Stephanie L Leon1, Mario Cappelli1, Samina Ali2, William Craig2, Janet Curran3, Rebecca Gokiert4, Terry Klassen5, Martin Osmond1, Shannon D Scott6, Amanda S Newton2. 1. Department of Psychology, University of Ottawa & Research Institute, Children's Hospital of Eastern Ontario, Ottawa, Ontario; 2. Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta; 3. Department of Pediatrics, Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia; 4. Faculty of Extension, University of Alberta, Edmonton, Alberta; 5. Manitoba Institute of Child Health & Department of Pediatrics, University of Manitoba, Winnipeg, Manitoba; 6. Faculty of Nursing, University of Alberta, Edmonton, Alberta.
Abstract
OBJECTIVE: To describe emergency mental health services in major paediatric centres across Canada. METHODS: A cross-sectional study of mental health services in emergency departments (EDs) from all 15 Canadian tertiary care paediatric centres was conducted. RESULTS: Fifteen individuals participated and were either a paediatric emergency physician with administrative responsibilities (60%) or an emergency mental health care provider (40%). Four participants reported that their ED used an evidence-based guideline, tool or policy, and one participant reported their ED based its services on published research evidence. Reported ED-based mental health resources included a crisis intervention team (five EDs), a mental health nurse (six EDs) and a social worker (five EDs). Thirteen participants reported on-site consultation with child psychiatry and six reported urgent follow-up as an adjunct service to ED care. CONCLUSIONS: There is a wide variety of mental health care practices in Canadian paediatric EDs. Consideration of which resources are required to ensure evidence-based, effective services are provided to children and youth is necessary.
OBJECTIVE: To describe emergency mental health services in major paediatric centres across Canada. METHODS: A cross-sectional study of mental health services in emergency departments (EDs) from all 15 Canadian tertiary care paediatric centres was conducted. RESULTS: Fifteen individuals participated and were either a paediatric emergency physician with administrative responsibilities (60%) or an emergency mental health care provider (40%). Four participants reported that their ED used an evidence-based guideline, tool or policy, and one participant reported their ED based its services on published research evidence. Reported ED-based mental health resources included a crisis intervention team (five EDs), a mental health nurse (six EDs) and a social worker (five EDs). Thirteen participants reported on-site consultation with child psychiatry and six reported urgent follow-up as an adjunct service to ED care. CONCLUSIONS: There is a wide variety of mental health care practices in Canadian paediatric EDs. Consideration of which resources are required to ensure evidence-based, effective services are provided to children and youth is necessary.
Entities:
Keywords:
Crisis intervention; Emergency medical services; Mental health; Paediatric
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