{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:41:07Z","timestamp":1782603667602,"version":"3.54.5"},"reference-count":40,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T00:00:00Z","timestamp":1652745600000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institute of Health Research","doi-asserted-by":"crossref","award":["8400997"],"award-info":[{"award-number":["8400997"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec id=\"S2056472422000643_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Prompt follow-up at emergency department discharge is a key indicator of healthcare quality and patient recovery. To improve services, better knowledge of predictors for out-patient physician follow-up within 30 days after discharge is needed.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472422000643_sec_a2\"><jats:title>Aims<\/jats:title><jats:p>We investigated clinical and sociodemographic characteristics and service use to predict patients with mental disorders with or without physician follow-up after emergency department use.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472422000643_sec_a3\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>This study used data extracted from clinical administrative databases for 9514 patients who attended an emergency department in Quebec (Canada) in 2014\u20132015 (index visit) for mental health reasons. Patient clinical and sociodemographic characteristics from 2012\u20132013 to 2014\u20132015, and service use 12 months before the index visit, were investigated as predictors for patients with or without prompt follow-up, using hierarchical logistic regression.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472422000643_sec_a4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Two-thirds of patients did not receive prompt physician follow-up. Patients with level 1\u20132 illness acuity at emergency department triage (needing immediate or urgent care); those with adjustment or bipolar disorders, but without alcohol-related disorders (clinical characteristics); and patients with higher continuity of physician care, more psychosocial interventions in community healthcare centres and prior hospital admission (service use characteristics) were more likely to receive prompt out-patient follow-up.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472422000643_sec_a5\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Access to medical care was poor, considering the high needs of this population. The role of the emergency department as a gateway for accessing out-patient care may be strengthened by strategies like screening, brief intervention including motivational treatments, brief case management offered by emergency department staff, timely referral to services and better post-discharge planning. Collaborative care for patients attending emergency departments should also be improved.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjo.2022.64","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T09:08:57Z","timestamp":1652778537000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Investigating characteristics of patients with mental disorders to predict out-patient physician follow-up within 30 days of emergency department discharge"],"prefix":"10.1192","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5866-4406","authenticated-orcid":false,"given":"Morgane","family":"Gabet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia","family":"Gentil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Lesage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4743-8611","authenticated-orcid":false,"given":"Marie-Jos\u00e9e","family":"Fleury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2022,5,17]]},"reference":[{"key":"S2056472422000643_ref8","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500529"},{"key":"S2056472422000643_ref27","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-018-0740-1"},{"key":"S2056472422000643_ref30","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2011.tb00003.x"},{"key":"S2056472422000643_ref39","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2005-9"},{"key":"S2056472422000643_ref40","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2019.03.180244"},{"key":"S2056472422000643_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2011.11.002"},{"key":"S2056472422000643_ref9","doi-asserted-by":"crossref","first-page":"e179","DOI":"10.1097\/PEC.0000000000001545","article-title":"Care coordination in emergency departments for children and adolescents with behavioral health conditions: assessing the degree of regular follow-up after psychiatric emergency department visits","volume":"37","author":"Lynch","year":"2021","journal-title":"Pediatr Emerg Care"},{"key":"S2056472422000643_ref13","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.108"},{"key":"S2056472422000643_ref18","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.34.4.06"},{"key":"S2056472422000643_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.09.029"},{"key":"S2056472422000643_ref19","unstructured":"19 Canadian Association of Emergency Physicians. Canadian triage acuity scale. Canadian Association of Emergency Physicians, 2012 (http:\/\/ctas-phctas.ca\/wp-content\/uploads\/2018\/05\/participant_manual_v2.5b_november_2013_0.pdf)."