Naslov
Child and adolescent psychiatric emergencies

Autori
Boričević Maršanić, Vlatka ; Franić, Tomislav ; Juretić, Zoran ; Paradžik, Ljubica ; Karapetrić Bolfan, Ljiljana ; Dodig Ćurković, Katarina ; Štimac, Domagoj

Izvornik
Signa Vitae (1334-5605) 10 (2015), 1; 15-21

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
children and adolescents; mental health emergencies; emergency department

Sažetak
Pediatric mental health emergencies constitute a large and growing segment of child and adolescent mental health care. Children and adolescents who present with acute mental health complaints require a concise yet systematic assessment to determine if the young person is suffering from an acute psychiatric disorder versus a mental health problem which presents with a crisis. Acute medical complications emanating from the mental health problem and acute medical conditions causing mental health emergencies need to be ruled out before the urgent mental health assessment can proceed. The emergency department (ED) needs to provide triage, diagnosis, stabilization, initial management, and treatment and referral for a broad spectrum of mental health emergencies, working within a mental health infrastructure in crisis. Assessment and treatment of acute psychiatric emergencies in children and adolescents in the ED require a multidisciplinary team approach consisting ideally of a child psychiatrist, crisis worker or social worker, nursing staff, and an ED physician. The primary goal of an urgent psychiatric assessment in the ED is to determine the safety risk of the patient and if a higher level of care is needed, such as referral to a psychiatric inpatient unit, crisis unit/step-up unit, or urgent mental health outpatient clinic.

Izvorni jezik
Engleski

POVEZANOST RADA