First implemented in 2012, the intervention involves locating an extended hours Mental Health Liaison Nursing service within the Department in order to engage with mental health patients “as close to the front door of the ED as possible.” 

Based on success at RPAH, NSW Health invited the research team to undertake a 12-month trial of the model of care in divergent ED settings elsewhere in NSW. This mixed-methods translational research study involved implementation and evaluation at a rural hospital and a regional base hospital as well as a re-evaluation of service at RPAH.

The study showed that across all sites mental health patients were seen more promptly, there was a low admission rate and a reduction in ED length of stay, minimal “did not wait” incidents and more effective follow-up.

Chief Investigator, Associate Professor Timothy Wand, said the study concluded that the model of care can be successfully transferred to rural and regional contexts. For the model to be successful in other settings, however, it must adhere to certain key principles, and be adequately resourced in order to be sustainable.

“What it requires is that EDs acknowledge that mental health, drug health and other associated behavioural problems are part of their core business,” he said. “We’ve realized that the culture and the way of thinking and practicing that we developed at RPA is quite unique.”

Related News

  • Sydney Health Partners and Health Districts Support Implementation Science with New Funding

    Seven projects have received pilot grants of $25,000 each after being shortlisted by the inaugural Sydney Health Partners Implementation Science Grant Program in 2020. The grants are in addition to the four projects funded directly by Sydney Health Partners last August as part of the program. SHP’s Director of Implementation Science, Dr Nicole Rankin, says ... Read more

    Read more of the post "Sydney Health Partners and Health Districts Support Implementation Science with New Funding"

  • Four Grant Recipients Announced in Expanded Implementation Science Program

    Originally intending to fund two $25,000 projects, SHP expanded the inaugural grant scheme due to the high quality of applications. “We were taken aback by the strength of the research proposals,” said Professor Don Nutbeam, SHP Senior Advisor and Steering Committee Chair for Implementation Science.  “It was clear once we started receiving applications that we ... Read more

    Read more of the post "Four Grant Recipients Announced in Expanded Implementation Science Program"

  • Implementing Best Practice to Identify Cerebral Palsy in Infants

    There is strong evidence that a novel video-based technique, the General Movements (GMs) assessment, is an accurate and effective tool for the early identification of infants at risk of CP. Despite this, GMs was not routinely used by the Childrens Hospital Westmead to assess its infant surgical population – a cohort with known risk factors ... Read more

    Read more of the post "Implementing Best Practice to Identify Cerebral Palsy in Infants"