Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESPredictors of Urgency in a Pediatric Psychiatric Emergency Service
Section snippets
Setting
The Albert Einstein Medical Center's CRC is the only center designated by the county office of mental health in Philadelphia to provide psychiatric emergency services to children and adolescents. The CRC is situated within an urban general hospital and is adjacent to the medical emergency service. The CRC is a comprehensive psychiatric emergency service, providing triage, assessment for psychiatric and drug and alcohol problems, crisis treatment, referral services, and linkage follow-up. It is
RESULTS
There were more visits by boys (58%) than girls (42%). Adolescents had the highest percentage of visits, followed by the 6- to 12-year-old group. The distribution of ethnicity was similar to that found in data available from the Philadelphia Public School System (U.S. Department of Commerce, 1990). Most visits were voluntary (Table 1). Approximately 85% of visits were covered by the county behavioral health managed care organization that serves public sector consumers. Affective disorders
DISCUSSION
A large percentage (40%) of pediatric visits to the CRC were for nonurgent reasons. This supports our a priori hypothesis. A retrospective study comparing adolescent to adult PES visits using Rosenn's scale found 55% of adolescent visits (versus 50% of adult visits) requiring immediate attention. The following findings were true for adolescent visits: 27% required evaluation within 24 to 36 hours, 7% required evaluation within a few days, and 11% were classified as pseudo-emergencies (Hillard
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Cited by (56)
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Special Considerations in Pediatric Psychiatric Populations
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The authors acknowledge Michael J. Vergare, M.D., who was instrumental in obtaining the funding support from the Albert Einstein Medical Society.