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Addressing Pediatric Mental Health During COVID-19 and Other Disasters: A National Tabletop Exercise
Saloni Gupta1, Merritt Schreiber2, Tona McGuire3
1David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Insights
This exercise trained professionals in Psychological Simple Triage and Rapid Treatment (PsySTART) for pediatric mental health risk during COVID-19. Participants gained confidence in using PsySTART for early intervention and population-level risk assessment in disasters.
Area of Science:
- Emergency Medicine
- Public Health
- Mental Health Services
Background:
- The COVID-19 pandemic highlighted the urgent need for effective pediatric mental health risk identification.
- The Western Regional Alliance for Pediatric Emergency Management developed a training exercise to address this need.
Purpose of the Study:
- To familiarize mental health and non-mental health professionals with the Psychological Simple Triage and Rapid Treatment (PsySTART) system.
- To evaluate the system's utility in assessing mental health impacts following public health emergencies like COVID-19.
Main Methods:
- An integrated, interdisciplinary national tabletop exercise was conducted.
- 115 participants triaged 156 practice cases using the PsySTART system.
- Participants interpreted triage results at individual and aggregate levels.
Main Results:
- A user-defined operating picture was created, visualizing aggregate mental health risk data.
- Real-time, cross-regional situational awareness was achieved.
- A significant majority of participants reported increased confidence in using PsySTART.
Conclusions:
- Participants are better prepared for mental health triage and early intervention during public health crises.
- The exercise improved understanding of population-level mental health risk assessment.
- PsySTART is a valuable tool for managing mental health impacts in disaster scenarios.
Objective:
In the wake of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, rapid identification of pediatric mental health risk is extremely important. The Western Regional Alliance for Pediatric Emergency Management held an integrated, interdisciplinary national tabletop exercise to familiarize mental health and non-mental health professionals with Psychological Simple Triage and Rapid Treatment (PsySTART), an evidence-based triage and incident management system used to evaluate new mental health risk impacts following exposure to traumatic events, such as coronavirus disease (COVID-19).
Methods:
Participants Participants were exposed to 3 practice cases that reflected a combination of "all hazards" scenarios and were asked to triage each case using PsySTART. Participants were asked to interpret results at both an individual site and aggregate county and/or state level.
Results:
The exercise had a total of 115 participants with a total of 156 discrete triage encounters. A user-defined operating picture was created with graphs of aggregate mental health risk data, generating cross-regional, real-time situational awareness. After the exercise, a vast majority of the participants reported confidence in their ability to use PsySTART in their practices.
Conclusions:
Participants are now better equipped with tools to perform mental health triage for early intervention during COVID-19 and other disasters and understand risk on a population level.
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