Frequency and Duration of Boarding for Pediatric Mental Health Conditions at Acute Care Hospitals in the US
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This study estimates the frequency and duration of boarding for pediatric mental health conditions at US acute care hospitals and describes hospital resources available to support youths during boarding.
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Many hospitals now report an average wait for admission or transfer to a psychiatric bed of 48 h.
“many hospitals now report an average wait for admission or transfer to a psychiatric bed of 48 h (Leyenaar et al., 2021).”
From Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping (2023) · cites this paper as Leyenaar et al., 2021
Boarding patients often receive limited psychiatric intervention due to limited hospital resources.
“Boarding patients, defined as patients held in EDs and medical units for an extended period of time while awaiting psychiatric placements, often receive limited psychiatric intervention due to limited hospital resources (Alakeson et al., 2010; Campbell & Pierce, 2018; Leyenaar et al., 2021).”
From Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping (2023) · cites this paper as Leyenaar et al., 2021
Our data was consistent with other studies that identified an excessive wait time of 20-40 hours on average for patients who are boarding, which grossly exceeds the Joint Commission's standard recommendation for disposition within four hours.
“Overall, our data was consistent with other studies that have identified an excessive wait time of 20–40 hours on average for patients who are boarding, which grossly exceeds the Joint Commission’s standard recommendation for disposition within four hours (Leyenaar et al., 2021; Zeller et al., 2014).”
From Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping (2023) · cites this paper as Leyenaar et al., 2021
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- Authors
- Leyenaar, J. K., Freyleue, S. D., Bordogna, A., Wong, C., Penwill, N., & Bode, R.
- Affiliations
- Dartmouth College (US)
- University of California, San Francisco (US)
- Nationwide Children's Hospital (US)
- Corresponding author
- Leyenaar, JoAnna K.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2021-12-14
- Volume
- 326
- Issue
- 22
- Pages
- 2326
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- PMC
- PMC8603225
- OpenAlex
- W3213313601
- Cited by
- 90
- References
- 5
- Citations by year
- 2026: 7 · 2025: 19 · 2024: 19 · 2023: 28 · 2022: 17
- FWCI
- 16.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Keywords
- boarding, child mental health, acute care hospitals, length of hospital stay, hospital resources, youth mental health, psychiatric hospitalization
- MeSH terms
- Mental Disorders, Child, Hospitalization, Hospitals, Community, Hospitals, Pediatric, Humans, Mental Health Services, United States, Health Care Surveys
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