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

Autor: Feldman MA; Department of Psychology, Johns Hopkins All Children's Hospital, 880 Sixth Street South, Suite 460, Saint Petersburg, FL, 33713, USA. mfeldm25@jhmi.edu., Agoston AM; Children's Healthcare of Atlanta, Atlanta, GA, USA., Burnside AN; Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Emerson ND; Department of Psychiatry & Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA, USA., Mudd E; Center for Pediatric Behavioral Health, Cleveland Clinic Children's, Cleveland, OH, USA., Koehn KZ; Mental Health Services, Children's Minnesota, Minneapolis, MN, USA., Gallanis LE; Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA.
Jazyk: angličtina
Zdroj: Journal of clinical psychology in medical settings [J Clin Psychol Med Settings] 2024 Apr 14. Date of Electronic Publication: 2024 Apr 14.
DOI: 10.1007/s10880-024-10010-y
Abstrakt: 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.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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