Columbia University Medical Center, 3959 Broadway, MSCH 619C, New York, NY 10032, USA.
Department of Child and Adolescent Psychiatry, NYU Langone Health, One Park Avenue, 7th Floor, New York, NY 10016, USA; Department of Child and Adolescent Psychiatry, Bellevue Hospital Center, 562 First Avenue, 21st Floor, New York, NY 10016, USA.
Child Adolesc Psychiatr Clin N Am. 2018 Jul;27(3):357-365. doi: 10.1016/j.chc.2018.02.001. Epub 2018 Apr 12.
The current state of emergency child and adolescent psychiatry includes common historical challenges to safe and effective care as well as recent innovations in multiple settings that increase the quality of that care. These include (1) enhancements within pediatric emergency departments (EDs), (2) specialized and dedicated child psychiatry emergency programs that are hospital based, (3) telepsychiatry programs that spread access to child psychiatric evaluation and treatment planning, and (4) community-based mobile programs diverting youth from EDs. Together, these highlight the work in North America over the past 5 years to improve the care of youth in psychiatric crisis.
目前的儿童和青少年精神病学紧急情况包括安全和有效护理的常见历史挑战，以及多个领域提高护理质量的最新创新。这些包括：（1）儿科急诊部内的改进，（2）基于医院的专门和专门的儿童精神病学急诊计划，（3）扩大儿童精神病学评估和治疗计划获取途径的远程精神病学计划，以及（4）以社区为基础的转移青年离开急诊室的流动计划。总的来说，这些突出了过去 5 年来在北美改善精神危机青年护理方面的工作。
