Management of High Acuity Patients in Pediatric Medical Settings: The Role of Consultation/Liaison Psychologists During the Growing Mental Health Crisis

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-04-14 DOI:10.1007/s10880-024-10010-y
Marissa A. Feldman, Anna Monica Agoston, Amanda N. Burnside, Natacha D. Emerson, Emily Mudd, Kate Z. Koehn, Lauren E. Gallanis
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Abstract

Since the onset of the COVID-19 pandemic, consultation/liaison (C/L) psychologists had to drastically shift their practices to care for psychiatrically acute pediatric patients admitted to medical settings. The aim of the current study was to provide an updated state of the field surrounding these changes and their implications for clinical practice. Psychologists and psychology post-doctoral fellows completed an anonymous, 51-item survey distributed via a national professional organization listserv. The results review responses, by percentages, about C/L team composition and practice patterns, as they relate to suicide risk assessments, transfers to inpatient psychiatric and other levels of care, intervention for boarding patients, and disposition and safety planning. Thematically coded qualitative responses regarding impact and management of high acuity patients are also summarized. The state of the field outlined by this survey suggests an increase in C/L assessments and interventions delivered to pediatric patients with acute psychiatric needs, as well as a reverberating effects on provider wellness. Ensuring providers establish competency for this subset of patients is vital to the continued provision of optimal patient care and to sustained provider wellness. Considerations for the field are explored.

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儿科医疗环境中的重症患者管理:咨询/联络心理学家在日益严重的心理健康危机中的作用
自 COVID-19 大流行以来,咨询/联络(C/L)心理学家不得不大幅改变他们的工作方式,以照顾医疗机构收治的患有精神疾病的儿科急诊病人。本研究的目的是围绕这些变化及其对临床实践的影响提供最新的领域状况。心理学家和心理学博士后研究员通过全国性的专业组织名录服务站完成了一份匿名的 51 项调查。调查结果按百分比回顾了与自杀风险评估、转入精神科住院治疗和其他级别治疗、对寄宿患者的干预以及处置和安全规划有关的 C/L 团队组成和实践模式。此外,还总结了按主题编码的定性回答,内容涉及对高度危重病人的影响和管理。本调查所概述的领域现状表明,对有急性精神疾病需求的儿科患者进行的 C/L 评估和干预会越来越多,同时也会对医疗服务提供者的健康产生影响。确保医疗服务提供者能够胜任这一患者群体的工作,对于继续提供最佳的患者护理服务和维持医疗服务提供者的健康至关重要。本文探讨了这一领域的考虑因素。
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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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