Abstract
BACKGROUND: Pediatric mental health issues are increasing while access to care is decreasing. This is reflected in a growing number of patients seeking emergency psychiatric evaluations (EPEs) in the emergency department (ED). METHODS: This was a retrospective review of patients seeking EPE in the ED of a children's hospital between September and December 2018, which compares patients referred from the community versus those from schools as well as patients from schools with and without school-based mental health services (SMH). RESULTS: A total of 546 EPEs were analyzed, with 187 (34%) referred from schools. School referrals were younger, had a shorter length of stay and lower admission rates. When comparing those from schools with SMH, those referred from schools without SMH were younger and less acutely ill. CONCLUSIONS: Higher acuity children from schools with SMH suggest that SMH staff managed less severe situations on site. The role of SMH as a triaging tool and provider of mental health services should be studied as they may reduce the burden on EDs for EPEs.
Original language | English (US) |
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Pages (from-to) | 735-738 |
Number of pages | 4 |
Journal | Journal of School Health |
Volume | 92 |
Issue number | 8 |
DOIs | |
State | Published - Aug 2022 |
Keywords
- mental health
- psychiatry
- school health services
- school psychology
ASJC Scopus subject areas
- Education
- Philosophy
- Public Health, Environmental and Occupational Health