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Access block to psychiatric inpatient admission: Implications for national mental health service planning

A recent Australasian College for Emergency Medicine (ACEM) study of 72 Australian and New Zealand hospitals revealed that people with severe mental illness often face long stays in emergency departments (EDs) while waiting for a hospital psychiatric bed (https://acem.org.au/News/Feb-2018/ ACEM-mental-health-care-accessblock.aspx). While only 4% of all ED presentations were for mental-healthrelated diagnoses, these patients accounted for 19% of those waiting for a bed and constituted 28% of those who experienced ‘access block’ (an ED length of stay [LOS] over 8 hours). Patients waited for up to 6 days in busy EDs, before being admitted.