Bridging Care After Discharge from the Emergency Department for Patients Presenting with a Mental Health Concern
Stephanie Lucchese, Natalie Weiser, Ifat Witz, Daniela BellicosoAim
To explore patient experiences of receiving telephone-delivered brief contact interventions following discharge from the emergency department for a variety of mental health or substance use concerns.
Design
Qualitative descriptive study.
Methods
Following a brief contact intervention delivered by telephone, semi-structured interviews were conducted to assess the patient experience. Inductive content analysis was used to analyze interview transcripts; descriptive statistics were used to summarize demographic characteristics.
Data Sources
Participants were recruited from an urban academic hospital where they had presented to the ED for a mental health or substance use concern, received a post-discharge brief contact intervention, and consented to a follow-up interview.
Results
Patients presented to the emergency department for a variety of mental health and substance use concerns. Four themes were generated: value of human connection and feeling cared for
Conclusion
Telephone-delivered brief contact interventions were experienced as a supportive, and provided social- and emotional-support for patients to bridge a vulnerable transition period after emergency department discharge. Perceived benefits were greatest for individuals with fewer social or therapeutic supports.
Implications for the profession and/or patient care
Brief contact interventions can strengthen continuity of care, mitigate feelings of abandonment, and promote patient safety post-discharge. Implementation requires clarity, consistency, and can be done in collaboration with community support services.
Impact
Findings can inform emergency department-to-community transitions, particularly for individuals facing isolation. This intervention can maintain communication between patients and nurses/mental health providers.
Reporting Method
This study adhered to the SRQR guidelines for qualitative research.
Patient Contribution
Patients who received wellness checks contributed as participants, sharing their experiences and recommendations. Their perspectives shaped study themes, interpretation, and implications.