Emergency rooms are failing America's mentally ill kids, new study indicates
She added,"The main purpose is to determine the level of, whether it’s an inpatient psychiatric admission or outpatient services, and to connect the child with ongoing care."
The study data was based on a sample of 28,551 children on Medicaid plans between 6 years and 17 years old who visited an ER department for a mental health-related emergency between January 2018 and June 2019.Three-quarters of those children had more than one mental health diagnosis, but for the purposes of the study, each was assigned a single one.
"We help stabilize kids who are in imminent danger," said one pediatric emergency medicine physician,"but ultimately they need to get into outpatient treatment for psychotherapy or long-term depression medicine or any of those things." "Ultimately, we are emergency physicians and pediatricians, not psychiatrists. The hospital does have a psychiatrist who comes in for a certain part of the day, but is not available 2/47 in the ER."
"Families may return to the ER because they have nowhere else to go to receive the mental health care their child needs." Only about half of children who visit the ER for mental health issues get follow-up care within 30 days."Because of that, too few enter the field. Medicaid reimbursement rates must be increased to attract and retain mental health professionals."As kids’ mental health declines and the provider/patient gap widens, Dr. Hoffmann said she would like to see improvedand an expansion of mental health services in schools and pediatricians’ offices.
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