Abstract

Recent US data estimates 5% to 7% of pediatric ED visits are related to mental health. The most common mental disorders diagnosed in childhood are Tourette syndrome, attention-deficit/hyperactivity (ADHD), behavior, mood, anxiety, autism spectrum (AS), and substance use disorders (SUD). Between 2011 and 2015, psychiatric ED visits per 1000 youth increased by 28%. Disposition is the major issue; the wait for outpatient psychiatry is long and inpatient psychiatric beds are a limited resource. This negatively impacts patient behavior, overall ED throughput and patient/family/staff satisfaction. This ED sought to develop an evidence based, proactive, consistent approach to improving pediatric patient behavior management during prolonged boarding.

Author Details

Crystal Crider, BSN, RN, CEN; Luna Sanchez Rivera, MD; Beth Beaver, MS, CCLS; Sarah O'Rourke, PhD; GenaLynne C. Mooneyham, MD, MS, FAAP, FABPN; Ann White, MSN, APRN, CCNS, CEN CPEN

Sigma Membership

Non-member

Lead Author Affiliation

Duke University Hospital, Durham, North Carolina, USA

Type

Poster

Format Type

Text-based Document

Study Design/Type

Clinical Practice Guideline(s)

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Pediatric Mental Health, Emergency Department, Pediatric Patient Care

Conference Name

Emergency Nursing 2020

Conference Host

Emergency Nurses Association

Conference Location

Virtual Event

Conference Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Poster

Additional Files

Abstract.pdf (212 kB)

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Utilizing cognitive behavioral therapy, token economy technique to positively impact boarding of pediatric psychiatric patients

Virtual Event

Recent US data estimates 5% to 7% of pediatric ED visits are related to mental health. The most common mental disorders diagnosed in childhood are Tourette syndrome, attention-deficit/hyperactivity (ADHD), behavior, mood, anxiety, autism spectrum (AS), and substance use disorders (SUD). Between 2011 and 2015, psychiatric ED visits per 1000 youth increased by 28%. Disposition is the major issue; the wait for outpatient psychiatry is long and inpatient psychiatric beds are a limited resource. This negatively impacts patient behavior, overall ED throughput and patient/family/staff satisfaction. This ED sought to develop an evidence based, proactive, consistent approach to improving pediatric patient behavior management during prolonged boarding.