Mental illness is a global crisis. Unfavorable economic, social, and environmental circumstances contribute to lack of quality care in those affected by mental illness. The purpose of this quality improvement (QI) project was to determine if the addition of the Situation Background Assessment Recommendation (SBAR) tool tailored to mental health pre-screening assessment of those aged 55 and older presenting to the emergency room in mental health crisis improved the mental health professionals self-efficacy and communication with the psychiatrist, and increased accuracy of the pre-admission assessments in the geropsychiatric unit at Matagorda Regional Medical Center. The design for this project was a non-randomized, one-group, pre-test/post-test guided design using Plan-Do-Study-Act (PDSA) to improve handoff reporting from the mental health intake professional to the psychiatrist. The geropsychiatric admission rate was 50% (n=24) pre-intervention and increased by 13% to 63% post-intervention (n=30). Mental health crisis triage for older adults was improved through the implementation of the SBAR tool tailored to mental health screening and assessment.
|Advisor:||Murphey, Christina, Garcia, Theresa|
|Commitee:||Reinhardt, Mark, Fernandez, Jose, Platt, Adrienne|
|School:||Texas A&M University - Corpus Christi|
|School Location:||United States -- Texas|
|Source:||DAI-B 81/2(E), Dissertation Abstracts International|
|Subjects:||Nursing, Mental health|
|Keywords:||Behavioral health, Crisis triage, Mental illness, Older adults, SBAR|
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