in a single-institution study, one in eight children seen in the emergency department (ed) for mental health issues returned within six months, even though nearly three-quarters said they had an outside doctor, according to emily frosch, md, and colleagues at johns hopkins university school of medicine in baltimore. “a significant number of patients repeatedly seek care in the ed despite being connected to an outpatient provider,” frosch said in a statement, although the reasons for that remain unclear. for this analysis, the researchers included all children who had two ed visits within six months — 338, or 12% of the total. despite their repeat visits, those patients were more likely to report having an outside provider than were the others — 71% versus 60%, a difference that was significant at p<0.001. the most common reason for presentation, at both visits, was a behavior problem, the researchers found.
it’s not clear why some children use the ed repeatedly when they have outside care, the researchers noted. the researchers cautioned that the findings may not be applicable to all patients or eds. they also did not have information about the length of time between the most recent outpatient visit and the ed visit, or on the frequency and consistency of care given by outpatient providers, frosch and colleagues said. source reference: frosch e, et al “connections to outpatient mental health care of youths with repeat emergency department visits for psychiatric crises” psychiatr serv 2011; 62: 646-649. the material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. medpage today is among the federally registered trademarks of medpage today, llc and may not be used by third parties without explicit permission.
the mental health of our children is a natural and important concern for us all. a great deal of research goes on every day, but to date, researchers have not found that any of these factors are the direct cause of behavioral or emotional problems. (9) according to the anxiety disorders association of america, anxiety disorders are the most common psychiatric illnesses affecting children and adults. (13) conduct disorder refers to a group of behavioral and emotional problems in youngsters. (22) treatment for most people with ocd should include one or more of the following: “psychotic disorders” is another umbrella term used to refer to severe mental disorders that cause abnormal thinking and perceptions. two resources of great relevance to reopening schools and returning students are the following: children and adolescents with an emotional disturbance should receive services based on their individual needs, and everyone involved in their education or care needs to be well-informed about the care that they are receiving.
phone: 1.866.615.6464. tty: 1.866.415.8051 nami | national alliance on mental illness | nami is an excellent source of information and connection on mental illness, including the individual disorders mentioned in this fact sheet. detailed information on specific emotional disturbances, or related issues such as positive behavior supports, is also available from these sources: center on positive behavioral interventions and supports | the pbis center provides research-based information on how to provide behavioral supports to children who need them. available online at: .gov/health/topics/anxiety-disorders/index.shtml 10 | anxiety disorders association of america. available online at: .gov/health/topics/bipolar-disorder/index.shtml 14 | american academy of adolescent and child psychiatry. available online at: /learn/by-eating-disorder 19 | national institute of diabetes and digestive and kidney diseases. the cpir strives to be ever conscious of accessibility in technology. while permission to reprint material from this website is not necessary, the citation should be: center for parent information and resources (retrieval date).
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