Emergency Department Initiated Mental Health Interventions for Young People: A Systematic Review.
Journal
Pediatric emergency care
ISSN: 1535-1815
Titre abrégé: Pediatr Emerg Care
Pays: United States
ID NLM: 8507560
Informations de publication
Date de publication:
01 Jul 2022
01 Jul 2022
Historique:
pubmed:
9
10
2021
medline:
2
7
2022
entrez:
8
10
2021
Statut:
ppublish
Résumé
Young people (10-24 years old) with mental health concerns are increasingly presenting to hospital emergency departments (EDs). The purpose of this review was to identify the core components and outcomes of mental health interventions for young people that are initiated in the ED, such that they are delivered in the ED and/or by ED health workers. Six electronic databases were systematically searched. Primary peer-reviewed qualitative or quantitative studies describing an ED-initiated mental health intervention for young people published between 2009 and 2020 were included. Nine studies met the inclusion criteria. The included studies demonstrated that compared with traditional ED care, ED-initiated mental health interventions lead to improved efficiency of care and decreased length of stay, and a core component of this care was its delivery by allied health practitioners with mental health expertise. The studies were limited by focusing on service efficiencies rather than patient outcomes. Further limitations were the exclusion of young people with complex mental health needs and/or comorbidities and not measuring long-term positive mental health outcomes, including representations and whether young people were connected with community health services. This systematic review demonstrated that ED-initiated mental health interventions result in improved service outcomes, but further innovation and robust evaluation are required. Future research should determine whether these interventions lead to better clinical outcomes for young people and staff to inform the development of best practice recommendations for ED-initiated mental health care for young people presenting to the ED.
Identifiants
pubmed: 34620805
doi: 10.1097/PEC.0000000000002551
pii: 00006565-202207000-00010
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
342-350Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
Références
World Health Organization, World Psychiatric Association, International Association for Child and Adolescent Psychiatry and Allied Professions. Atlas: Child and Adolescent Mental Health Resources. 2005. Available at: https://www.who.int/mental_health/resources/Child_ado_atlas.pdf . Accessed September 21, 2021.
Hawton K, Saunders KE, O'Connor RC. Self-harm and suicide in adolescents. Lancet . 2012;379:2373–2382.
Mokdad AH, Forouzanfar MH, Daoud F, et al. Global burden of diseases, injuries, and risk factors for young people's health during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet . 2016;387:2383–2401.
Patton GC, Coffey C, Sawyer SM, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet . 2009;374:881–892.
Lahey BB. Why are children who exhibit psychopathology at high risk for psychopathology and dysfunction in adulthood? JAMA Psychiat . 2015;72:865–866.
Kessler RC, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry . 2005;62:593–602.
Grupp-Phelan J, Wade TJ, Pickup T, et al. Mental health problems in children and caregivers in the emergency department setting. J Dev Behav Pediatr . 2007;28:16–21.
Sills MR, Bland SD. Summary statistics for pediatric psychiatric visits to US emergency departments, 1993–1999. Pediatrics . 2002;110:e40.
Spirito A, Lewander W. Assessment and disposition planning for adolescent suicide attempters treated in the emergency department. Clin Pediat Emerg Med . 2004;5:154–163.
Hamm MP, Osmond M, Curran J, et al. A systematic review of crisis interventions used in the emergency department: recommendations for pediatric care and research. Pediatr Emerg Care . 2010;26:952–962.
Holder SM, Rogers K, Peterson E, et al. Mental health visits: examining socio-demographic and diagnosis trends in the emergency department by the pediatric population. Child Psychiatry Hum Dev . 2017;48:993–1000.
Dolan MA, Fein JA; Committee on Pediatric Emergency Medicine. Pediatric and adolescent mental health emergencies in the emergency medical services system. Pediatrics . 2011;127:e1356–e1366.
Campbell LA, Lovas D, Withers E, et al. Opening the door: inviting youth and parent perspectives on youth mental health emergency department use. Res Involv Engagem . 2020;6:26.
Pittsenbarger ZE, Mannix R. Trends in pediatric visits to the emergency department for psychiatric illnesses. Acad Emerg Med . 2014;21:25–30.
Taastrøm A, Klahn J, Staal N, et al. Children and adolescents in the psychiatric emergency department: a 10-year survey in Copenhagen County. Nord J Psychiatry . 2014;68:385–390.
