Table 3 Data intensity mapping for key framework components and sub-components

The emergency department (ED)

ED staff are helpful and caring

*

-

ED staff are unhelpful and dismissive

**

** (perception of non-ED staff)

ED environment is stressful

***

*

ED environment is not appropriate for people with mental health problems

***

***

ED environment could be improved for people with mental health problems

**

**

Liaison mental health services (LMHS)

LMHS staff are helping and understanding

*

*** (perception of non-LMHS staff)

LMHS staff are dismissive

**

-

It is difficult to access LMHS

*

** (perception of non-LMHS staff)

There are ways LMHS could be improved

**

**

Core-24 service standard

The one-hour access standard is the maximum time a person with mental health problems should wait in ED

***

*

The one-hour access standard prioritises immediacy over clinical need and has unintended consequences for other parts of the liaison service

-

***

Policymakers are detached from clinical services which results in poor implementation

-

**

Stigma of mental illness

People with mental health problems who attend the ED experience discrimination

**

**

There is a mental-physical dichotomy in the acute hospital which prioritises physical health over mental health

**

**