A Mental Crisis Emergency Patient Support under an Integrated Emergency Medical Service System in the Area

Abstract

The mental health issue is considered as important as physical health and is in the increasing trends in all parts of the world, especially the mental crisis emergency patients with manic symptoms and psycho-emotional conditions. It is considered one of the symptoms that are classified in the Criteria Based Dispatch 13 (CBD-13) for screening and prioritizing emergency patient services according to the Emergency Medicine Act B.E. 2008 Category 3 Emergency Operations. The content ranges from recognizing the state of emergency to providing treatment for emergency patients and cures for emergencies. However, patients with manic episodes are at a higher risk of self-harm, hurting others, and destroying the environment. Safety care must be taken based on the 3P safety framework (patient, personnel, people and public); and therefore requires multidisciplinary cooperation both within and outside the Ministry of Public Health. As such, the development of an emergency medical service system for mental crisis emergency patients is based on the principle of collaboration from all sectors. The related stakeholders are seamlessly connected, consisting of a “self-management community system” that focuses on raising awareness of the community through screening and returning information on vulnerable groups in the area. This will set the community standard both in the surveillance period before having the symptoms, during mania, and after discharge from the hospital, as well as connecting 191 and 1669 hotlines to the pre-hospital care, in-hospital care, and appropriate inter-facility transfer to the definite hospital.