Impact of an Inpatient Psychiatric Unit on Pediatric Emergency Mental Health Care

David C. Sheridan, Kyle Johnson, Rongwei (Rochelle) Fu, David M. Spiro, Matthew Hansen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVES: Mental health complaints are a frequent presentation to the pediatric emergency department (PED). It is unclear if having an on-site inpatient pediatric psychiatric unit impacts pediatric mental health care in the acute setting. The objective of this study was to compare PED mental health care between a pediatric tertiary care center with an associated inpatient child psychiatric unit (PAPED) and one that does not (NOPED) with the hypothesis that children have longer lengths of stay (LOS) at the PED without an inpatient unit. METHODS: This was a retrospective, observational study of all mental health presentations aged 1 to 18 years to 2 tertiary care PEDs from March 2012 to June 2013 with a final mental health diagnosis International Classification of Diseases, Ninth Revision code. RESULTS: A total of 1409 patient encounters comprised the study group. The PAPED had a significantly higher rate of admission 41.3% versus 18.8% (P <0.0001). The LOS was significantly longer at the NOPED compared with the PAPED with a visit of 15.6 versus 6.3, respectively (P <0.0001). When LOS was stratified for disposition, patients requiring admission from the NOPED had a significantly longer LOS of 33.4 compared with an emergency department LOS of 8.1 at the PAPED (P <0.0001). CONCLUSIONS: Mental health care in the PED seems to be affected by having an associated inpatient child psychiatric unit. Further research needs to address this growing problem and ways to utilize community resources to develop safe outpatient plans and divert admission if possible.

Original languageEnglish (US)
JournalPediatric Emergency Care
DOIs
StateAccepted/In press - May 12 2016

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Psychiatry
Inpatients
Mental Health
Emergencies
Pediatrics
Delivery of Health Care
Hospital Emergency Service
Length of Stay
Child Psychiatry
Patient Admission
International Classification of Diseases
Tertiary Healthcare
Tertiary Care Centers
Observational Studies
Outpatients
Retrospective Studies
Research

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Impact of an Inpatient Psychiatric Unit on Pediatric Emergency Mental Health Care. / Sheridan, David C.; Johnson, Kyle; Fu, Rongwei (Rochelle); Spiro, David M.; Hansen, Matthew.

In: Pediatric Emergency Care, 12.05.2016.

Research output: Contribution to journalArticle

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