ArticleAdministration and policy in mental health2023
Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping.
Article in Administration and policy in mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A mixed methods systematic review of the impact of paediatric mental health liaison services on children and young people's mental and physical health, stakeholder experience, and service-level outcomes.European child & adolescent psychiatry · 2025Pooled it
- An integrated alcohol and suicide intervention for adolescents in inpatient psychiatric treatment.Suicide & life-threatening behavior · 2025Trial
- Patient Journey Mapping in Mental Disorders: A Scoping Review.International journal of mental health nursing · 2026Article
- Patients with Autism Spectrum or Intellectual Disability in the Psychiatric Emergency Department: Findings from a 10-year Retrospective Review.Journal of autism and developmental disorders · 2026Article
- Waiting for a hospital bed: Disparities in emergency department boarding.Journal of hospital medicine · 2026Article
- Pediatric addictions and mental health boarding in emergency departments: a scoping review.CJEM · 2026Article
- Effects of Psychiatric Inpatient or Residential Care on Service Use After Psychiatric Emergency Department Boarding.Psychiatric services (Washington, D.C.) · 2026Article
- Shortening the Stay for Youths in Acute Care Hospitals: A Scoping Review of Interventions.Psychiatric services (Washington, D.C.) · 2026Article
- Journey Mapping the Unmet Needs in Pediatric Adenoid Hypertrophy: A Caregiver's Perspective.Nature and science of sleep · 2026Article
- Patient journey mapping in an open-door psychiatric inpatient unit.Frontiers in psychiatry · 2026Article
- Realist review protocol for understanding young people's experiences of engaging with police-mental health practitioner collaboration in emergency responses to mental health crises.Systematic reviews · 2025Article
- Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments.Applied ergonomics · 2025Article
- Can We Help Our Physicians and Our Profession?Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025Article
- Article
- The Influence of Project ECHO and Integrated Behavioral Health in Primary Care on Emergency Department Visits Among Youth Diagnosed with Depression.The journal of behavioral health services & research · 2025Article
- "Psychiatric emergency consultations of minors: a qualitative study of professionals' experiences".BMC psychiatry · 2024Article
- Impact of mental health boarding on clinicians at a children's hospital: A qualitative analysis.Journal of hospital medicine · 2024Article
- Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods.BMJ paediatrics open · 2024Article
- Review of pediatric emergency care and the COVID-19 pandemic.Journal of the American College of Emergency Physicians open · 2023Article
- Trends in Acute Care Use for Mental Health Conditions Among Youth During the COVID-19 Pandemic.JAMA psychiatry · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Over the past decade, healthcare providers nationwide have contended with a growing boarding crisis as pediatric patients await psychiatric treatment in emergency departments (EDs). COVID-19 has exacerbated this urgent youth mental health crisis, driving EDs to act as crisis units. Journey mapping is a robust methodology with which to examine strengths and challenges in patient care workflows such as boarding and emergency psychiatric care. Psychiatric, emergency medicine, and hospitalist providers serving patients boarding at a northeastern children's hospital participated in semi-structured qualitative interviews. Investigators conducted directed content analysis with an inductive approach to identify facilitators, barriers, and persistent needs of boarding patients, which were summarized in a patient journey map. Findings were presented to participants for feedback and further refinement. Quantitative data showed a three-fold increase in the number of patients who boarded over the past three years and a 60% increase in the average time spent boarding in the ED. Emergent qualitative data indicated three stages in the boarding process: Initial Evaluation, Admitted to Board, and Discharge. Data highlighted positive and negative factors affecting patient safety, availability of beds in pediatric hospital and psychiatric inpatient settings, high patient-provider ratios that limited staffing support, and roadblocks in care coordination and disposition planning. Patient journey mapping provided insight into providers' experiences serving patients boarding for psychiatric reasons. Findings described bright points and pain points at each stage of the boarding process with implications for psychiatric care and systemic changes to reduce boarding volume and length of stay.
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