TY - JOUR
T1 - The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies
AU - AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION Pediatric Committee
AU - Saidinejad, Mohsen
AU - Duffy, Susan
AU - Wallin, Dina
AU - Hoffmann, Jennifer A.
AU - Joseph, Madeline M.
AU - Uhlenbrock, Jennifer Schieferle
AU - Brown, Kathleen
AU - Waseem, Muhammad
AU - Snow, Sally
AU - Andrew, Madeline
AU - Kuo, Alice A.
AU - Sulton, Carmen
AU - Chun, Thomas
AU - Lee, Lois K.
AU - Conners, Gregory P.
AU - Callahan, James
AU - Gross, Toni
AU - Mack, Elizabeth
AU - Marin, Jennifer
AU - Mazor, Suzan
AU - Paul, Ronald
AU - Timm, Nathan
AU - Cicero, Mark
AU - Dietrich, Ann
AU - Eisenberg, Andrew
AU - Fallat, Mary
AU - Tellez, Sue
AU - Alade, Kiyetta H.
AU - Amato, Christopher S.
AU - Atanelov, Zaza
AU - Auerbach, Marc
AU - Barata, Isabel A.
AU - Benjamin, Lee S.
AU - Berg, Kathleen T.
AU - Chang, Cindy
AU - Chow, Jessica
AU - Chumpitazi, Corrie E.
AU - Claudius, Ilene A.
AU - Easter, Joshua
AU - Foster, Ashley
AU - Fox, Sean M.
AU - Gausche-Hill, Marianne
AU - Gerardi, Michael J.
AU - Goodloe, Jeffrey M.
AU - Heniff, Melanie
AU - Homme, James L.
AU - Ishimine, Paul T.
AU - John, Susan D.
AU - Lam, Samuel Hiu Fung
AU - Mendez, Donna
N1 - Publisher Copyright:
Copyright © 2023 by the American Academy of Pediatrics.
PY - 2023/9
Y1 - 2023/9
N2 - Mental and behavioral health (MBH) visits of children and youth to emergency departments are increasing in the United States. Reasons for these visits range from suicidal ideation, self-harm, and eating and substance use disorders to behavioral outbursts, aggression, and psychosis. Despite the increase in prevalence of these conditions, the capacity of the health care system to screen, diagnose, and manage these patients continues to decline. Several social determinants also contribute to great disparities in child and adolescent (youth) health, which affect MBH outcomes. In addition, resources and space for emergency physicians, physician assistants, nurse practitioners, and prehospital practitioners to manage these patients remain limited and inconsistent throughout the United States, as is financial compensation and payment for such services. This technical report discusses the role of physicians, physician assistants, and nurse practitioners, and provides guidance for the management of acute MBH emergencies in children and youth. Unintentional ingestions and substance use disorder are not within the scope of this report and are not specifically discussed.
AB - Mental and behavioral health (MBH) visits of children and youth to emergency departments are increasing in the United States. Reasons for these visits range from suicidal ideation, self-harm, and eating and substance use disorders to behavioral outbursts, aggression, and psychosis. Despite the increase in prevalence of these conditions, the capacity of the health care system to screen, diagnose, and manage these patients continues to decline. Several social determinants also contribute to great disparities in child and adolescent (youth) health, which affect MBH outcomes. In addition, resources and space for emergency physicians, physician assistants, nurse practitioners, and prehospital practitioners to manage these patients remain limited and inconsistent throughout the United States, as is financial compensation and payment for such services. This technical report discusses the role of physicians, physician assistants, and nurse practitioners, and provides guidance for the management of acute MBH emergencies in children and youth. Unintentional ingestions and substance use disorder are not within the scope of this report and are not specifically discussed.
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UR - http://www.scopus.com/inward/citedby.url?scp=85169502662&partnerID=8YFLogxK
U2 - 10.1542/PEDS.2023-063256
DO - 10.1542/PEDS.2023-063256
M3 - Article
C2 - 37584106
AN - SCOPUS:85169502662
SN - 0031-4005
VL - 153
JO - Pediatrics
JF - Pediatrics
IS - 3
M1 - e2023063256
ER -