Intro
Foreword
Acknowledgement
Contents
Mental Health as a Societal Concept Impacting on Emergency Care
1 Introduction
2 The Emergency Care Field
3 New Approaches
4 Where to Find Help
References
Learning Disability and Autistic Spectrum Conditions
1 Background and Introduction
1.1 Learning Disability
2 Patient Factors
3 Communication
4 Diagnostic Overshadowing
5 Sensory Processing Issues
6 Autistic Meltdown
7 The Equality Act and Mandatory Training
8 Pain
9 Early Warning Scores
10 The Mental Capacity Act

11 Resuscitation Decisions and Quality of Life
12 Hospital Passports
13 Care Pathways
14 Family
15 Soft Signs
16 Learning Disability Nurses
17 Reasonable Adjustments
18 Staff Awareness
19 Conclusion
References
Paramedic
1 Introduction
2 Policy Guiding Practice
3 Providing Care to Individuals with Mental Health Needs
4 Patients Experiencing Challenging Behavioural and Emotional Crisis
5 Interventions for Mental Health Illness and Crisis
6 Integrated Care Interventions, Pathways and Referrals
7 Conclusion
References

Police Custody Officer
1 Introduction
2 Police Custody
3 Police Custody as a 'Place of Safety'
4 Risk Factors in Police Custody
5 Healthcare Needs
6 Vulnerability and the Investigation
7 Appropriate Adult
8 The Changing Face of Policing People with Mental Ill-Health
9 Diversion from Police Custody
10 Diversion from the Broader Criminal Justice System
11 Conclusion
References
Emergency Physician
1 Introduction
1.1 Mental Health Presentations to the Emergency Department
1.2 Patient Views on the ED
2 Scenario 1 Carrie's Experience

3 What Constitutes Good Care in the ED
4 Mental Health Triage
5 Referral to Mental Health Teams from Triage
6 Observation
7 Risk Assessment by ED Clinicians
8 Mental State Examination
9 Capacity Assessment by ED Clinicians
10 Managing an Agitated Patient
11 Attitudes and Training
12 A Safe and Calm Environment
13 Legal Frameworks Within the ED
14 Frequent Attendance to the ED
15 Conclusion
References
Mental Health Liaison Team
1 Introduction
2 King's Liaison Psychiatry Service
3 Legislative and Ethical Issues
4 Referral Routes

5 Presentations
6 Interventions and Support Paths
7 Evaluations and the Future of the Service
8 Conclusion
Appendix 1 King's Liaison Data, November 2020: January 2021
Appendix 2 Code 10 Pathway
Appendix 3: Section 136 Pathway
References
Approved Mental Health Professional
1 Introduction
2 AMHP Role and Responsibilities
3 Interagency Cooperation
3.1 Case Study: Julia
3.2 Case Study: David
3.3 Case Study: Brenda
4 Conclusion
References
Children and Young Peoples' Services
1 Introduction
2 Tier 1
3 Tier 2
4 Tier 3