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RESEARCH WEEKLY: Beyond 'Delayed and Deteriorating'
Tomorrow, the Office of Research and Public Affairs of the Treatment Advocacy Center
will release an evidence brief titled Delayed and Deteriorating: Serious Mental
Illness and Psychiatric Boarding in Emergency Departments. The paper represents
the findings and synthesis of a comprehensive review of academic and grey literature
on the boarding of psychiatric patients in emergency
departments, and the role and disproportionate impacts on people living with serious
mental illness.

Psychiatric boarding is a widespread phenomenon in the United States. Boarding occurs
when an individual in need of psychiatric treatment goes to a hospital emergency
department and is subsequently forced to wait for extended periods of time before
any meaningful treatment is received.
Without other options in the community, individuals in psychiatric crisis have little
choice other than a local emergency department. Emergency departments are thus inundated
with individuals seeking help for conditions that likely could be better served
elsewhere in a functioning system of care. According to a 2016 survey from the American
College of Emergency Physicians, over 90% of emergency physicians say psychiatric
patients board in their emergency departments.
Serious mental illness is a significant contributor to emergency department boarding,
and people with serious mental illness are disproportionately affected by boarding
compared to other behavioral health disorders or the general population. Therefore,
"any solutions to combat psychiatric boarding must address treatment gaps for individuals
suffering from these conditions," according to the brief authors.
Importantly, future work is needed in determining the extent of psychiatric boarding
at the state and national level. Such efforts represent a unique opportunity to
assist in answering perhaps one of the most salient questions in mental health care
policy: how many psychiatric beds does a community need? Quantitative indicators
that can be measured, such as the extent of psychiatric boarding in emergency departments,
can help communities better understand and address the critical treatment needs
of their populations.
Make sure you check your inbox tomorrow for a full-copy of the brief. It will also
be available on the Treatment Advocacy Center website.
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Elizabeth Sinclair Hancq
Director of Research
Treatment Advocacy Center
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Questions? Contact us at [email protected] [mailto:[email protected]]
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Research Weekly is a summary published as a public service of the Treatment Advocacy
Center and does not necessarily reflect the findings or positions of the organization
or its staff. Full access to research summarized may require a fee or paid subscription
to the publications.
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The Treatment Advocacy Center does not solicit or accept funds from pharmaceutical
companies.
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