Maintaining Safety and Improving the Care of Pediatric Behavioral Health Patients in the Emergency Department

Child Adolesc Psychiatr Clin N Am. 2018 Jul;27(3):427-439. doi: 10.1016/j.chc.2018.03.005. Epub 2018 Apr 19.

Abstract

Pediatric emergency visits for behavioral health complaints have been increasing for more than a decade. There are currently no best practices or ideal models of care. However, the evidence base for existing emergency department operational concepts can be used to implement modifications to workflow, care model, staffing, and physical environment to address patient needs. Rapid assessment, split flow, blended care model, multidisciplinary team development, mental health nursing triage, and staff training can all positively affect length of stay, staff safety, and patient satisfaction.

Keywords: Behavioral health; Emergency departments; Mental health; Nursing; Pediatric; Safety; Triage; Work place injury.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Emergency Service, Hospital* / standards
  • Humans
  • Mental Disorders / therapy*
  • Patient Safety* / standards
  • Pediatric Emergency Medicine* / methods
  • Pediatric Emergency Medicine* / standards
  • Triage* / methods
  • Triage* / standards