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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
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.
Abstract:
This paper outlines the structure of the Pediatric Psychiatry Crisis Service at New York Presbyterian Hospital, a service that provides twenty-four hour emergency psychiatric evaluation and intervention to children, adolescents and families in northern Manhattan. Structure and staffing of the service, usage of the service and the presentation of three cases addressing high, moderate and low risk crisis patients are discussed. Finally, future challenges facing the Crisis Service are addressed.
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