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Exclusionary criteria Exclusionary criteria are rules set forth by individual psychiatric facilities regarding what individual patient factors exclude someone from admission.

These denials contribute to ED boarding and burden ED staff.

In 2008, the American College of Emergency Physicians (ACEP) surveyed 1400 ED directors.

The variation in number and kinds of exclusionary criteria further complicate the admission process and often serve as a bottleneck in the securing an inpatient bed.

Keywords: Behavioral emergencies, inpatient psychiatric exclusionary criteria, medical clearance and stability examination, psychiatric emergencies How to cite this article: Tucci V, Liu J, Matorin A, Shah A, Moukaddam N.

These exclusionary criteria range from requirements for basic laboratory studies to the functional capacity of patients.

Most psychiatric facilities will not accept patients with certain laboratory abnormalities, which by extension, means many patients will have to undergo routine testing regardless of their status as “medically cleared.” Psychiatric facilities often have the same standard set of requirements and exclusionary criteria regardless of patient presentation (i.e., otherwise healthy patient with known underlying psychiatric condition who presents with suicidal ideation versus the older patient without known psychiatric history presenting with altered mental status or psychosis).

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hypertensive urgency, pregnancy, acute alcohol intoxication), 2.

A staggering 79% of the directors reported that emergency psychiatric patients were boarded in their EDs.

Ten percent of ED directors stating even reported having psychiatric patients boarded for a week or longer until they could be properly transferred to an inpatient facility.

exclusionary criteria related to administrative burdens that may impact staffing or require advanced equipment/training e.g.

autism spectrum disorders, intellectual disabilities, respiratory isolation or daily hemodialysis, 3.


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