Publications by authors named "Chloe Crowe"

Background: People experiencing mental health crises in the community often present to emergency departments and are admitted to a psychiatric hospital. Because of the demands on emergency department and inpatient care, psychiatric decision units have emerged to provide a more suitable environment for assessment and signposting to appropriate care.

Objectives: The study aimed to ascertain the structure and activities of psychiatric decision units in England and to provide an evidence base for their effectiveness, costs and benefits, and optimal configuration.

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Background: Internationally, hospital-based short-stay crisis units have been introduced to provide a safe space for stabilisation and further assessment for those in psychiatric crisis. The units typically aim to reduce inpatient admissions and psychiatric presentations to emergency departments.

Aims: To assess changes to service use following a service user's first visit to a unit, characterise the population accessing these units and examine equality of access to the units.

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Background: Internationally, an increasing proportion of emergency department visits are mental health related. Concurrently, psychiatric wards are often occupied above capacity. Healthcare providers have introduced short-stay, hospital-based crisis units offering a therapeutic space for stabilisation, assessment and appropriate referral.

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Article Synopsis
  • Psychiatric decision units (PDUs) have been established to alleviate the burden on inpatient services and reduce wait times for patients in mental health crises.
  • The first national survey revealed that PDUs in England operate 24/7, mainly accept voluntary patients, and typically allow stays of 12-72 hours with a high staff-to-patient ratio.
  • Significant variations in the structure and functions of PDUs suggest that best practices are not yet determined, highlighting the need for further research on their effectiveness in mental health crisis care.
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