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Emergency Psychiatric Assessment Clients typically come to the emergency department in distress and with an issue that they may be violent or mean to damage others. These patients need an emergency psychiatric assessment. A psychiatric assessment of an agitated patient can take some time. Nonetheless, it is important to begin this process as soon as possible in the emergency setting. 1. Medical Assessment A psychiatric assessment is an evaluation of a person's mental health and can be carried out by psychiatrists or psychologists. During the assessment, ph