},{"key":"S2056472422000643_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2011.05.020"},{"key":"S2056472422000643_ref33","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3629"},{"key":"S2056472422000643_ref2","doi-asserted-by":"publisher","DOI":"10.7202\/1058613ar"},{"key":"S2056472422000643_ref10","doi-asserted-by":"publisher","DOI":"10.17269\/CJPH.106.4683"},{"key":"S2056472422000643_ref24","first-page":"965","article-title":"Continuity of care in a university-based practice","volume":"50","author":"Breslau","year":"1975","journal-title":"J Med Educ"},{"key":"S2056472422000643_ref14","unstructured":"14 Minist\u00e8re de la sant\u00e9 et des services sociaux du Qu\u00e9bec. Plan d'Action en Sant\u00e9 Mentale 2015\u20132020 \u2013 Faire Ensemble et Autrement. [Mental Health Action Plan 2015-2020 \u2013 Doing things differently together.] Minist\u00e8re de la sant\u00e9 et des services sociaux du Qu\u00e9bec, 2015 (https:\/\/publications.msss.gouv.qc.ca\/msss\/document-001319\/)."},{"key":"S2056472422000643_ref25","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.061615"},{"key":"S2056472422000643_ref28","first-page":"31","article-title":"Patterns of patient experience with primary care access in Australia, Canada, New Zealand and Switzerland: a comparative study","volume":"30","author":"Senn","year":"2019","journal-title":"Int J Qual Health Care"},{"key":"S2056472422000643_ref34","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-018-0125-1"},{"key":"S2056472422000643_ref21","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.29.4.05"},{"key":"S2056472422000643_ref31","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.096305"},{"key":"S2056472422000643_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000905"},{"key":"S2056472422000643_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/2045-4015-1-21"},{"key":"S2056472422000643_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/0706743716639054"},{"key":"S2056472422000643_ref38","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119845020"},{"key":"S2056472422000643_ref6","volume-title":"HEDIS Measures and Technical Resources: Follow-Up after Emergency Department Visit for Mental Illness (FUM)","year":"2020"},{"key":"S2056472422000643_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0692-z"},{"key":"S2056472422000643_ref16","unstructured":"16 R\u00e9gie de l'assurance maladie du Qu\u00e9bec (RAMQ). Rapport Annuel de Gestion, 2017\u20132018. [Annual Management Report, 2017\u20132018.] RAMQ, 2018 (https:\/\/www.ramq.gouv.qc.ca\/sites\/default\/files\/documents\/rappann1718.pdf)."},{"key":"S2056472422000643_ref32","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201600498"},{"key":"S2056472422000643_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/070674371105600806"},{"key":"S2056472422000643_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2017.09.004"},{"key":"S2056472422000643_ref1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154449"},{"key":"S2056472422000643_ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900466"},{"key":"S2056472422000643_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/0706743716673322"},{"key":"S2056472422000643_ref5","first-page":"497","article-title":"Follow-up services after an emergency department visit for substance abuse","volume":"13","author":"Breton","year":"2007","journal-title":"Am J Manag Care"},{"key":"S2056472422000643_ref4","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.3.258"},{"key":"S2056472422000643_ref15","unstructured":"15 V\u00e9rificateur G\u00e9n\u00e9ral du Qu\u00e9bec. Chapitre 5. Groupes de M\u00e9decine de Famille et Cliniques-R\u00e9seau. [Family Medicine Groups and Network Clinics.] V\u00e9rificateur G\u00e9n\u00e9ral du Qu\u00e9bec, 2015 (https:\/\/www.vgq.qc.ca\/Fichiers\/Publications\/Presentations\/fr_Presentation20150527-VOR_Chap05.pdf)."},{"key":"S2056472422000643_ref36","doi-asserted-by":"publisher","DOI":"10.1177\/0706743717714467"},{"key":"S2056472422000643_ref37","doi-asserted-by":"publisher","DOI":"10.1177\/0020764014562051"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472422000643","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T18:21:45Z","timestamp":1700590905000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472422000643\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":40,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["S2056472422000643"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2022.64","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e95"}}