• Scott Craythorn and Margaret O'Sullivan.
• Emergency Department, Maitland Hospital, Hunter New England Local Health District, Maitland, New South Wales, Australia.
• Emerg Med Australas. 2023 Feb 1; 35 (1): 181182181-182.

AbstractMental health presentations to EDs continue to rise with associated challenges increasingly understood and well documented. Despite growing evidence of current and ongoing systemic issues contributing to this increase, there continues to be a lack of administrative engagement to address ED attendance, with avoidance and diversion strategies initiated during the COVID-19 pandemic no longer prioritised, despite growing need. Clear and well-documented reports of ED overcrowding and bed boarding is evidence that things need to change. Moreover, if innovative action is not taken, the risk and reality is that long waits, poor outcomes and exposure to unsafe conditions will continue. This is broadly unacceptable to consumers, their carers and the broader ED network. Delayed action in seeking alternative solutions only reinforces the risk and reality that people experiencing mental health concerns have 'Nowhere Else To Go'.© 2022 Australasian College for Emergency Medicine.

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