The perils of boarding: A call to achieve parity in the delivery of acute psychiatric services for children with COVID-19.

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Perspectives Pub Date : 2023-01-01 DOI:10.34172/hpp.2023.04
Aysha Jawed, Rachel Boro-Hernandez
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引用次数: 2

Abstract

Boarding across pediatric healthcare systems is on the rise during the pandemic. Children with positive COVID-19 test results awaiting psychiatric placements in the emergency department or medical unit settings are at increased risk for decompensation with unmet psychiatric needs during a time of crisis marked by vulnerability. There is scant literature unveiling best practices on delivery of care for these patients to achieve acute crisis stabilization. Recent studies have uncovered substantial increases in mental health disorders among children during the pandemic compared to previous incidence and prevalence rates prior to the pandemic. From the published literature, two healthcare systems have initiated long-term planning, development, and implementation of biodome psychiatric units for patients with COVID-19 in need of acute crisis stabilization services. We sampled 100 acute inpatient child and adolescent psychiatric programs to discern their post-COVID positive clearance policies for admission. Findings were mixed among days of quarantine required, symptomology, covid-designated spaces vs. self-isolated rooms for psychiatric treatment, number of COVID negative retests, and additional considerations. We also review a range of considerations and recommendations for clinical practice and the health system in achieving parity in mental health care for these patients which in turn could contribute towards mitigating the rising global mental health crisis. Furthermore, increasing access to acute psychiatric services for these patients will also contribute towards the larger goal of the World Health Organization, Sustainable Developmental Goals of the United Nations, and Healthy People 2030 in increasing accessibility, quality and equity of mental health care for individuals on both global and national frontiers.

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寄宿的危险:呼吁在为COVID-19儿童提供急性精神科服务方面实现平等。
在大流行期间,儿科医疗保健系统的登机人数呈上升趋势。COVID-19检测结果呈阳性的儿童在急诊科或医疗单位等待精神病安置,在以脆弱性为特征的危机时期,因精神需求未得到满足而失代偿的风险增加。很少有文献揭示提供护理的最佳做法,为这些患者实现急性危机稳定。最近的研究发现,与大流行之前的发病率和流行率相比,大流行期间儿童精神健康障碍大幅增加。从已发表的文献来看,两个医疗保健系统已经为需要急性危机稳定服务的COVID-19患者启动了生物群落精神科病房的长期规划、开发和实施。我们对100名急性住院儿童和青少年精神病项目进行了抽样调查,以了解他们在covid后的入院阳性清除政策。调查结果包括隔离天数、症状学、用于精神治疗的COVID指定空间与自我隔离房间、COVID阴性再检测次数以及其他考虑因素。我们还审查了临床实践和卫生系统在实现这些患者的精神卫生保健平等方面的一系列考虑和建议,这反过来可能有助于缓解日益严重的全球精神卫生危机。此外,为这些患者增加获得急性精神病服务的机会也将有助于实现世界卫生组织、联合国可持续发展目标和《2030年健康人民》的更大目标,即在全球和国家边界上增加个人获得精神卫生保健的机会、质量和公平性。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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