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Updates on the Best Practices For the Management a ...
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This document is an update on the best practices for the management and treatment of agitation. It is part of the Clinical Support System for Serious Mental Illness (CSS-SMI) initiative, which is implemented by the American Psychiatric Association (APA) and funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). The document provides information on the importance of treating agitation in all care settings and how appropriate treatment can improve both patient suffering and the quality of life for healthcare professionals.<br /><br />The document includes information on the faculty involved in the initiative, as well as their disclosed relationships and conflicts of interest. The learning objectives of the initiative are also outlined, which include incorporating the importance of treating agitation into protocols, understanding evidence-based recommendations for psychopharmacological options, and considering the impact of trauma on patients.<br /><br />The document discusses the definition of agitation and its prevalence in emergency room visits. It also highlights the challenges associated with assessment and treatment protocols, as well as the impact of agitation on staff safety and morale. The ethical considerations of treating agitation as a symptom and providing trauma-informed care are also addressed.<br /><br />The document provides an overview of the Project BETA (Best Practices in Evaluation and Treatment of Agitation) initiative, which provides evidence-based recommendations for the evaluation and treatment of agitation. It discusses the causes of agitation and the various pharmacological options available, including antipsychotics, benzodiazepines, and other medications. The use of restraints and the cost considerations associated with agitation management are also discussed.<br /><br />The document concludes with a call to action to recognize agitation early, treat it appropriately, and consider the business case for implementing best practices in agitation management. It also includes a bibliography of relevant studies and resources for further information.
Keywords
agitation
management
treatment
clinical support system
serious mental illness
protocols
evidence-based recommendations
trauma
emergency room visits
pharmacological options
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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