Cited by 235Emergency and Acute Care StudiesPsychiatric care and mental health servicesChild and Adolescent Psychosocial and Emotional Development

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Pediatric and Adolescent Mental Health Emergencies in the Emergency Medical Services System

Dolan, Margaret A., Fein, Joel A., the Committee on Pediatric Emergency Medicine·2011·Pediatrics

DOI 10.1542/peds.2011-0522

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Abstract

This Technical Report was revised. See https://doi.org/10.1542/peds.2023-063256.: Emergency department (ED) health care professionals often care for patients with previously diagnosed psychiatric illnesses who are ill, injured, or having a behavioral crisis. In addition, ED personnel encounter children with psychiatric illnesses who may not present to the ED with overt mental health symptoms. Staff education and training regarding identification and management of pediatric mental health illness can help EDs overcome the perceived limitations of the setting that influence timely and comprehensive evaluation. In addition, ED physicians can inform and advocate for policy changes at local, state, and national levels that are needed to ensure comprehensive care of children with mental health illnesses. This report addresses the roles that the ED and ED health care professionals play in emergency mental health care of children and adolescents in the United States, which includes the stabilization and management of patients in mental health crisis, the discovery of mental illnesses and suicidal ideation in ED patients, and approaches to advocating for improved recognition and treatment of mental illnesses in children. The report also addresses special issues related to mental illness in the ED, such as minority populations, children with special health care needs, and children's mental health during and after disasters and trauma.

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Authors: Dolan, M. A., Fein, J. A., & the Committee on Pediatric Emergency Medicine
ORCID: Fein, Joel A.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2011-05-01
Volume: 127
Issue: 5
Pages: e1356-e1366
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2011-0522
OpenAlex: W2136773204
Cited by: 235
References: 100
Citations by year: 2026: 7 · 2025: 12 · 2024: 16 · 2023: 28 · 2022: 12 · 2021: 15 · 2020: 21 · 2019: 19 · 2018: 23 · 2017: 18 · 2016: 14 · 2015: 15 · 2014: 15 · 2013: 12 · 2012: 8
FWCI: 2.00
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (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
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: adolescent mental health, emergency department, suicidal ideation, mental disorder screening, staff education and training, health policy advocacy, minority groups, children with special health care needs, disaster mental health, trauma, emergency medical services
MeSH terms: Adolescent, Adolescent Medicine, Mental Disorders, Child, Child, Exceptional, Emergencies, Emergency Medical Services, Emergency Service, Hospital, Female, Humans, Male, Mental Health, Patient Care Team, Pediatrics, Suicide, Attempted, United States, Needs Assessment

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Pediatric and Adolescent Mental Health Emergencies in the Emergency Medical Services System

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