Pediatric emergency mental health presentations during early COVID-19: Comparing virtual and in-person presentations.

Autor:	Stuart J; Children's Hospital of Eastern Ontario Research Institute, Canada.; Faculty of Medicine, University of British Columbia, Canada., Sheridan N; Children's Hospital of Eastern Ontario Research Institute, Canada., Cloutier P; Children's Hospital of Eastern Ontario, Canada., Reid S; Children's Hospital of Eastern Ontario, Canada.; Faculty of Medicine, University of Ottawa, Canada.; Department of Pediatrics and Emergency Medicine, University of Ottawa, Canada., Tse S; Children's Hospital of Eastern Ontario, Canada.; Faculty of Medicine, University of Ottawa, Canada.; Department of Pediatrics and Emergency Medicine, University of Ottawa, Canada., Spettigue W; Children's Hospital of Eastern Ontario, Canada.; Faculty of Medicine, University of Ottawa, Canada.; Department of Psychiatry, University of Ottawa, Canada., Gray C; Children's Hospital of Eastern Ontario, Canada.; Faculty of Medicine, University of Ottawa, Canada.; Department of Psychiatry, University of Ottawa, Canada.
Jazyk:	angličtina
Zdroj:	Clinical child psychology and psychiatry [Clin Child Psychol Psychiatry] 2024 Oct 17, pp. 13591045241286562. Date of Electronic Publication: 2024 Oct 17.
DOI:	10.1177/13591045241286562
Abstrakt:	Purpose: Increased mental health (MH) needs during the COVID-19 pandemic led to the implementation of a novel pediatric Emergency Department Virtual Care (EDVC) service. Our study aimed to describe the pediatric MH patient population that used EDVC by comparing patient-specific factors of those who obtained services virtually to those seen in-person. Method: This retrospective chart review was conducted at a pediatric hospital in Eastern Ontario. Children and youth (aged 3-17) who received virtual or in-person emergency MH services from May to December 2020 were included. Patient demographics, clinical presentation details and disposition were compared between the virtual and in-person groups. Data was analyzed using descriptive statistics. Results: 1104 youth (96.1%) utilized the in-person ED for MH concerns; 45 (3.9%) used EDVC. In-person youth had a higher level of perceived risk (78.9% vs. 41.9%) and were more likely to present with concerns of depression, suicidal ideation, self-harm, or laceration (46.1% vs. 35.6%). Anxiety/situational crises or behavioural issues were more likely to present virtually. Eight patients (17.8%) were redirected to the ED from EDVC. Conclusions: Several patient-specific factors varied between youth seen in-person or virtually for MH concern. Study results can assist with the design and implementation of virtual MH care platforms. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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