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The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies

Mohsen Saidinejad, Susan Duffy, Dina Wallin

    Journal of Emergency Nursing
    |August 15, 2023
    PubMed

    Insights

    Pediatric mental and behavioral health (MBH) emergencies strain emergency departments (EDs) due to inadequate infrastructure and resources. Improving care requires system-level coordination and enhanced post-discharge support for children and youth.

    Area of Science:

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

    Background:

    • Children and youth mental and behavioral health (MBH) emergencies increasingly impact emergency departments (EDs) and emergency medical services.
    • Inadequate community and institutional infrastructure positions the ED as a critical safety net for pediatric MBH patients.
    • A broad spectrum of MBH emergencies, including depression, suicidality, and disruptive behaviors, are evaluated in the ED.

    Purpose of the Study:

    • To highlight strategies, resources, and recommendations for improving emergency care delivery for pediatric MBH.
    • To address challenges in providing optimal care for pediatric MBH emergencies within the ED setting.
    • To emphasize the need for systems-level coordination of care for children and youth with MBH conditions.

    Main Methods:

    • Policy statement and companion technical report development.
    • Review of current challenges in pediatric MBH emergency care.
    • Identification of system-level strategies and resources.

    Main Results:

    • Challenges include personnel shortages, limited capacity, infrastructure deficits, and poor access to mental health professionals.
    • Prolonged ED stays and boarding negatively impact patient care and ED operations.
    • System-level coordination of care is essential for improving pediatric MBH emergency services.

    Conclusions:

    • Enhanced strategies, resources, and recommendations are crucial for improving emergency care for pediatric MBH.
    • Addressing infrastructure and resource limitations is vital for effective pediatric MBH emergency management.
    • Improved coordination across prehospital, ED, and community services is necessary to optimize care for children and youth with MBH emergencies.

    Keywords:
    behavioral healthemergency departmentemergency medical services for childrenmedical homemental healthprimary care providerschool and community mental health servicestelepsychiatrywhole person care

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