Cohen Children's Medical Center, Northwell Health, 270-05 76th Avenue, New Hyde Park, NY 11040, USA.
Behavioral Response Team, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Child Adolesc Psychiatr Clin N Am. 2018 Jul;27(3):491-500. doi: 10.1016/j.chc.2018.03.004. Epub 2018 Apr 24.
Emergency department visits by pediatric behavioral health patients are increasing, increasing the complexity of care. This article describes initiatives at 3 academic medical centers using multidisciplinary teams, including medical, child life, and security staff, to help decrease anxiety and increase patient comfort. Training in Dialectical Behavior Therapy and agitation management simulations increase staff preparedness for working with agitated and emotionally dysregulated patients. Training security personnel and establishing a behavioral health response team ensures that staff members with expertise in managing agitation support the medical teams and patients throughout the hospital.
儿科行为健康患者到急诊科就诊的情况日益增多，这增加了医疗的复杂性。本文介绍了 3 所学术医疗中心采取的多项举措，包括组建多学科团队，其中包括医护人员、儿童生活专家和安全人员，以帮助减轻焦虑并提高患者舒适度。接受辩证行为疗法培训和激动管理模拟训练可以提高工作人员对激动和情绪失调患者的处理能力。培训安全人员并建立行为健康反应团队可以确保有处理激动经验的专业人员为整个医院的医护团队和患者提供支持。
