The Development of a Mental Health Crisis Emergency Care Model in Atsamat Hospital, Roi Et Province

Abstract

Purpose: To 1) study the problem and analyze the situation of emergency care for patients with mental health crises, 2) develop a model for caring for emergency patients with mental health crises, and 3) apply and evaluate the developed model.
Design: Research and Development
Method: The research was conducted in 3 steps: 1) study the problem and analyze the situation, 2) develop a model for caring for emergency mental health crisis patients, and 3) apply and evaluate the developed model. The sample group was purposively selected and consisted of patient history files, health team personnel, and emergency mental health crisis patients. Data were collected using record forms, group discussion, and apply the care model for emergency mental health crisis patients. Quantitative data were analyzed using frequency and percentage, and content analysis of qualitative data from focus group.
Main findings : The developed model for emergency care for mental health crisis patients consisted of 1) understanding and accepting illness and protecting patient rights, 2) patient assessment, 3) giving treatment and nursing care 4) patient referral, 5 ) educating patients and caregivers, and 6) recording information systematically. The results of applying the model found that patients' levels of violent aggressive behavior decreased. Referrals decreased by 20%, and patients and personnel were safe and no properties damaged. In addition, personnel and patients receiving care according to the mental health emergency care model were satisfied.
Conclusion and recommendations: The Mental health crisis emergency care model can be used to care for this group of patients by creating a clear work system, which can actually be put into practice. However, there should be further study in the long term with a larger number of patient groups.