flowchart outlining what to do if a person is at risk of driving unsafely.
Clinical Report as to mental state of a detained person - Form 1 - for assessments under section 27 and 27A of the Mental Health Act, NSW Health, 2017
This is of relevance to EDs declared a mental health facility under the Mental Health Act and ED staff who undertake assessments under section 27 or section 27A of the Act.
This form came into force on the 9 March 2017 and replaces:
- Form 1 - Medical report as to mental state of a detained person (in relation to assessments under section 27 of the Mental Health Act, and
- The interim form Report as to mental state of a detained person - Section 27A (in relation to assessments under section 27A of the Mental Health Act.
Incorporating provisions of the Mental Health Act 2007 (NSW) No 8 and the Mental Health Forensic Provisions) Act 1990 (NSW)
Safety Notice 003_16 - Use of prone restraint and parenteral medication in healthcare settings - 14 July 2016
Mental health, drug and alcohol - Emergency Department and Ambulance Monitoring Guideline, GL2012_009, NSW Health, 18 October 2012
The purpose of this guideline is to guide the flow of information within the Ministry of Health in regards to increases in Emergency Department (ED) presentations or NSW Ambulance Service calls for mental health, drug or alcohol problems identified by the Public Health Real-time Emergency Department Surveillance System (PHREDSS).
Minimising Restraint Use in Adults, PD2016_012, NSW Health, 10 May 2016
This policy provides direction on the development of procedures for the assessment, authorisation and documentation to be undertaken prior to use of restraint. The procedure outlines the requirements for the regular review of the use of restraint.
Children and Adolescents with Mental Health problems requiring Inpatient Care, (PD2011_016, NSW Health, 2011)
The 1800 011 511 Mental Health Line has been established to ensure that people with a mental health problem, their families and carers can access the care they need whenever and wherever they need it.
It is not an emergency service so people in a life threatening situation must still call 000 to receive immediate help.
It will operate 24 hours a day, seven days a week and will provide a telephone triage assessment and referral service staffed by mental health clinicians. It will also be used to provide advice about clinical symptoms, the urgency of the need for care and local treatment options for service providers, such as general practitioners, police and ambulance officers.
The mindhealthconnect website aggregates mental health resources and content from the leading health focused organisations in Australia. You can access a range of mental health resources including online programs, fact sheets, audio and video, and online communities.
Australia has great mental health services and resources, but it can be tough finding the ones that suit you best. Head to Health have made your search easier by hand-picking resources from publicly funded providers
Information for doctors on common ED mental health presentations. Includes patient handouts.
- NP-led Mental Health Liaison Nurse Service in the ED - A/Prof Tim Wand, Nurse Practitioner, Mental Health Liaison, Emergency Department, Royal Prince Alfred Hospital, at the ECI ED Nursing Leadership Forum 27 May 2016
- The Self-Harm Intoxicated Patient (SHIP) Pathway, Dr Jom Jardiolin at the ECI Emergency Care Symposium 2014
Relevant Patient Factsheets
Produced by SANE
Produced by Mental Health Association of NSW