The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies
Author:
Saidinejad Mohsen1, Duffy Susan2, Wallin Dina3, Hoffmann Jennifer A.4, Joseph Madeline M.5, Schieferle Uhlenbrock Jennifer6, Brown Kathleen7, Waseem Muhammad8, Snow Sally9, Andrew Madeline10, Kuo Alice A.11, Sulton Carmen12, Chun Thomas13, Lee Lois K.14, Conners Gregory P., Callahan James, Gross Toni, Joseph Madeline M., Lee Lois K., Mack Elizabeth, Marin Jennifer, Mazor Suzan, Paul Ronald, Timm Nathan, Cicero Mark, Dietrich Ann, Eisenberg Andrew, Fallat Mary, Tellez Sue, Dietrich Ann M., Alade Kiyetta H., Amato Christopher S., Atanelov Zaza, Auerbach Marc, Barata Isabel A., Benjamin Lee S., Berg Kathleen T., Brown Kathleen, Chang Cindy, Chow Jessica, Chumpitazi Corrie E., Claudius Ilene A., Easter Joshua, Foster Ashley, Fox Sean M., Gausche-Hill Marianne, Gerardi Michael J., Goodloe Jeffrey M., Heniff Melanie, Homme James (Jim) L., Ishimine Paul T., John Susan D., Joseph Madeline M., Hiu-Fung Lam Samuel, Lawson Simone L., Lee Moon O., Li Joyce, Lin Sophia D., Martini Dyllon Ivy, Mellick Larry Bruce, Mendez Donna, Petrack Emory M., Rice Lauren, Rose Emily A., Ruttan Timothy, Saidinejad Mohsen, Santillanes Genevieve, Simpson Joelle N., Sivasankar Shyam M., Slubowski Daniel, Sorrentino Annalise, Stoner Michael J., Sulton Carmen D., Valente Jonathan H., Vora Samreen, Wall Jessica J., Wallin Dina, Walls Theresa A., Waseem Muhammad, Woolridge Dale P., Shahid Sam, Miller Roberta, Wood Elyssa, Lowery Tasha, Cohen Julie, VanStanton Rebecca, Hill Lisa, Stone Elizabeth, Johnson Domenique, , ,
Affiliation:
1. aDepartment of Clinical Emergency Medicine & Pediatrics, David Geffen School of Medicine at UCLA, Institute for Health Services and Outcomes Research, The Lundquist Institute for Biomedical Innovation at Harbor UCLA, and Department of Emergency Medicine, Harbor UCLA Medical Center, Los Angeles, California 2. bDepartment of Emergency Medicine, Brown University School of Medicine, Providence, Rhode Island 3. cDepartment of Emergency Medicine, University of California San Francisco, UCSF Benioff Children’s Hospital, San Francisco, California 4. dDivision of Emergency Medicine, Ann & Robert H. Lurie Children’s Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Evanston, Illinois 5. eDivision of Pediatric Emergency Medicine, Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, University of Florida Health Sciences Center, Jacksonville, Jacksonville, Florida 6. fAscension Seton Northwest Hospital, Austin, Texas 7. gEmergency Medicine and Trauma Center, Children’s National Hospital, Washington, District of Columbia 8. hDepartment of Emergency Medicine, Lincoln Medical Center, Bronx, New York 9. iIndependent Consultant, Pediatric Emergency and Trauma Nursing 10. jThe Medical Associates, Dallas, Texas 11. kDepartments of Medicine and Pediatrics, University of California, Los Angeles, Los Angeles, California 12. lDepartments of Pediatrics and Emergency Medicine, Emory University School of Medicine, CPG Sedation Services, Children’s Healthcare of Atlanta, Egleston, Atlanta, Georgia 13. mDivision of Pediatric Emergency Medicine, Departments of Emergency Medicine and Pediatrics, Hasbro Children’s Hospital, Warren Alpert Medical School of Medicine at Brown University, Providence, Rhode Island 14. nDivision of Emergency Medicine, Boston Children’s Hospital, Department of Pediatrics and Emergency Medicine, Harvard Medical School, Boston, Massachusetts
Abstract
Mental and behavioral health (MBH) visits of children and youth to emergency departments are increasing in the United States. Reasons for these visits range from suicidal ideation, self-harm, and eating and substance use disorders to behavioral outbursts, aggression, and psychosis. Despite the increase in prevalence of these conditions, the capacity of the health care system to screen, diagnose, and manage these patients continues to decline. Several social determinants also contribute to great disparities in child and adolescent (youth) health, which affect MBH outcomes. In addition, resources and space for emergency physicians, physician assistants, nurse practitioners, and prehospital practitioners to manage these patients remain limited and inconsistent throughout the United States, as is financial compensation and payment for such services. This technical report discusses the role of physicians, physician assistants, and nurse practitioners, and provides guidance for the management of acute MBH emergencies in children and youth. Unintentional ingestions and substance use disorder are not within the scope of this report and are not specifically discussed.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology and Child Health
Reference182 articles.
1. Substance Abuse and Mental Health Services Administration; US Department of Health and Human Services. What is mental health?. Available at: https://www.samhsa.gov/mental-health. Accessed June 1, 2023 2. What is a mental/psychiatric disorder? From DSM-IV to DSM-V;Stein;Psychol Med,2010 3. Mental health surveillance among children--United States, 2005-2011;Perou;MMWR Suppl,2013 4. Availability of outpatient mental health care by pediatricians and child psychiatrists in five U.S. cities;Cama;Int J Health Serv,2017 5. Child psychiatric emergencies: updates on trends, clinical care, and practice challenges;Carubia;Curr Psychiatry Rep,2016
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献
|
|