The HEADS-ED: A Rapid Mental Health Screening Tool for Pediatric Patients in the Emergency Department
| Autor: | Roger Zemek, Guy Doucet, Allison Kennedy, John S. Lyons, Clare Gray, Elizabeth J. Glennie, Paula Cloutier, Mario Cappelli |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Psychometrics Substance-Related Disorders Cross-sectional study medicine.medical_treatment Child Behavior Disorders Personality Assessment Social Environment Peer Group Suicidal Ideation Activities of Daily Living Humans Mass Screening Medicine Affective Symptoms Child Psychiatry Referral and Consultation Suicidal ideation Depression (differential diagnoses) Ontario business.industry Mental Disorders Reproducibility of Results Emergency department Achievement Hospitals Pediatric Mental health Inter-rater reliability Cross-Sectional Studies Child Preschool Pediatrics Perinatology and Child Health Female medicine.symptom Emergency Service Hospital business Psychosocial Crisis intervention |
| Zdroj: | Pediatrics. 130:e321-e327 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.2011-3798 |
| Popis: | BACKGROUND AND OBJECTIVE:The American Academy of Pediatrics called for action for improved screening of mental health issues in the emergency department (ED). We developed the rapid screening tool home, education, activities/peers, drugs/alcohol, suicidality, emotions/behavior, discharge resources (HEADS-ED), which is a modification of “HEADS,” a mnemonic widely used to obtain a psychosocial history in adolescents. The reliability and validity of the tool and its potential for use as a screening measure are presented.METHODS:ED patients presenting with mental health concerns from March 1 to May 30, 2011 were included. Crisis intervention workers completed the HEADS-ED and the Child and Adolescent Needs and Strengths-Mental Health tool (CANS MH) and patients completed the Children’s Depression Inventory (CDI). Interrater reliability was assessed by using a second HEADS-ED rater for 20% of the sample.RESULTS:A total of 313 patients were included, mean age was 14.3 (SD 2.63), and there were 182 females (58.1%). Interrater reliability was 0.785 (P < .001). Correlations were computed for each HEADS-ED category and items from the CANS MH and the CDI. Correlations ranged from r = 0.17, P < .05 to r = 0.89, P < .000. The HEADS-ED also predicted psychiatric consult and admission to inpatient psychiatry (sensitivity of 82% and a specificity of 87%; area under the receiver operator characteristic curve of 0.82, P < .01).CONCLUSIONS:The results provide evidence to support the psychometric properties of the HEADS-ED. The study shows promising results for use in ED decision-making for pediatric patients with mental health concerns. |
| Databáze: | OpenAIRE |
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