The New York Presbyterian Pediatric Crisis Service

R J Feiguine1, M M Ross-Dolen, J Havens

  • 1Diagnostic Intake Service, New York Presbyterian Hospital, New York 10032, USA.

Insights

New York Presbyterian Hospital

Area of Science:

  • Child and Adolescent Psychiatry
  • Emergency Medicine
  • Healthcare Management

Background:

  • Pediatric mental health crises require specialized, accessible emergency services.
  • The Pediatric Psychiatry Crisis Service at New York Presbyterian Hospital was established to meet this need.
  • The service operates 24/7, offering immediate psychiatric evaluation and intervention.

Observation:

  • The service structure and staffing model were detailed.
  • Patient usage patterns and case presentations were analyzed.
  • Three cases representing high, moderate, and low-risk crisis patients were discussed.

Findings:

  • The service effectively manages diverse pediatric psychiatric emergencies.
  • Staffing models are crucial for efficient crisis intervention.
  • Case studies highlight the service's adaptability to varying risk levels.

Implications:

  • This model can inform the development of similar pediatric crisis services.
  • Optimizing staffing and resource allocation is key for future sustainability.
  • Addressing future challenges will enhance long-term pediatric mental healthcare access.

Related Concept Videos

Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Healthcare Agencies II01:17

Healthcare Agencies II

There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...