Executive summary

Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms

American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The number of children and adolescents seen in emergency departments (EDs) and primary care settings for mental health problems has skyrocketed in recent years, with up to 23% of patients in both settings having diagnosable mental health conditions. 1 -4 Even when a mental health problem is not the focus of an ED or primary care visit, mental health conditions, both known and occult, may challenge the treating clinician and complicate the patient's care.4 Although the American Academy of Pediatrics (AAP) has published a policy statement on mental health competencies and a Mental Health Toolkit for pediatric primary care providers, no such guidelines or resources exist for clinicians who care for pediatric mental health emergencies. 5, 6 Many ED and primary care physicians report paucity of training and lack of confidence in caring for pediatric psychiatry patients. The 2 clinical reports support the 2006 joint policy statement of the AAP and the American College of Emergency Physicians on pediatric mental health emergencies, 7 with the goal of addressing the knowledge gaps in this area. Although written primarily from the perspective of ED clinicians, it is intended for all clinicians who care for children and adolescents with acute mental health and behavioral problems. They are organized around the common clinical challenges pediatric caregivers face, both when a child or adolescent presents with a psychiatric chief complaint or emergency (part I) and when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation (part II). Part I of the clinical reports includes discussions of Medical Clearance of Pediatric Psychiatric Patients, Suicide and Suicidal Ideation, Restraint of the Agitated Patient Including Verbal, Chemical, and Physical Restraint, and Coordination of Care With the Medical Home, and it can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1570. This executive summary is an overview of part II of the clinical reports. Full text of the following topics can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1573.

Original languageEnglish (US)
Article numbere20161574
JournalPediatrics
Volume138
Issue number3
DOIs
StatePublished - Sep 1 2016

Fingerprint

Mental Health
Pediatrics
Hospital Emergency Service
Emergency Medical Services
Psychiatry
Primary Health Care
Emergencies
Problem Behavior
Evaluation
Summary
Physical Restraint
Suicidal Ideation
Patient-Centered Care
Emergency
Primary Care Physicians
Child Care
Mental Competency
Suicide
Caregivers
Joints

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee (2016). Executive summary: Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms. Pediatrics, 138(3), [e20161574]. https://doi.org/10.1542/peds.2016-1574

Executive summary : Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms. / American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee.

In: Pediatrics, Vol. 138, No. 3, e20161574, 01.09.2016.

Research output: Contribution to journalArticle

American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee 2016, 'Executive summary: Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms', Pediatrics, vol. 138, no. 3, e20161574. https://doi.org/10.1542/peds.2016-1574
American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee. Executive summary: Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms. Pediatrics. 2016 Sep 1;138(3). e20161574. https://doi.org/10.1542/peds.2016-1574
American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee. / Executive summary : Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms. In: Pediatrics. 2016 ; Vol. 138, No. 3.
@article{ff750dd3a56e4b4cae1b7c51f041ed0f,
title = "Executive summary: Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms",
abstract = "The number of children and adolescents seen in emergency departments (EDs) and primary care settings for mental health problems has skyrocketed in recent years, with up to 23{\%} of patients in both settings having diagnosable mental health conditions. 1 -4 Even when a mental health problem is not the focus of an ED or primary care visit, mental health conditions, both known and occult, may challenge the treating clinician and complicate the patient's care.4 Although the American Academy of Pediatrics (AAP) has published a policy statement on mental health competencies and a Mental Health Toolkit for pediatric primary care providers, no such guidelines or resources exist for clinicians who care for pediatric mental health emergencies. 5, 6 Many ED and primary care physicians report paucity of training and lack of confidence in caring for pediatric psychiatry patients. The 2 clinical reports support the 2006 joint policy statement of the AAP and the American College of Emergency Physicians on pediatric mental health emergencies, 7 with the goal of addressing the knowledge gaps in this area. Although written primarily from the perspective of ED clinicians, it is intended for all clinicians who care for children and adolescents with acute mental health and behavioral problems. They are organized around the common clinical challenges pediatric caregivers face, both when a child or adolescent presents with a psychiatric chief complaint or emergency (part I) and when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation (part II). Part I of the clinical reports includes discussions of Medical Clearance of Pediatric Psychiatric Patients, Suicide and Suicidal Ideation, Restraint of the Agitated Patient Including Verbal, Chemical, and Physical Restraint, and Coordination of Care With the Medical Home, and it can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1570. This executive summary is an overview of part II of the clinical reports. Full text of the following topics can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1573.",
author = "{American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee} and Chun, {Thomas H.} and Mace, {Sharon E.} and Katz, {Emily R.} and Shook, {Joan E.} and Callahan, {James M.} and Conners, {Gregory P.} and Conway, {Edward E.} and Dudley, {Nanette C.} and Gross, {Toni K.} and Lane, {Natalie E.} and Lane, {Natalie E} and Timm, {Nathan L.} and Kim Bullock and Elizabeth Edgerton and Moore, {Brian R.} and Haro, {Tamar Magarik} and Madeline Joseph and Angela Mickalide and Remick, {Katherine E.} and Snow, {Sally K.} and Tuggle, {David W.} and Cynthia Wright-Johnson and Ackerman, {Alice D.} and Lee Benjamin and Fuchs, {Susan M.} and Gorelick, {Marc H.} and Paul Sirbaugh and Wright, {Joseph L.} and Sue Tellez and Benjamin, {Lee S.} and Barata, {Isabel A.} and Kiyetta Alade and Joseph Arms and Avarello, {Jahn T.} and Steven Baldwin and Kathleen Brown and Cantor, {Richard M.} and Ariel Cohen and Dietrich, {Ann Marie} and Eakin, {Paul J.} and Marianne Gausche-Hill and Michael Gerardi and Graham, {Charles J.} and Holtzman, {Doug K.} and Jeffrey Hom and Paul Ishimine and Hasmig Jinivizian and Sanjay Mehta and Aderonke Ojo and Paul, {Audrey Z.}",
year = "2016",
month = "9",
day = "1",
doi = "10.1542/peds.2016-1574",
language = "English (US)",
volume = "138",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "3",

}

TY - JOUR

T1 - Executive summary

T2 - Evaluation and management of children with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms

AU - American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee

AU - Chun, Thomas H.

