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

AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION Pediatric Committee

doi:10.1542/PEDS.2023-063256

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

AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION Pediatric Committee

Pediatrics

Research output: Contribution to journal › Article › peer-review

16 Scopus citations

Abstract

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.

Original language	English (US)
Article number	e2023063256
Journal	Pediatrics
Volume	153
Issue number	3
DOIs	https://doi.org/10.1542/PEDS.2023-063256
State	Published - Sep 2023

Funding

We thank Lorah Ludwig, Health Resources and Services Administration, Emergency Medical Services for Children, for her advice and feedback on this paper. We also thank Sam Shahid of American College of Emergency Physicians for all her assistance in the organization of this manuscript.

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1542/PEDS.2023-063256

Cite this

AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION Pediatric Committee (2023). The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies. Pediatrics, 153(3), Article e2023063256. https://doi.org/10.1542/PEDS.2023-063256

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title = "The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies",

abstract = "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.",

author = "{AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION Pediatric Committee} and Mohsen Saidinejad and Susan Duffy and Dina Wallin and Hoffmann, {Jennifer A.} and Joseph, {Madeline M.} and Uhlenbrock, {Jennifer Schieferle} and Kathleen Brown and Muhammad Waseem and Sally Snow and Madeline Andrew and Kuo, {Alice A.} and Carmen Sulton and Thomas Chun and Lee, {Lois K.} and Conners, {Gregory P.} and James Callahan and Toni Gross and Elizabeth Mack and Jennifer Marin and Suzan Mazor and Ronald Paul and Nathan Timm and Mark Cicero and Ann Dietrich and Andrew Eisenberg and Mary Fallat and Sue Tellez and Alade, {Kiyetta H.} and Amato, {Christopher S.} and Zaza Atanelov and Marc Auerbach and Barata, {Isabel A.} and Benjamin, {Lee S.} and Berg, {Kathleen T.} and Cindy Chang and Jessica Chow and Chumpitazi, {Corrie E.} and Claudius, {Ilene A.} and Joshua Easter and Ashley Foster and Fox, {Sean M.} and Marianne Gausche-Hill and Gerardi, {Michael J.} and Goodloe, {Jeffrey M.} and Melanie Heniff and Homme, {James L.} and Ishimine, {Paul T.} and John, {Susan D.} and Lam, {Samuel Hiu Fung} and Lawson, {Simone L.}",

note = "Publisher Copyright: Copyright {\textcopyright} 2023 by the American Academy of Pediatrics.",

year = "2023",

month = sep,

doi = "10.1542/PEDS.2023-063256",

language = "English (US)",

volume = "153",

journal = "Pediatrics",

issn = "0031-4005",

publisher = "American Academy of Pediatrics",

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AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION Pediatric Committee 2023, 'The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies', Pediatrics, vol. 153, no. 3, e2023063256. https://doi.org/10.1542/PEDS.2023-063256

The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies. / AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION Pediatric Committee.
In: Pediatrics, Vol. 153, No. 3, e2023063256, 09.2023.

Research output: Contribution to journal › Article › peer-review

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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.

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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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JO - Pediatrics

JF - Pediatrics

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ER -

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

Abstract

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ASJC Scopus subject areas

UN SDGs

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