Technical Report-Pediatric and Adolescent Mental Health Emergencies in the Emergency Medical Services System
Technical Report-Pediatric and Adolescent Mental Health Emergencies in the Emergency Medical Services System
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DOI：
10.1542/peds.2011-0522
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发表时间：
2011-05-01
期刊：
影响因子：
8
通讯作者：
Fein, Joel A.
中科院分区：
文献类型：
--
作者：
Dolan, Margaret A.;Fein, Joel A.
急诊科（ED）的卫生保健专业人员经常照顾那些以前被诊断患有精神疾病的病人，他们生病了，受伤了，或者有行为危机。此外，急诊室的工作人员也会遇到患有精神疾病的儿童，这些儿童在急诊室就诊时可能没有明显的精神健康症状。对工作人员进行关于儿童心理健康疾病识别和管理的教育和培训，可以帮助急诊科克服影响及时和全面评估的环境限制。此外，急诊科医生可以告知并倡导地方、州和国家层面的政策变化，以确保对患有精神疾病的儿童进行全面护理。本报告阐述了急诊科和急诊科保健专业人员在美国儿童和青少年的紧急精神卫生保健中所起的作用，包括精神健康危机患者的稳定和管理，急诊科患者的精神疾病和自杀意念的发现，以及倡导提高对儿童精神疾病的认识和治疗的方法。报告还讨论了与急诊科精神疾病有关的特殊问题，如少数民族人口、有特殊保健需要的儿童以及灾害和创伤期间和之后的儿童精神健康。儿科2011;127: e1356-e1366
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. Pediatrics 2011;127:e1356-e1366