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Abstract

A review of trends in emergency psychiatry since 1981 indicates that the scope and complexity of the field have greatly increased. Clinicians have found it useful to identify patient groups with special assessment and treatment needs, including adolescents, the elderly, victims of rape and of domestic violence, and repeat visitors to the emergency service. The spread of AIDS requires greater medical attentiveness by psychiatric emergency clinicians, and two recreational substances of abuse, cocaine and inbalants, have become increasingly popular. The use of psychotropic drugs in the emergency room has received more attention, and new trends in rapid tranquilization are apparent. Also reviewed are current medicolegal controversies related to emergency room practice, findings on prediction and control of violence, and the use of the psychiatric emergency service as a training site.

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Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 250 - 260

History

Published in print: March 1989
Published online: 1 April 2006

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Cambridge (Mass.) Hospital, Metropolitan State Hospital in Waltham, Massachusetts
Psychiatnic Emergency Services, the Cambridge (Mass.) Hospital
Psychiatric Emergency ward, the Cambridge (Mass.) Hospital, Harvard Medical School

Notes

Cambridge Hospital, 1493 Cambridge Street, Cambridge, Massachusetts 02139

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