AU - Mace, Sharon E.

AU - Katz, Emily R.

AU - Shook, Joan E.

AU - Callahan, James M.

AU - Conners, Gregory P.

AU - Conway, Edward E.

AU - Dudley, Nanette C.

AU - Gross, Toni K.

AU - Lane, Natalie E.

AU - Lane, Natalie E

AU - Timm, Nathan L.

AU - Bullock, Kim

AU - Edgerton, Elizabeth

AU - Moore, Brian R.

AU - Haro, Tamar Magarik

AU - Joseph, Madeline

AU - Mickalide, Angela

AU - Remick, Katherine E.

AU - Snow, Sally K.

AU - Tuggle, David W.

AU - Wright-Johnson, Cynthia

AU - Ackerman, Alice D.

AU - Benjamin, Lee

AU - Fuchs, Susan M.

AU - Gorelick, Marc H.

AU - Sirbaugh, Paul

AU - Wright, Joseph L.

AU - Tellez, Sue

AU - Benjamin, Lee S.

AU - Barata, Isabel A.

AU - Alade, Kiyetta

AU - Arms, Joseph

AU - Avarello, Jahn T.

AU - Baldwin, Steven

AU - Brown, Kathleen

AU - Cantor, Richard M.

AU - Cohen, Ariel

AU - Dietrich, Ann Marie

AU - Eakin, Paul J.

AU - Gausche-Hill, Marianne

AU - Gerardi, Michael

AU - Graham, Charles J.

AU - Holtzman, Doug K.

AU - Hom, Jeffrey

AU - Ishimine, Paul

AU - Jinivizian, Hasmig

AU - Mehta, Sanjay

AU - Ojo, Aderonke

AU - Paul, Audrey Z.

PY - 2016/9/1

Y1 - 2016/9/1

N2 - The number of children and adolescents seen in emergency departments (EDs) and primary care settings for mental health problems has skyrocketed in recent years, with up to 23% of patients in both settings having diagnosable mental health conditions. 1 -4 Even when a mental health problem is not the focus of an ED or primary care visit, mental health conditions, both known and occult, may challenge the treating clinician and complicate the patient's care.4 Although the American Academy of Pediatrics (AAP) has published a policy statement on mental health competencies and a Mental Health Toolkit for pediatric primary care providers, no such guidelines or resources exist for clinicians who care for pediatric mental health emergencies. 5, 6 Many ED and primary care physicians report paucity of training and lack of confidence in caring for pediatric psychiatry patients. The 2 clinical reports support the 2006 joint policy statement of the AAP and the American College of Emergency Physicians on pediatric mental health emergencies, 7 with the goal of addressing the knowledge gaps in this area. Although written primarily from the perspective of ED clinicians, it is intended for all clinicians who care for children and adolescents with acute mental health and behavioral problems. They are organized around the common clinical challenges pediatric caregivers face, both when a child or adolescent presents with a psychiatric chief complaint or emergency (part I) and when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation (part II). Part I of the clinical reports includes discussions of Medical Clearance of Pediatric Psychiatric Patients, Suicide and Suicidal Ideation, Restraint of the Agitated Patient Including Verbal, Chemical, and Physical Restraint, and Coordination of Care With the Medical Home, and it can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1570. This executive summary is an overview of part II of the clinical reports. Full text of the following topics can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1573.

AB - The number of children and adolescents seen in emergency departments (EDs) and primary care settings for mental health problems has skyrocketed in recent years, with up to 23% of patients in both settings having diagnosable mental health conditions. 1 -4 Even when a mental health problem is not the focus of an ED or primary care visit, mental health conditions, both known and occult, may challenge the treating clinician and complicate the patient's care.4 Although the American Academy of Pediatrics (AAP) has published a policy statement on mental health competencies and a Mental Health Toolkit for pediatric primary care providers, no such guidelines or resources exist for clinicians who care for pediatric mental health emergencies. 5, 6 Many ED and primary care physicians report paucity of training and lack of confidence in caring for pediatric psychiatry patients. The 2 clinical reports support the 2006 joint policy statement of the AAP and the American College of Emergency Physicians on pediatric mental health emergencies, 7 with the goal of addressing the knowledge gaps in this area. Although written primarily from the perspective of ED clinicians, it is intended for all clinicians who care for children and adolescents with acute mental health and behavioral problems. They are organized around the common clinical challenges pediatric caregivers face, both when a child or adolescent presents with a psychiatric chief complaint or emergency (part I) and when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation (part II). Part I of the clinical reports includes discussions of Medical Clearance of Pediatric Psychiatric Patients, Suicide and Suicidal Ideation, Restraint of the Agitated Patient Including Verbal, Chemical, and Physical Restraint, and Coordination of Care With the Medical Home, and it can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1570. This executive summary is an overview of part II of the clinical reports. Full text of the following topics can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1573.

UR - http://www.scopus.com/inward/record.url?scp=84985918201&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84985918201&partnerID=8YFLogxK

U2 - 10.1542/peds.2016-1574

DO - 10.1542/peds.2016-1574

M3 - Article

VL - 138

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 3

M1 - e20161574

ER -