Chun TH, Katz ER, Duffy SJ, et al. Challenges of managing pediatric mental health crises in the emergency department. Child Adolesc Psychiatr Clin N Am . 2015;24:21–40.
Leon SL, Cloutier P, Polihronis C, et al. Child and adolescent mental health repeat visits to the emergency department: a systematic review. Hosp Pediatr . 2017;7:177–186.
Mahajan P, Alpern ER, Grupp-Phelan J, et al. Epidemiology of psychiatric-related visits to emergency departments in a multicenter collaborative research pediatric network. Pediatr Emerg Care . 2009;25:715–720.
Mapelli E, Black T, Doan Q. Trends in pediatric emergency department utilization for mental health-related visits. J Pediatr . 2015;167:905–910.
Nadler A, Avner D, Khine H, et al. Rising clinical burden of psychiatric visits on the pediatric emergency department. Pediatr Emerg Care . 2021;37:1–3.
Canadian Institute for Health Information. Care for children and youth with mental disorders, 2015. Canadian Institute for Health Information. Available at: https://secure.cihi.ca/free_products/care-children-youth-with-mental-disorders-en.pdf . Accessed September 21, 2021.
Perera J, Wand T, Bein KJ, et al. Presentations to NSW emergency departments with self-harm, suicidal ideation, or intentional poisoning, 2010–2014. Med J Aust . 2018;208:348–353.
Hiscock H, Neely RJ, Lei S, et al. Paediatric mental and physical health presentations to emergency departments, Victoria, 2008–15. Med J Aust . 2018;208:343–348.
Cloutier P, Kennedy A, Maysenhoelder H, et al. Pediatric mental health concerns in the emergency department: caregiver and youth perceptions and expectations. Pediatr Emerg Care . 2010;26:99–106.
Leon SL, Cappelli M, Ali S, et al. The current state of mental health services in Canada's paediatric emergency departments. Paediatr Child Health . 2013;18:81–85.
Newton AS, Ali S, Johnson DW, et al. Who comes back? Characteristics and predictors of return to emergency department services for pediatric mental health care. Acad Emerg Med . 2010;17:177–186.
Marr M, Horwitz SM, Gerson R, et al. Friendly faces: characteristics of children and adolescents with repeat visits to a specialized child psychiatric emergency program. Pediatr Emerg Care . 2021;37:4–10.
Australian Institute of Health and Welfare. Australia's health 2018 . Canberra: AIHW; 2018.
Australasian College for Emergency Medicine. The long wait: an analysis of mental health presentations to Australian emergency departments. 2018. Available at: https://acem.org.au/getmedia/60763b10-1bf5-4fbc-a7e2-9fd58620d2cf/ACEM_report_41018 . Accessed September 21, 2021.
MacDonald K, Fainman-Adelman N, Anderson KK, et al. Pathways to mental health services for young people: a systematic review. Soc Psychiatry Psychiatr Epidemiol . 2018;53:1005–1038.
Wells G, Shea B, O'Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses 2019. Available at: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp . Accessed February 10, 2020.
Herzog R, Álvarez-Pasquin MJ, Díaz C, et al. Are healthcare workers' intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health . 2013;13:154.
Shamsrizi P, Gladstone BP, Carrara E, et al. Variation of effect estimates in the analysis of mortality and length of hospital stay in patients with infections caused by bacteria-producing extended-spectrum beta-lactamases: a systematic review and meta-analysis. BMJ Open . 2020;10:e030266.
Popay J, Roberts H, Sowden A, et al. Guidance on the conduct of narrative synthesis in systematic reviews: a product from the ESRC Methods Programme. 2006. Available at: https://www.lancaster.ac.uk/media/lancaster-university/content-assets/documents/fhm/dhr/chir/NSsynthesisguidanceVersion1-April2006.pdf . Accessed September 21, 2021.
Moher D, Liberati A, Tetzlaff J, et al; PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement. PLoS Med . 2009;6:e1000097.
Dion J, Kennedy A, Cloutier P, et al. Evaluating crisis intervention services for youth within an emergency department: a view from within. Child Care Pract . 2010;16:241–256.
Fairchild RM, Ferng-Kuo SF, Rahmouni H, et al. Telehealth increases access to care for children dealing with suicidality, depression, and anxiety in rural emergency departments. Telemed J E Health . 2020;26:1353–1362.
