The Acceptability of Mental Health Screening in a Pediatric Emergency Department

Williams, Jennifer; Ho, Mona; Grupp‐Phelan, Jacqueline

doi:10.1097/pec.0b013e318222554e

Cited by 34 publications

(39 citation statements)

References 26 publications

(16 reference statements)

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“…Several studies reported a marked increase in the number of children and adolescents seeking care for mental health problems in emergency settings (10)(11)(12)(13)(14)(15). Also, the prevalence of mental health problems in pediatric EDs has been found to be much higher (1). Therefore, pediatric EDs have become a primary point of screening and/or evaluation of mental health problems, regardless of whether the problems are considered to be true mental health emergencies (12).…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 7%-22% of youth in nonclinical settings have a mental illness (1). The identification of mental disorders in primary care settings have increased rapidly in the recent 2 decades (2).…”

Section: Introductionmentioning

confidence: 99%

“…Pediatric emergency departments (EDs) have increasingly become an important part of health services for children and adolescents with mental health problems (1,2,8,9). Pediatric EDs have been shown to serve as an entry point into the healthcare system for children and adolescents seeking psychiatric care and are considered a safe area for the lack of inpatient and outpatient mental health services (7,9).…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of Pediatric Psychiatric Emergency Population in a Mental Health Hospital

Mutlu¹,

Kılıçoğlu²,

Güneş³

et al. 2015

EAJEM

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Aim: We aimed to investigate the characteristics of children and adolescents presented to the psychiatric emergency service (PES) of a mental health hospital. Materials and Methods:Medical records of patients under 18 years of age were reviewed for the first psychiatric emergency visit during a 1-year period. Results:The mean age was 15.82 years and 65.8% (n=711) were female. The most presenting symptoms were suicidal ideation (21.0%; most for girls) and homicide/violence toward others (20.7%; most for boys). The mean duration of symptoms was 265.36 days. The most common diagnoses were conduct disorder (16.7%; most for boys) and conversion disorder (15.5%; most for girls). Of the patients, 51.7% never used any mental health services before. The rate of prior use of mental health service was significantly higher in patients presenting with homicide/violence toward others and self-harm and lower in patients presenting with anxiety and somatic symptoms (p<0.05). Of the patients, 292 (27.0%) took no treatment and 271 (25.1%) were admitted to the psychiatric inpatient unit.Conclusion: PES can be used by half of the families as a first-line therapy unit. PES seems to serve an important role in the continuum of pediatric mental health care, particularly for youths with homicide/violence toward others, and to be a point of access to mental healthcare, particularly for youths with anxiety and somatic symptoms. (Eurasian J Emerg Med 2015; 14: 123-30)

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics of Pediatric Psychiatric Emergency Population in a Mental Health Hospital

Mutlu¹,

Kılıçoğlu²,

Güneş³

et al. 2015

EAJEM

View full text Add to dashboard Cite

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“…Teenagers and parents both report favorable attitudes toward mental health screening during an ED visit. 153,154 In this study, suicide and drug and alcohol screening rated as more important than other mental health problems. Female adolescents and their parents, more than male adolescents, expressed positive views on screening.…”

Section: Feasibility and Acceptability Of Ed Mental Health Screeningmentioning

confidence: 98%

“…Perceived and real barriers to such screening exist, including lack of training, time constraints, and increasing ED patients' length of stay. Williams et al 154 investigated this question and found that 99% of physicians and 97% of nurses stated that a brief, validated screening tool did not interfere with patient care. In addition, research staff endorsed "no difficulty" in administering the screen to 73% of participants.…”

Section: Feasibility and Acceptability Of Ed Mental Health Screeningmentioning

confidence: 99%

Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

Chun¹,

Mace²,

Katz³

2016

Pediatrics

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Parental Preferences for Mental Health Screening of Youths From a Multinational Survey

et al. 2023

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ImportanceScreening youths for mental disorders may assist in prevention, promote early identification, and be associated with reduced related lifetime impairment and distress.ObjectiveTo assess parents’ and caregivers’ comfort with and preferences for pediatric mental health screening and factors associated with these preferences.Design, Setting, and ParticipantsThis survey study used an online survey available from July 11 to 14, 2021, through Prolific Academic. Analyses were conducted from November 2021 to November 2022. The survey was administered to English-speaking parents and caregivers in the US, UK, Canada, and 16 other countries who were aged 21 years or older and had at least 1 child aged 5 to 21 years living at home.Main Outcomes and MeasuresThe main outcomes were parental preferences regarding content, implementation, and review of the findings of pediatric mental health screening. Parental comfort with screening topics was reported on a 6-point Likert scale with 6 indicating highest comfort. Mixed-effects logistic regression models were used to evaluate factors associated with parental comfort levels.ResultsOf 1200 survey responses requested, data were collected from 1136 participants (94.7%). The final sample meeting the inclusion criteria comprised 972 parents and caregivers aged 21 to 65 years (mean [SD] age, 39.4 [6.9] years; 606 [62.3%] female). A total of 631 participants (64.9%) supported annual mental health screening for their child, and 872 (89.7%) preferred reviewing the screening results with professional staff (eg, physicians). Participants reported significantly decreased comfort with child self-report compared with parent-report screening assessments (b = −0.278; SE = 0.009; P &lt; .001), although they were generally comfortable with both options. Despite slight variations based on country of residence, screening topic, and child’s age, participants were generally comfortable discussing all 21 screening topics on the survey. The greatest comfort was with sleep problems (mean [SE] score, 5.30 [0.03]); the least comfort was with firearms (mean [SE] score, 4.71 [0.05]), gender identity (mean [SE] score, 4.68 [0.05]), suicidality (mean [SE] score, 4.62 [0.05]), and substance use or abuse (mean [SE] score, 4.78 [0.05]).Conclusions and RelevanceIn this survey study of parents and caregivers, parent-reported and child self-reported mental health screening in primary care settings was supported by the majority of the sample, although comfort levels differed according to various factors (eg, screening topic). Participants preferred to discuss screening results with professional health care staff. In addition to parental need for expert guidance, the study findings highlight the growing awareness of child mental health needs and the importance of addressing mental health concerns early via regular mental health screenings.

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The Acceptability of Mental Health Screening in a Pediatric Emergency Department

Abstract: Overall, mental health screening appears to be acceptable in the pediatric ED.

Cited by 34 publications

References 26 publications

Characteristics of Pediatric Psychiatric Emergency Population in a Mental Health Hospital

Characteristics of Pediatric Psychiatric Emergency Population in a Mental Health Hospital

Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

Parental Preferences for Mental Health Screening of Youths From a Multinational Survey

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