A retrospective analysis of boarding times for adolescents in psychiatric crisis
Abstract
The boarding of children and adolescents with identified psychiatric conditions at medical facilities has numerous negative effects on the patients and the systems that treat them. Efforts to minimize boarding times serves to increase patients' access to appropriate levels of care, redirect medical resources to patients who need them most, and reduce safety risks to people and property. This study explores the role Clinical Social Workers can play in facilitation of care and highlights the advantages of a coordinated data collection process facilitated by the effective use of the Electronic Medical Record. A retrospective chart analysis of 100 patients admitted to the Emergency department at a pediatric hospital in Central Florida was conducted for patients seen between 1 January 2015 and 30 June 2016. The data suggest key correlates that may impact the boarding times of pediatric patients presenting in a psychiatric crisis and the average duration of boarding time in hours (M = 5.11, SD = 2.07) was found to be significantly lower than prior published studies in the adult and pediatric literature. Discussion of these data implications on behavioral health practice is discussed.
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EDs lack the resources and staffing to adequately address the rising need for child and adolescent psychiatric emergencies.
“Primarily designed to address urgent physical health problems, EDs lack the resources and staffing to adequately address this rising need (Campbell & Pierce, 2018).”
From Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping (2023) · cites this paper as Campbell & Pierce, 2018
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 Campbell & Pierce, 2018
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Pediatric Mental Health Boarding
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- Authors
- Campbell, M., & Pierce, J.
- Affiliations
- Saint Leo University (US)
- Nemours Children's Health System (US)
- Corresponding author
- Campbell, Michael
- Venue
- Social Work in Health Care
- Publisher
- Informa UK Limited
- Published
- 2018-02-05
- Volume
- 57
- Issue
- 6
- Pages
- 393-405
- ISSN
- 0098-1389 (ISSN-L)
- 1541-034X
- OpenAlex
- W2792009590
- Cited by
- 7
- References
- 52
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Work in Health Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Social Sciences › Safety Research › Child Welfare and Adoption
- Keywords
- boarding time, mental health crisis, adolescents, emergency department, children's hospitals, clinical social workers, electronic health records, data collection coordination, behavioral health, health care access, psychiatric hospitalization
- MeSH terms
- Adolescent, Mental Disorders, Emergency Medical Services, Emergency Service, Hospital, Female, Humans, Length of Stay, Male, Retrospective Studies, Social Work Department, Hospital, Electronic Health Records
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