Trends in the use of Emergency Examination Orders in Queensland since the implementation of the Mental Health Intervention Project

Abstract

Objective: The Mental Health Intervention Project (MHIP) was established in Queensland in 2005 to improve interagency collaboration in the management of mental health crisis situations. The aim of this present study was to assess changes in the use of Emergency Examination Orders (EEOs) by police and ambulance officers since the commencement of the MHIP. Method: Information concerning the use of EEOs was analysed to highlight changes that have occurred since the inception of the MHIP. Results: The use of EEOs by police and ambulance officers increased by 262% since 2002. The proportion of EEOs completed by ambulance officers has increased from 14.5% in 2004 to 38% in 2010. Involuntary assessment was deemed necessary for less than half of the individuals presented by police and ambulance officers. Conclusions: Police continue to generate two-thirds of all EEOs completed. Police and ambulance officers may benefit from additional training in the use of EEOs. Providing alternative accommodation/treatment options for those under the influence of alcohol and other drugs may help to reduce the inappropriate use of EEOs and subsequent demand for Emergency Department services.