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Improving the Assessment and Triage of Patients with Mental Illness ...

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Chapter 2<br />

The Literature Review<br />

2.1 Introduction<br />

A literature review is an expression <strong>of</strong> an individual’s interest in a particular subject<br />

which involves scrutiny <strong>of</strong> research, policy <strong>and</strong> o<strong>the</strong>r relevant documents. The sources <strong>of</strong><br />

information can be material found in books, journals <strong>and</strong> internet sites. All <strong>of</strong> <strong>the</strong>se sources<br />

support <strong>the</strong> relative underst<strong>and</strong>ing <strong>and</strong> views <strong>of</strong> o<strong>the</strong>rs on <strong>the</strong> chosen topic (R<strong>and</strong>olph, 2009).<br />

The literature review should consider published information <strong>of</strong> <strong>the</strong> subject area by recognized<br />

researchers <strong>and</strong> academics.<br />

The objective <strong>of</strong> this review is to examine <strong>and</strong> assess <strong>the</strong> available literature<br />

pertaining to <strong>the</strong> assessment <strong>and</strong> treatment <strong>of</strong> individuals presenting to <strong>the</strong> Emergency<br />

Department traditionally known as Accident <strong>and</strong> Emergency, <strong>with</strong> mental illness, under <strong>the</strong><br />

following broad headings:<br />

• <strong>Mental</strong> <strong>Illness</strong><br />

• Negative attitudes towards mental illness<br />

• A <strong>Triage</strong> Tool for <strong>the</strong> <strong>Assessment</strong> <strong>of</strong> <strong>Mental</strong> <strong>Illness</strong> in <strong>the</strong> Emergency Department.<br />

Whilst a great deal <strong>of</strong> literature exists in <strong>the</strong> field <strong>of</strong> mental illness <strong>and</strong> attitudes towards<br />

mental illness, <strong>the</strong>re are relatively few published articles in respect <strong>of</strong> triage tools used in <strong>the</strong><br />

assessment <strong>of</strong> those presenting <strong>with</strong> mental illness in this jurisdiction. Indeed, while<br />

conducting a search <strong>of</strong> <strong>the</strong> literature from an Irish perspective in relation to triage tools I<br />

failed to discover any relevant material. The bulk <strong>of</strong> published articles concerning <strong>the</strong><br />

development <strong>of</strong> triage tools for mental illness appear to have been pioneered in <strong>the</strong> Sou<strong>the</strong>rn<br />

Hemisphere particularly by Australian <strong>and</strong> New Zeal<strong>and</strong> researchers.<br />

The literature reviewed as part <strong>of</strong> this work was obtained primarily from nursing <strong>and</strong><br />

medical journals. Articles <strong>and</strong>/or books were retrieved following a search <strong>of</strong> <strong>the</strong> following<br />

5

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