Evidence map›Paper›PMID 40971578›Full record

ArticleHERD2026

A Systems Approach to Pediatric Mental and Behavioral Healthcare in Emergency Departments: Recommendations From a National Workshop.

Anjali Joseph, Monica Gripko, RIPCHD.PED Study Group

Abstract read
In one paragraph

Article in HERD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

3 authors.

Anjali JosephCenter for Health Facilities Design and Testing, School of Architecture, Clemson University, Clemson, SC, USA.ORCID 0000-0001-5958-7334
Monica GripkoCenter for Health Facilities Design and Testing, School of Architecture, Clemson University, Clemson, SC, USA.ORCID 0000-0001-6995-6893
RIPCHD.PED Study GroupCenter for Health Facilities Design and Testing, School of Architecture, Clemson University, Clemson, SC, USA.

Funding

AHRQ HHS R18 HS029109
6 · The paper itself

Abstract

BackgroundPediatric patients increasingly seek care for mental and behavioral health (MBH) conditions in Emergency Departments (EDs). Yet, ED environments are poorly designed, organized, and equipped to deliver safe, effective care to these patients. There is an urgent need for solutions that improve safety and care quality and support provider wellbeing. To address this need, our team brought together experts from across the United States to identify and prioritize the most urgent challenges for further study and design intervention.MethodsA workshop held in September 2023 brought together 61 multidisciplinary experts and clinical stakeholders to identify, prioritize, and brainstorm solutions for the most urgent challenges facing EDs in providing care to pediatric MBH patients. Breakout groups built upon presentations from leaders in pediatric emergency healthcare and the research team's study findings to identify the six most critical challenges and brainstorm possible systems-based interventions to solve them.ResultsKey challenges included accommodating families, supporting flexibility and adaptability, respecting patient dignity and humanity, optimizing communication, minimizing the psychological effects of boarding, and safely supporting coping. The ideas generated in this workshop indicate that built environment interventions that facilitate flexible caregiving, support sensory environment control, and balance patient privacy with staff monitoring and ED policy and process interventions that clarify care team roles and standardize processes may support pediatric MBH care better.ConclusionsThe ideas generated in this serve as a framework and catalyst for researchers and health systems interested in developing systems-based solutions to the complex challenges of pediatric emergency mental healthcare.

Indexed as

Emergency Service, HospitalMental DisordersMental Health ServicesChildHumansUnited Statesbehavioral healthdesign workshopemergency departmentmental healthpatient safetypediatric

Identifiers

PMID40971578
PMCPMC13077794

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.