Navigation Links
ERs Frequented by Kids With Behavioral Problems: Report
Date:6/1/2011

WEDNESDAY, June 1 (HealthDay News) -- Regular outpatient care has not kept children and teenagers with mental health issues and behavioral problems from making repeat visits to the emergency room (ER), according to a new study.

Researchers from Johns Hopkins Children's Center found that more often than not, children who repeatedly end up in the ER do not actually have life-threatening emergencies.

The study, published in the June 1 issue of Psychiatric Services, examined the medical records of more than 2,900 children, ranging in age from 3 to 17 years, who were treated at the center's ER for mental health crises over the course of eight years. The analysis revealed that 12 percent of these children had a repeat trip to the ER within six months of their first visit.

The researchers also found that most of the children went to the ER seeking medical attention for behavioral problems or minor psychiatric problems, such as disruptive classroom behavior, verbal disputes and running away. Only 3 percent of the visits involved severe psychotic episodes and 10 percent were suicide attempts, the study authors noted.

Among the 338 patients who had at least two visits to the ER, about two-thirds of them reported having an outpatient mental health provider at both ER visits. Moreover, 85 percent stated during their second trip to the ER that they had a regular mental health provider. The investigators concluded that this could be a sign that patients are not receiving the care they need on an outpatient basis.

The findings are even more troubling given the fact that most ERs are not designed or staffed to provide mental health care, the study authors noted.

"We think of the ER as a 'front door to care,' but our findings suggest otherwise as a significant number of patients repeatedly seek care in the ER despite being connected to an outpatient provider," the study's lead author, Dr. Emily Frosch, a pediatric psychiatrist at Hopkins Children's, said in a news release from the center.

The researchers suggested there could be several possible explanations for the repeat ER visits, including:

  • Limited office hours may be an obstacle to effective regular outpatient care.
  • Children and their families may gravitate to ERs following prior positive experiences there.
  • Some families may see ER care as less stigmatizing than outpatient mental health services.
  • Outpatient providers may lack sufficient resources and so send patients to the ER.

Frosch and colleagues noted that more research is needed to determine the exact reasons behind these recurrent ER visits for non-emergency psychiatric problems. "We need to understand why families who are already connected to outpatient providers continue to seek ER care, why providers send patients to the ER and what role, if any, ERs may play in the continuum of care for non-psychotic, non-suicidal patients," said Frosch. "It is possible that ERs fulfill an important function in that continuum for some patients."

More information

The U.S. National Institute of Mental Health provides more information on child and adolescent mental health.

-- Mary Elizabeth Dallas

SOURCE: Johns Hopkins Children's Center, news release, June 1, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. IUPUI behavioral neuroscientist receives international award for alcoholism research
2. Behavioral Therapy May Reduce Tourette Tics, Symptoms
3. Babies Persistent Fussiness Could Mean Behavioral Woes Ahead
4. Springer launches new journal, Translational Behavioral Medicine: Practice, Policy, Research
5. Prenatal exposure to certain pollutants linked to behavioral problems in young children
6. Improved behavioral health needed to respond to rising number of suicides among US Armed Forces
7. Brief Behavioral Counseling May Help Seniors Sleep
8. Could Cell Phones Raise Odds for Behavioral Woes in Kids?
9. Perspectives on improving patient care: Genetics, personalized medicine, and behavioral intervention
10. Self-directed behavioral IBS treatment rapidly relieves even the most severe symptoms
11. Brandeis University undertakes third national survey of health plans behavioral health services
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
ERs Frequented by Kids With Behavioral Problems: Report
(Date:8/16/2017)... ... August 16, 2017 , ... LabRoots , the leading provider of educational ... is excited to announce Andrew Ly as the winner of the LabRoots Summer Textbook ... , Ly, who is in his third year at the University of California, ...
(Date:8/16/2017)... ... August 16, 2017 , ... Fusion Flix Inc., a Telly Award Winning, Non ... and millions of viewers in a partnership with the Amazon Video Direct Streaming Distribution ... available on Blu Ray disc in 2018. Proceeds will be going to further health ...
(Date:8/16/2017)... ... August 16, 2017 , ... Kaviva , a health ... the healthcare market, with Los Angeles-based AIDS Healthcare Foundation ( AHF ), to ... AHF cares for nearly 800,000 individuals worldwide and is the largest HIV/AIDS organization ...
(Date:8/16/2017)... ... August 16, 2017 , ... ... marketers of high-quality anti-aging skincare solutions, recently announced the launch of two new ... an affordable, yet effective alternative to expensive plastic surgery or in-patient cosmetic dermatological ...
(Date:8/16/2017)... ... August 16, 2017 , ... “Mom, God's Got This: Jamie's Story” is the creation of ... the Lord and has an insatiable appetite for God’s Word. , “I froze between the ... gifts retrieved from packages of oatmeal. I have one to this day on proud display ...
Breaking Medicine News(10 mins):
(Date:7/28/2017)... , July 28, 2017 EnvoyHealth, a Diplomat company, ... a program for CleverCap LITE, a technology designed to ... to deliver innovative health technology solutions and services that ... CleverCap LITE offers medication monitoring ... bottle cover: Records ...
(Date:7/26/2017)... Colo. , July 26, 2017 E.I. ... Guttridge and the Bimini SharkLab to custom design the worlds ... images of sharks in their native habitat. In preparation ... Discovery Channel,s Shark Week, Dr. Guttridge approached EIMI ... take pregnancy diagnosis directly to hammerhead sharks underwater. ...
(Date:7/26/2017)... NEW YORK , July 26, 2017 ... Annual Prix Galien USA Award ... honors, the Prix Galien Award recognizes outstanding biomedical and technology ... To qualify, each candidate must be ... the last five years and demonstrate tremendous potential to impact ...
Breaking Medicine Technology: