The Effect of a Dedicated Psychiatric Team to Pediatric Emergency Mental Health Care

The Journal of Emergency Medicine
David SheridanMatthew Hansen

Abstract

Pediatric emergency department (PED) visits among children and adolescents with acute mental health needs have increased over the past decade with long wait times in the PED awaiting disposition. The objective of this study was to evaluate the effect of a new pediatric mental health liaison program with the hypothesis that this model reduces length of stay (LOS) and hospitalization rates among pediatric mental health patients. This was a pre- and postintervention retrospective study of the year prior to (June 2012-June 2013) and the year after (October 2013-October 2014) implementation of a new PED psychiatric team. All patients aged 1-18 years with a mental health International Classification of Diseases-9(th) Revision code were included. Patients who did not receive a Psychiatry consult in the PED were excluded. There were 83 encounters in the year prior to and 129 encounters in the year after the implementation of the liaison program. There was an increase in the suicidality of mental health patients during this time. There was a significant decrease in mean PED LOS of 27% (95% confidence interval [CI] 0-46%; p = 0.05) from pre- to postintervention period. The decrease in the proportion of patients admitted/transferred to an...Continue Reading

References

Oct 30, 2009·Pediatric Emergency Care·Prashant MahajanUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Jun 3, 2011·Psychiatric Services : a Journal of the American Psychiatric Association·Emily FroschKate Maloney
Oct 26, 2011·Journal of the American Academy of Child and Adolescent Psychiatry·Sarah D CaseEugene M Laska
Nov 15, 2013·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Brad SobolewskiJacqueline Grupp-Phelan
Feb 21, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Zachary E Pittsenbarger, Rebekah Mannix
May 3, 2014·Hospital Pediatrics·Ilene ClaudiusGenevieve Santillanes
Aug 26, 2014·American Journal of Preventive Medicine·Jeffrey A BridgeJohn V Campo
Sep 27, 2014·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Joan Rosenbaum AsarnowNicholas L Anderson
Oct 22, 2014·European Child & Adolescent Psychiatry·Eugene GrudnikoffChristoph U Correll
Apr 4, 2015·Pediatric Emergency Care·David C SheridanMatthew L Hansen

❮ Previous
Next ❯

Citations

Aug 14, 2018·Pediatric Annals·Cecilia P Margret, Robert Hilt
May 23, 2020·European Child & Adolescent Psychiatry·Pety SoCornelis L Mulder
Sep 2, 2017·Health & Social Work·John S SheridanRebecca D Marshall
Apr 28, 2020·Emergency Medicine Clinics of North America·Pilar Guerrero, Mark B Mycyk
Jun 26, 2021·The Journal of Nervous and Mental Disease·Daniel J Safer
Nov 26, 2020·Australasian Emergency Care·Irene NguneClare Rees

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.