Understanding the Unique Needs of Hospitalized Adolescents and Young Adults Referred for Psychology Consults

Kullgren, Kristin A.; Sullivan, Sarah K.; Bravender, Terrill

doi:10.1177/0009922818774339

Cited by 10 publications

(4 citation statements)

References 30 publications

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“…The high overlap between depression elevations and consults also highlights that medical providers are generally identifying and seeking appropriate services for children with depressive symptomology. This is consistent with data demonstrating that anxiety, depression, and coping/adjustment (which often includes components of anxiety and depression) are some of the most common referral concerns to pediatric psychology CL services (Kullgren et al, 2018; Piazza-Waggoner et al, 2013). It is possible that medical providers are utilizing BH CL services to address internalizing concerns more frequently than seeking additional support with symptoms management such as pain, fatigue, and mobility.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of standardized psychological screening for pediatric inpatients.

Albright¹,

Gornik²,

Andersen³

et al. 2022

Clinical Practice in Pediatric Psychology

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This study aimed to examine the efficacy of a psychological screening tool for hospitalized pediatric patients to identify those at high risk for adjustment difficulties and optimize referrals to pediatric behavioral health (BH) providers. Specifically, this study evaluated the PROMIS® Parent Proxy 25 to capture the psychosocial needs of the inpatient pediatric population admitted to the general medicine floor in a free standing children's hospital. Methods: The PROMIS® Parent Proxy 25 was administered to parents of children ages 5 to 17 (N ϭ 128). Chart review was used to group children into those who did or did not receive BH consultation during their admission. Results: Results indicate that the PROMIS® Parent Proxy Anxiety and Depression scales consistently differentiated between children's consultation status while also indicating a notable level of unmet need in children who did not receive BH consultation. Examination of patterns of scale elevations also provides further information to guide consultations to BH services. Conclusions: Results suggest that the PROMIS® Parent Proxy 25 may be a useful screening tool to determine pediatric patients who need BH referrals. Parental responses to the screener may also be used by CL services to identify patients with BH needs, which would enhance medical provider assessment of patient needs and factors impacting patient functioning. Implications for Impact StatementThis study demonstrates the utility of a psychological screening tool (PROMIS® Parent Proxy 25) for hospitalized pediatric patients. Effective psychological screening aids the accurate and efficient linking of patients in need with important mental health services.

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Section: Discussionsupporting

confidence: 90%

Evaluation of standardized psychological screening for pediatric inpatients.

Albright¹,

Gornik²,

Andersen³

et al. 2022

Clinical Practice in Pediatric Psychology

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“…Hospitals may be particularly stressful environments for adolescents, who are at a vulnerable stage in their development [ 27 ]. Their health issues require different responses from the hospital system than those young children [ 28 , 29 ] or adults [ 30 ] require, because they are affected by the physical, emotional, psychological, and sociocultural stages of adolescence as they develop their identity and autonomy [ 31 ]. For example, adolescents with chronic health conditions have preferences and concepts of care that differ from those of adults [ 32 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Virtual Reality Interventions for Adolescent Patients in Hospital Settings: Systematic Review

Ridout¹,

Kelson²,

Campbell³

et al. 2021

J Med Internet Res

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Background Given the high level of interest and increasing familiarity with virtual reality among adolescents, there is great potential to use virtual reality to address adolescents’ unique health care delivery needs while in hospital. While there have been reviews on the use of virtual reality for specific health conditions and procedures, none to date have reviewed the full scope of virtual reality hospital interventions for adolescents who are often combined with children as a homogenous group, despite the fact that adolescents experience virtual environments different from children. Objective The aim of this review was to systematically identify available evidence regarding the use of virtual reality interventions for adolescent patients in hospital settings to evaluate effectiveness, suitability, and safety and identify opportunities for future research. Methods PubMed, PsycINFO, Medline, and Scopus databases were searched using keywords and phrases. Retrieved abstracts (n=1525) were double screened, yielding 276 articles for full-text screening. Of these, 8 articles met inclusion criteria. Data were extracted to a standardized coding sheet, and a narrative synthesis was performed due to the heterogeneity of the studies. Results Four RCTs and 4 single-case reports were identified for inclusion, all of which aimed to reduce pain or anxiety. The scenarios targeted were burn pain, venipuncture, chemotherapy, preoperative anxiety, and palliative care. Three out of 4 RCTs found significant reductions in pain or anxiety outcomes measures when using virtual reality compared to standard care or other distraction techniques; however, only 1 study combined self-reported experiences of pain or anxiety with any physiological measures. Single-case reports relied primarily upon qualitative feedback, with patients reporting reduced pain or anxiety and a preference for virtual reality to no virtual reality. Conclusions Virtual reality can provide a safe and engaging way to reduce pain and anxiety in adolescents while in hospital, particularly when virtual reality software is highly immersive and specifically designed for therapeutic purposes. As VR becomes more accessible and affordable for use in hospitals, larger and more diverse studies that capitalize on adolescents’ interest in and aptitude for virtual reality, and on the full range of capabilities of this emerging technology, are needed to build on these promising results. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020198760; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020198760

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“…A general belief is that the subjective perception rather than objective characteristics of the illness/injury are of importance in predicting PTSS in children (Brosbe et al, 2011). However, there are studies that found number of operations (Faugli, Bjørnland, Emblem, Nøvik, & Diseth, 2009) and length of hospitalization (Kullgren, Sullivan, & Bravender, 2018) to be significantly associated with mental health problems of adolescents.…”

Section: Introductionmentioning

confidence: 99%

Psychological outcomes after pediatric hospitalization: the role of trauma type

Meentken

Ende

Canho

et al. 2021

Children's Health Care

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Physical injury and illness are common potentially traumatic events during childhood and adolescence. Many children experience psychosocial difficulties after medical events. The sample consisted of 399 children aged 4 to 15 who had been hospitalized for physical illness or injury. Elevated psychological symptomatology (PTSS, depression, anxiety) was more frequent after multiple (type II) compared to single (type I) medical events, but only a few differences were statistically significant. The strongest risk factor of child PTSS was parental stress. Type II trauma and low parental education were significant risk factors only for parent report of child PTSS (not for child report). The analyzed risk factors did not differ for type I versus II trauma. We recommend standardized screening and monitoring for mental health in the standard pediatric health care. Furthermore, pediatricians should be trained in signaling stress signs of parents.

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Understanding the Unique Needs of Hospitalized Adolescents and Young Adults Referred for Psychology Consults

Cited by 10 publications

References 30 publications

Evaluation of standardized psychological screening for pediatric inpatients.

Evaluation of standardized psychological screening for pediatric inpatients.

Effectiveness of Virtual Reality Interventions for Adolescent Patients in Hospital Settings: Systematic Review

Psychological outcomes after pediatric hospitalization: the role of trauma type

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