All clinicians in Emergency Departments espouse to provide care for the whole person, yet those individuals with psychiatric and mental health conditions in EDs all too often find timely and competent care woefully lacking. 

Similar to the recent trends of integrating mental health services into primary care, this book provides expertise and practical guidance for ED physicians and nurses to increase competencies for diagnosing and treating common mental health conditions.

This innovative model of care in EDs proactively and reliably addresses the majority of patients’ psychiatric and mental health needs, and reserves psychiatric consultation services and transfers to psychiatric treatment facilities for those patients who cannot be adequately treated by ED clinicians.
— Patricia Rutherford, RN, MS Vice President Institute for Healthcare Improvement (IHI)

The authors not only have a deep understanding of emergency psychiatry but also of operational improvement. The mix makes this book a needed reference for anyone focused on a patient centered approach for this vulnerable population.”
— Kevin Nolan, Statistician, Improvement Advisor, and Senior Fellow Institute for Healthcare Improvement (IHI)

“Big Book of Emergency Department Psychiatry is big as it should be; it is the most comprehensive text on emergency psychiatry in print. Not only does it guide one to the diagnosis and management of emergency room patients but it also addresses operational issues in various settings.  The emergency room is a team effort and Big Book of Emergency Department Psychiatry includes the perspectives of its members: psychiatrist, nurse, social worker and non-psychiatric emergency doctor.

Make room for it on your bookshelf.”
— David W Preven, MD Clinical Professor Department of Psychiatry and Human Behavior Albert Einstein College of Medicine

Innovative, informative and inspiring book, with captivating stories that display the ins and outs of psychiatric emergency services. A must read, especially the chapters on correctional emergency psychiatry and the concept of Lean in healthcare.
— Mardoche Sidor, MD Assistant Professor of Psychiatry, Columbia University Medical Director The Center for Alternative Sentencing and Employment Services (CASES)

The management of psychiatric patients seeking care in the emergency department is one of the most complex and important issues in modern emergency medicine. The patients are frequently disenfranchised and do not receive high quality or timely medical care. As a result, these patients impose a tremendous impact on ED resources and flow.  

This book provides comprehensive insights into psychiatric care in the ED and operational improvement using Lean Healthcare concepts.  It will help you and your leadership team create a patient-centric culture where a community of scientists continuously improve value for psychiatric patients, hospital and society.
— Jody Crane, MD, MBA Principal, X32 Healthcare Author of “The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the “No Wait” Department”

The authors have organized and written a timely and necessary book on the care of the acute psychiatric patient in the Emergency Department.

Over 2 million people a year seek care for behavioral health care problems in hospital EDs at a cost of over $4 billion. Behavioral health patients seeking care in the emergency department have the same hopes, needs, and fears as the rest of the patients who present to our EDs for evaluation and treatment. The ED is often an intense and stressful work environment where staff must perform rapid assessments and make swift treatment decisions. ED staff and team members, dedicated, focused, and highly trained, too often feel overwhelmed, burdened and at times even threatened by the need to provide care for behavioral health patients.

There is a great deal of variation in ED expertise, training and resource allocation for emergency mental health problems, which can lead to sub-optimal care and negative patient and staff experiences. The management of acute behavioral emergencies and crisis intervention are simply and clearly described in this book. The tactics, tools and techniques outlined here can elevate our approach to emergency department psychiatry and allow our emergency medicine colleagues to rise above our current challenges and frustrations.

Balan et al. apply approaches, lessons and insights from both evidence - based medicine and Lean service operations to behavioral health patients, defining best practices and demonstrating the benefits and positive impact on patient care, flow and safety.

Big Book of Emergency Department Psychiatry is a practical playbook for the challenges at hand. The authors explain simply and clearly how to get it done.
— Kirk Jensen, MD, MBA, FACEP Chief Innovation Officer, EmCare, Inc. Chief Medical Officer, BestPractices, Inc. Studer Faculty Member and National Speaker Institute for Healthcare Improvement (IHI) Faculty Member

Complete, accurate and especially timely.  A must read for any emergency department leader engaged in improving care for this vulnerable population.
— Seth Thomas, MD, FACEP Director of Quality & Performance CEP America

Big Book of Emergency Department Psychiatry is empathically written and valuable to anyone that has ever experienced or cared for someone dealing with a psychiatric emergency. It has a dose of rigor, evidence and science and it conveys the personal experience of some of our peers and it keeps you wanting to read more. It is a tremendous compendium of the state of knowledge of the specialty and art of emergency psychiatry.

Very soon, this book will become the must-read for this specialty for trainees and experienced mental health professionals alike.
I congratulate the authors on an excellent, disciplined, rigorous work that retains the human perspective while educating the reader.”
— Carlos Rueda MD, MBA Chairman, Department of Psychiatry St. Joseph’s Healthcare System Trinitas Regional Medical Center