Evidence map›Paper›PMID 31738300›Full record

ArticlePediatric emergency care2021

Characteristics Associated With Presence of Pediatric Mental Health Care Policies in Emergency Departments.

Robyn A Cree, Marvin So, Jessica Franks, Rachel Richards, Rebecca Leeb, Andrew Hashikawa, Steven Krug, Lorah Ludwig, Lenora M Olson

Abstract read
In one paragraph

Article in Pediatric emergency care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  7. Management of youth with suicidal ideation: Challenges and best practices for emergency departments.Journal of the American College of Emergency Physicians open · 2024
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  8. Article
  9. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Robyn A Cree
Marvin SoOak Ridge Institute for Science Education, Oak Ridge, TN.
Jessica FranksOak Ridge Institute for Science Education, Oak Ridge, TN.
Rachel RichardsUniversity of Utah, Department of Pediatrics, Division of Critical Care, Salt Lake City, UT.
Rebecca LeebFrom the Centers for Disease Control and Prevention, Division of Human Development and Disability, Atlanta, GA.
Andrew HashikawaMichigan Medicine, Department of Emergency Medicine, Ann Arbor, MI.
Steven KrugDepartment of Pediatrics, Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL.
Lorah LudwigEmergency Medical Services for Children, Division of Child, Adolescent, and Family Health, Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD.
Lenora M OlsonUniversity of Utah, Department of Pediatrics, Division of Critical Care, Salt Lake City, UT.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesThe majority of US children do not have access to an emergency department (ED) with a pediatric mental health care policy in place. Our objective was to understand factors associated with whether US EDs have a pediatric mental health care policy.

methodsWe analyzed data from the National Pediatric Readiness Project, a nationally representative cross-sectional survey of US EDs. Nurse managers reported whether their hospitals had a policy to care for children with social/mental health concerns (n = 3612). We calculated prevalence estimates, prevalence ratios (PRs), and confidence intervals (CIs) for regional and ED characteristics (eg, rurality and types of personnel) by whether EDs had a pediatric mental health care policy.

resultsOverall, 46.2% (n = 1668/3612) of EDs had a pediatric mental health care policy. Emergency departments located in remote areas were 60% less likely to have such a policy compared with EDs in urban areas (PR, 0.4; CI, 0.3-0.5). Emergency department characteristics associated with having a pediatric mental health care policy included having a policy to transfer children with social/mental health concerns (PR, 5.4; CI, 4.7-6.2), having a policy to address maltreatment (PR, 3.4; CI, 2.6-4.4), and having nurse and physician pediatric emergency care coordinators (PR, 1.6; CI, 1.5-1.8).

conclusionsLower prevalence of pediatric mental health policies in rural EDs is concerning considering EDs are often the first point of contact for pediatric patients. This work highlights the importance of pediatric emergency care coordinators in fostering ED capacity to meet children's mental health needs.

Indexed as

Emergency Medical ServicesMental HealthChildCross-Sectional StudiesEmergency Service, HospitalHealth PolicyHumans

Identifiers

PMID31738300
PMCPMC7217715

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.