Relieving our busy emergency departments by diverting drug and alcohol presentations

17 October 2023

​The NSW Government is acting to take pressure off of some of the state’s busy emergency departments by diverting drug and alcohol presentations to specialised units.

Safe Assessment Units are designed to better support people presenting to emergency departments with behavioural disturbances associated with alcohol and drugs.

Two of these units will be rolled out at the Prince of Wales and Nepean hospitals.

People presenting with behavioural disturbances are often vulnerable and become overwhelmed by the environment in the ED.

These units will provide a safe, low stimulus environment in which patients can be admitted, assessed, and treated.

They will allow patients to be treated by a multidisciplinary team of clinicans working across mental health, clinical pharmacology and alcohol and drug teams.

Similar models of care have resulted in improved patient outcomes, reduced need for sedation and restraint, as well as a reduction in the length of stay and time to be seen in EDs.

Both Units are expected to be ready to start seeing patients early next year, and will complement the existing Psychiatry and Non-Prescription Drug and Alcohol (PANDA) Unit within St Vincent’s Hospital in Sydney.

The PANDA Unit, established in 2020, is co-located with the St Vincent’s ED and was the first service of this kind in Australia.

To ensure patients receive ongoing support after discharge, care will be provided through collaboration with the community alcohol and other drug sector, the community mental health sector and other health and community services.

The units will be co-located within each ED.

Quotes attributable to Minister for Health Ryan Park:

“We are acting to reduce pressure on our busy emergency departments by providing more appropriate care and treatment to drug and alcohol presentations.

“These units create a safe environment, not only for patients presenting with disturbances associated with alcohol and drugs, but also our frontline health workers and other patients presenting to our emergency departments.

“As Health Minister, I am embracing new and innovative initiatives to relieve pressure on our emergency departments by ensuring people receive the appropriate care when and where they need it.”​