Northwell Health, Northwell Health Solutions, Manhasset, New York (Alvarado); Department of Psychiatry, University of Vermont Medical Center, Burlington (Hegg); Department of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Rhodes). Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.
Psychiatr Serv. 2020 Aug 1;71(8):864-867. doi: 10.1176/appi.ps.201900195. Epub 2020 Jun 3.
School behavioral health crisis referrals have emerged as a significant driver of avoidable emergency department (ED) visits. However, few resources exist to divert students to more appropriate settings. This article examines the effectiveness of an ambulatory behavioral health urgent care pilot project in reducing ED visits and improving collaborations with schools in the local community. Initial data suggest that urgent psychiatric evaluation and care coordination may be an effective model for reducing preventable ED visits and meeting the mental health needs of students in crisis.
学校行为健康危机转介已成为可避免急诊就诊的主要驱动因素。然而，很少有资源可以将学生转移到更合适的环境。本文探讨了一项门诊行为健康紧急护理试点项目在减少急诊就诊和改善与当地社区学校合作方面的有效性。初步数据表明，紧急精神病学评估和护理协调可能是减少可预防急诊就诊和满足危机学生心理健康需求的有效模式。
