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Frontline Reports   |    
Pop-Up Treatment Plans for the Urban Psychiatric Emergency Room
Jason E. Cheng, M.D.; James W. Dilley, M.D.; Christina V. Mangurian, M.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.640602
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Dr. Cheng is a public psychiatry fellow at Columbia University, New York City, and at the time of this study was with the Department of Psychiatry, University of California San Francisco, where Dr. Dilley and Dr. Mangurian are affiliated. Dr. Dilley and Dr. Mangurian are also with San Francisco General Hospital. Send correspondence to Dr. Mangurian, UCSF Department of Psychiatry, 1001 Potrero Ave., Suite 7M, San Francisco, CA 94110 (e-mail: christina.mangurian@ucsf.edu).

Copyright © 2013 by the American Psychiatric Association

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Individuals with chronic mental illness and high utilization of emergency services present a challenge to psychiatric emergency departments. Among the strategies for working with these patients is assertive community treatment (ACT). One of its main advantages is that patients become well known to their case managers, who can in turn readily provide comprehensive collateral information to emergency services clinicians. This information promotes clinical decision making (such as to discharge or admit quickly), resulting in a reduced length of stay. Another potential outcome is fewer emergency visits overall. When a delay in obtaining this information occurs (outside ACT’s operating hours, for example), emergency department clinicians need access to this information by another method.

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