Child-adolescent emergency psychiatry: addressing false positive admissions

Current literature emphasizes the necessary and increasing role of the emergency department (ED) psychologist. This perspective paper will illustrate that the recent focus on an ED psychologist is necessary, but insufficient. Equally important, is an understanding of when a patient in a potential cr...

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Bibliographic Details
Published in:	Frontiers in psychiatry Vol. 15; p. 1321702
Main Authors:	Isaac, Linda, Sutton, Tiphanie, Kahlon, Jasmine, Pathania, Pratima S, Wolf, Bradley L, Pearce, Ryan, Chan, Helen Iat Chio, Zils, Matthew J
Format:	Journal Article
Language:	English
Published:	Switzerland Frontiers Media S.A 2024
Subjects:	acute psychiatric admissions child adolescent mental health crisis emergency psychiatric services pediatric Psychiatry child adolescent mental health acute psychiatric admissions emergency psychiatric services crisis pediatric
Online Access:	Get full text
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Summary:	Current literature emphasizes the necessary and increasing role of the emergency department (ED) psychologist. This perspective paper will illustrate that the recent focus on an ED psychologist is necessary, but insufficient. Equally important, is an understanding of when a patient in a potential crisis does not require an ED admission, but rather an assessment that is made prior to the patient going to the ED. The essential role of an outpatient crisis team is vital in differentiating when an ED admission is indicated for a psychiatric crisis (true positive) and when an ED admission is not indicated for a psychiatric crisis (false positive). Evaluating crises prior to ED admissions accomplishes two critical healthcare objectives in a parallel process: 1) accurately assessing the proper level of care needed when a patient reports they are experiencing acute psychiatric symptoms (which may or may not necessitate emergency department level of care, and 2) reducing burden on an already over-extended ED when emergency care is not indicated. Our findings are uniquely drawn from a highly diverse youth patient population in Northern California, United States.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Reviewed by: Amna Mohyud Din Chaudhary, University of Oklahoma Health Sciences Center, United States Edited by: Rūta Karaliūnienė, Rhein Mosel Fachklinik, Germany
ISSN:	1664-0640 1664-0640
DOI:	10.3389/fpsyt.2024.1321702