Managing acute behavioural disturbance in an emergency department using a behavioural assessment room.

Abstract

This study was conducted to evaluate a behavioural assessment room (BAR) as a strategy in the management of people exhibiting acute behavioural disturbance in the St Vincent's Hospital, Melbourne Emergency Department (ED). The study involved a retrospective audit of the data documented for BAR use over a 12-month period and a structured questionnaire of clinical and non-clinical emergency department staff. Patients managed in the BAR presented with various behaviours; 58% were substance induced. The median duration of stay in the room was 20 minutes, during which assessment and containment or "behavioural resuscitation" proceeded. 98.5% of questionnaire respondents believed that the BAR created a safer environment for all ED patients, staff and others.