Better results when police, ambulances and mental health services participate together in 111 mental health emergencies

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A study from the University of Otago, New Zealand, shows that paramedics work together to respond to mental health emergencies, reducing the likelihood that endangered people will go to the hospital.

A joint response team consisting of police, ambulances, and mental health health Staff were evaluated in the capital Wellington from March 2020 to March 2021. This is the first time a team of multiple agencies has been tried to respond to 111 emergency calls in New Zealand.

The University of Otago study of the program Australian and New Zealand Psychiatric Journal..

Associate Professor Susanna Every Palmer, lead author of the University of Otago School of Psychology in Wellington, said the emergency mental health call was resolved sooner and had better results on the day the collaborative team became available. I am.

“People seen in collaborative teams are more likely to get support in the community, with 30% Emergency department For mental health assessment. They got better next month and were less likely to go to the emergency department or be admitted to the hospital. “

Every-Palmer says it was exciting to see the collaborative joint response model improve results.

“People experiencing a mental health crisis are in great need of an innovative approach, such as a collaborative team. Over the past few years, reported data has shown a surge in demand. Emergency service Under pressure. “

Police reports of mental health-related events have increased by 60% over the last five years.

Associate Professor Every-Palmer works together to reduce the risk of overwhelming police, ambulance, and emergency department capabilities, causing endangers to suffer more and be improperly detained in police cell. The team states that it has been tried.

“Evidence shows that collaborative teams reduce the likelihood of using forced treatment orders, using force, or waiting for hours in the ED. The pilot collaborative team model improves results. It included a joint decision-multiple agencies that helped the first responder provide a more integrated and subtle response to an urgent call with a mental health crisis. Cooperation by. “

Chris de Wattignar, a community assistant commissioner for Iwi and the New Zealand Police, said the collaborative team will use the skills of each of the three professions to assess the situation, manage acute risk and assess physical health needs. , States that it was possible to undertake. Evaluation of mental health.

“This trial has significantly improved results. Collaborative response teams can develop management plans and involve them and their families in decision-making wherever possible. Resolve emergencies in the field. In some cases it may be possible, in other cases it may be necessary to move to another location, such as the local mental health base for treatment. If the person is at home, the management plan will include follow-up by them. There is a possibility General medical care, Community mental health team, counselor, or crisis team. “

Chris de Wattignar has expanded Wellington’s co-op team model as a result of successful pilots, with participation from other districts, and co-op team testing or ongoing in the South, Manukau County, and Central. It states. Police station. Police and their partners are continually discussing the success of the trial and its potential for further expansion in the future.

In addition to analyzing the results data, Associate Professor Every-Palmer has a research team at the University of Otago working as a collaborative team, its families, partner institutions, and collaborative teams and their managers.

“People thought having a collaborative team was a game changer, and that teams could provide prompt and professional mental health support and personalized care in a way that reduced the risk of violence and coercion. Research shows collaborative response. Teams provide better ways to help those who are experiencing mental health Emergency. ”

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For more information:
Susanna Every-Palmer et al, Police, Ambulance, Psychiatric Symbiosis and Mental Health and Suicide Emergency Callout Normal Care: Quasi-Experimental Study, Australian and New Zealand Psychiatric Journal (2022). DOI: 10.1177 / 00048674221109131

Quote: Better results (July 21, 2022) when police, ambulances and mental health services participate in 111 mental health emergencies together, https: // Obtained July 21, 2022 from -police-ambulance-mental- health.html

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Better results when police, ambulances and mental health services participate together in 111 mental health emergencies

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