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Related Experiment Videos

Psychiatric emergencies in children.

Kristin V Christodulu1, Richard Lichenstein, Mark D Weist

  • 1Department of Psychology, University of at Albany State University of New York, Albany, NY, USA. kvc@cas.albany.edu

Pediatric Emergency Care
|August 21, 2002
PubMed
Summary

Pediatric emergency departments (EDs) face significant challenges managing mental health crises in children. A study found these visits are lengthy, resource-intensive, and highlight a need for better community-based care systems.

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Area of Science:

  • Pediatric Emergency Medicine
  • Child and Adolescent Psychiatry
  • Healthcare Systems Analysis

Background:

  • Pediatric emergency departments (EDs) are critical access points for acute care.
  • Mental health emergencies in children present unique challenges within ED settings.
  • Understanding the characteristics of these visits is essential for service improvement.

Purpose of the Study:

  • To characterize pediatric mental health emergency visits.
  • To analyze admission rates and length of stay for these patients.
  • To identify resource limitations and staff burdens in EDs.

Main Methods:

  • Retrospective analysis of pediatric emergency department visits.
  • Data collection over a 13-month period at a large, urban medical center.

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  • Qualitative insights from emergency department staff interviews.

    • Main Results:

    • Over 600 mental health visits for children (aged 2-18) occurred, comprising >5% of total ED visits.
    • These visits averaged over 5 hours, requiring significant staff resources.
    • Approximately 50% of patients required psychiatric admission, with staff reporting resource deficits.

    Conclusions:

    • Pediatric mental health emergencies place a considerable burden on EDs.
    • There is a documented lack of community and ED resources for pediatric psychiatric emergencies.
    • Developing integrated, proactive, and preventive care systems is crucial for addressing these needs.