Evaluation of interventions for psychiatric care: A simulation study of the effect on emergency departments

Thomas Roh, Valerie Quinones-Avila, Ronna L. Campbell, Gabrielle Melin, Kalyan S. Pasupathy

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Scopus citations


Hospital-wide strategies for reducing mental health (MH) boarding in the emergency departments (ED) have focused on improving the onsite patient flow and resource management. A gap in literature is still residing on the lack of consideration for the MH transition process from the ED into external community and hospital inpatient psychiatric settings, as well as the external bed capacity limitations. Discrete event simulation was used to understand the mental health patient flow within the ED and to inpatient settings. It provided a forecast of system changes when three scenarios were tested to determine the percentage increase in beds necessary to reduce MH ED boarding time. These alternative approaches illustrate the applicability of the model as a decision support tool for evaluating solutions to MH ED boarding.

Original languageEnglish (US)
Title of host publicationWSC 2018 - 2018 Winter Simulation Conference
Subtitle of host publicationSimulation for a Noble Cause
PublisherInstitute of Electrical and Electronics Engineers Inc.
Number of pages11
ISBN (Electronic)9781538665725
StatePublished - Jul 2 2018
Event2018 Winter Simulation Conference, WSC 2018 - Gothenburg, Sweden
Duration: Dec 9 2018Dec 12 2018

Publication series

NameProceedings - Winter Simulation Conference
ISSN (Print)0891-7736


Conference2018 Winter Simulation Conference, WSC 2018

ASJC Scopus subject areas

  • Software
  • Modeling and Simulation
  • Computer Science Applications


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