Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.
Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA.
Curr Psychiatry Rep. 2023 Sep;25(9):429-436. doi: 10.1007/s11920-023-01442-8. Epub 2023 Aug 1.
The purpose of this review is to summarize factors contributing to the current state of pediatric mental health access in ED settings and synthesize the existing literature on the use of telepsychiatry to extend access to care, with particular focus on feasibility and sustainability.
Children are presenting to emergency departments (EDs) with mental health concerns at an increasing rate, while ED capacity to treat psychiatric needs in children remains insufficient. This growing problem is compounded by decreased access to outpatient care and inpatient psychiatric beds, resulting in exorbitantly long waiting times, or "boarding," of children in crisis. Telepsychiatry has emerged as a strategy to decrease boarding of pediatric patients in ED settings by utilizing remote psychiatric professionals to provide consultation and assessment. Telepsychiatry in ED settings is an effective strategy to increase access to care and decrease length of stay for pediatric patients.
本文旨在总结导致目前急诊环境中儿科心理健康服务可及性现状的因素，并综合现有关于远程精神病学应用以扩大服务可及性的文献，特别关注可行性和可持续性。
儿童因心理健康问题到急诊就诊的比例不断增加，而急诊治疗儿童精神需求的能力仍然不足。这一日益严重的问题因门诊护理和住院精神病床位的减少而更加复杂，导致儿童在危机中等待时间过长，即“滞留”。远程精神病学的出现为减少急诊环境中儿科患者的滞留提供了一种策略，即利用远程精神科专业人员提供咨询和评估。远程精神病学在急诊环境中是一种有效的策略，可以增加儿科患者的护理可及性并缩短其住院时间。