Holder SM, Rogers K, Peterson E, et al. The impact of mental health services in a pediatric emergency department: the implications of having trained psychiatric professionals. Pediatr Emerg Care . 2017;33:311–314.
Nagarsekar BB, Townsend J, Ohr SO, et al. Innovative pathway for managing children and adolescents with mental health concerns in the emergency department: an intervention feasibility study. Emerg Med Australas . 2021;33:279–285.
Roberts N, Hu T, Axas N, et al. Child and adolescent emergency and urgent mental health delivery through telepsychiatry: 12-month prospective study. Telemed J E Health . 2017;23:842–846.
Rogers SC, Griffin LC, Masso PD Jr., et al. CARES: improving the care and disposition of psychiatric patients in the pediatric emergency department. Pediatr Emerg Care . 2015;31:173–177.
Sheridan DC, Sheridan J, Johnson KP, et al. The effect of a dedicated psychiatric team to pediatric emergency mental health care. J Emerg Med . 2016;50:e121–e128.
Thomas JF, Novins DK, Hosokawa PW, et al. The use of telepsychiatry to provide cost-efficient care during pediatric mental health emergencies. Psychiatr Serv . 2018;69:161–168.
Uspal NG, Rutman LE, Kodish I, et al. Use of a dedicated, non-physician-led mental health team to reduce pediatric emergency department lengths of stay. Acad Emerg Med . 2016;23:440–447.
Goldenring JM, Cohen E. Getting into adolescent heads. Contemp Pediatr . 1988;5:75–90.
Klein DA, Goldenring JM, Adelman W. HEEADSSS 3.0: the psychosocial interview for adolescents updated for a new century fueled by media. Contemp Pediatr . 2014. Available at: http://www.trapeze.org.au/sites/default/files/2014_01_Klein_Goldenring_HEEADSSS3.0_Contemporary%20Pediatrics.pdf . Accessed September 21, 2021.
Fraser MW, Lombardi BM, Wu S, et al. Integrated primary care and social work: a systematic review. J Soc Soc Work Res . 2018;9:175–215.
Hargreaves DS, Viner RM. Children's and young people's experience of the National Health Service in England: a review of national surveys 2001–2011. Arch Dis Child . 2012;97:661–666.
Sawyer SM, Ambresin AE, Bennett KE, et al. A measurement framework for quality health care for adolescents in hospital. J Adolesc Health . 2014;55:484–490.
Santiago LI, Tunik MG, Foltin GL, et al. Children requiring psychiatric consultation in the pediatric emergency department: epidemiology, resource utilization, and complications. Pediatr Emerg Care . 2006;22:85–89.
Edgcomb JB, Sorter M, Lorberg B, et al. Psychiatric readmission of children and adolescents: a systematic review and meta-analysis. Psychiatr Serv . 2020;71:269–279.
Jabbour M, Reid S, Polihronis C, et al. Improving mental health care transitions for children and youth: a protocol to implement and evaluate an emergency department clinical pathway. Implement Sci . 2016;11:90.
Wilson KM, Klein JD. Adolescents who use the emergency department as their usual source of care. Arch Pediatr Adolesc Med . 2000;154:361–365.
Merikangas KR, Calkins ME, Burstein M, et al. Comorbidity of physical and mental disorders in the neurodevelopmental genomics cohort study. Pediatrics . 2015;135:e927–e938.
Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry . 2010;10:113.
Grupp-Phelan J, McGuire L, Husky MM, et al. A randomized controlled trial to engage in care of adolescent emergency department patients with mental health problems that increase suicide risk. Pediatr Emerg Care . 2012;28:1263–1268.
Ranney ML, Freeman JR, Connell G, et al. A depression prevention intervention for adolescents in the emergency department. J Adolesc Health . 2016;59:401–410.
Esposito JM, Fein JA, Marshall J, et al. Improving mental health communication from the pediatric emergency department to primary care. Pediatr Emerg Care . 2020;36:424–429.
Naghavi M; Global Burden of Disease Self-Harm Collaborators. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ . 2019;364:l94.
Rhodes AE, Khan S, Boyle MH, et al. Sex differences in suicides among children and youth: the potential impact of help-seeking behaviour. Can J Psychiatry . 2013;58:274–282.