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Review of triage reform : the case for national consensus on a single scale for clients with a mental illness in Australian emergency departments

journal contribution
posted on 06.12.2017, 00:00 by John Broadbent, A Creaton, Lorna Moxham, Trudy Dwyer
Aims and objectives. The aim of this paper is to examine the use of mental health triage scales in Australian emergency departments (EDs) and to explore the use of the Australasian Triage Scale (ATS) with existing mental health triage scales. Background. Since the introduction of mainstreaming and deinstitutionalisation in Australian mental health care, the number of clients presenting to Australian EDs has been increasing. It has become apparent that the lack of mental health descriptors in existing triage scales diminishes the ability of ED triage staff to accurately assess clients with a mental illness. In response to this, specialised mental health triage scales have been developed and introduced into practice. Concurrently, mental health descriptors have been incorporated into the ATS used across Australian EDs. Design. A review of English language literature was conducted. Method. The data bases Proquest, Synergy and CINAHL were searched using the key words ‘emergency department’, ‘triage’, ‘mental health’ and again using the term ‘emergency mental health triage’. Results. There is a paucity of literature surrounding the use of mental health triage scales in Australian EDs; 18 articles were found to be directly relevant to the subject matter. Conclusion. Currently clients with a mental illness presenting to the ED may be triaged against one of four mental health triage scales. Research has shown that the mental health descriptors in the ATS are not as reliable as a specialised mental health triage scale. Relevance to clinical practice. This has implications for clinical practice on two levels. First, it affects the initial triage assessment in the ED and the ability for mental health clinicians to respond in a timely manner and this will have an impact on clinical outcomes. Second, the use of the mental health triage criteria in the ATS may misrepresent ED workloads and affect data pertaining to ED performance.

History

Volume

19

Issue

5-6

Start Page

712

End Page

715

Number of Pages

4

ISSN

0962-1067

Location

Oxford

Publisher

Wiley

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Adult Retrieval Services, Victoria; Institute for Health and Social Science Research (IHSSR); Institute for Health and Social Science Research (IHSSR);

Era Eligible

Yes

Journal

Journal of Clinical Nursing

Exports