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Studies show that long-term visit rates for ED visits in pediatric mental health have increased over a decade

According to a study published in the journal, the proportion of long-term pediatric mental health and emergency department (ED) visits increased over a decade, as opposed to non-mental health visits, where visit times remained stable. Did. Pediatrics..

From 2005 to 2015, the rate of ED visits for children with mental illness over 6 hours jumped from 16% to nearly 25%, and the rate of visits over 12 hours increased from 5% to nearly 13%.

The ever-increasing tendency for ED visits due to pediatric mental health problems may represent a decline in access to essential mental health services. This is a concern, especially during the COVID-19 pandemic, as the number of children coming to ED for mental health reasons has increased significantly. “

Jennifer Hoffman, MD, Research Co-author and Pediatric Emergency Medicine Doctor, Ann & Robert H. Lully Chicago Children’s Hospital

Dr. Hoffman is also an assistant professor of pediatrics at Northwestern University’s Feinberg School of Medicine.

“”Since the outbreak of the pandemic, Lully Children has doubled the rate of ED visits for mental health status, with an average of about 100 mental health visits per month over the past year... “

The study also found that Latin children were almost three times more likely to have a longer mental health ED visit (lasting 12 hours or more) than white children. The study found no significant difference in long-term emergency outpatient visit rates by payer type as an indicator of socio-economic status and comparative access based on insurance.

“The inequality between Latin children highlights the need for more work to be done to provide fair and timely mental health care to all children.”

JEnifer Hoffman, MD, Study co-author and pediatric emergency medicine physician Ann & Robert H. Lully Chicago Children’s Hospital

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Dr. Hoffman and colleagues used the 2005-2015 National Hospital Outpatient Care Survey to analyze approximately 150 million emergency outpatient visits across the United States among children aged 6 to 17 years. did. Over 7 million were mental health visits, accounting for nearly 5 percent of all ED pediatric visits during that period.

The authors of the study state that mental health care for children is expensive and suboptimal reimbursement limits incentives to expand services. The support of child psychiatrists and communities continues to be scarce. ED struggles to safely discharge endangered children to an appropriate care environment in the light of limited service and inadequate coverage.

For children who need to be admitted to the hospital for ongoing mental health care, a lack of beds for pediatric psychiatric inpatients will cause them to wait longer for the ED to open. I will.

In a previous study of children’s mental health ED visits, only 10% of total visit time was spent on medical evaluation, and most of the time was spent on making appropriate discharge or hospitalization planning decisions. Was shown.

“Policies need to address the shortage of pediatric mental health providers and expand coverage and reimbursement for the full range of mental health services,” said Dr. Hoffman.

The story first appeared in NewsMedical

https://industrialnews.co.uk/study-shows-rates-of-prolonged-visits-for-pediatric-mental-health-ed-visits-increased-over-a-decade/?utm_source=rss&utm_medium=rss&utm_campaign=study-shows-rates-of-prolonged-visits-for-pediatric-mental-health-ed-visits-increased-over-a-decade Studies show that long-term visit rates for ED visits in pediatric mental health have increased over a decade

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