New research has shed light on the challenges faced by “frequent 000 callers,” defined as individuals requiring ambulance assistance between 5 and 39 times per year. Researchers from Monash University and Turning Point revealed that this group comprises up to 23% of mental health-related paramedic cases and contributes to as much as 40% of ambulance transports. These “repeated emergency callers” often present with complex mental health challenges, including self-harm, psychosis, and substance-related issues.

The study emphasises the importance of early identification and intervention to better address the acute needs of this issue. Dr Anthony Hew, the study’s lead researcher, highlighted the strain this puts on healthcare systems, urging the adoption of predictive models to support these vulnerable individuals and reduce the burden on emergency services.

Vulnerabilities Behind Repeated Emergency Callers

Frequent 000 callers are more likely to experience social and economic disadvantages, including homelessness and poverty. Additionally, substance misuse and alcohol-related issues are common within this cohort, often exacerbating their mental health struggles. Researchers advocate for system-wide approaches that extend beyond clinical care, addressing underlying factors like housing stability and access to long-term support.

Dr Hew notes that frequent 000 callers are more likely to seek help after hours due to unmet needs throughout the day, pointing to gaps in existing support systems. By expanding healthcare access and re-evaluating resource allocation, health services could more effectively serve these individuals without relying heavily on emergency response teams.

Tackling the Trajectories of Frequent 000 Callers

Interestingly, the study found that most frequent 000 callers show acute rather than chronic patterns of ambulance use. Less than 27% continue this frequent care need beyond three consecutive years. Researchers suggest redefining frequent 000 callers based on shorter time frames, such as monthly periods, to enable faster, targeted intervention.

This revised approach could lead to more timely and effective care solutions for repeated emergency callers facing urgent mental health concerns, substance misuse, or socio-economic challenges. By addressing these issues holistically and advancing preventative measures, the pressure on emergency services could be significantly reduced over time.

Source: Turning Point