The Emergency Department Is Not the System: Youth Mental Health and the Need for a Continuum of Care.

Mollie C Marr, K Ron-Li Liaw, Lisa M Horowitz, Laura E Love, Jennifer Havens

Abstract readReview

In one paragraph

Review in Child and adolescent psychiatric clinics of North America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mollie C MarrDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Electronic address: mmarr@mgb.org.

K Ron-Li LiawDepartment of Psychiatry, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.

Lisa M HorowitzDepartment of Psychiatry, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.

Laura E LoveMental Health Family Advisory Council at Children's Hospital Colorado, Denver, CO, USA.

Jennifer HavensDepartment of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA.

Funding

Fostering Research Mentorship and Training During Psychiatry ResidencyR25MH135837 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MAURIZIO FAVA, ISABEL TERESA LAGOMASINO · 2024 to 2026

$648k

NIMH NIH HHS R25 MH135837

6 · The paper itself

Abstract

The dramatic rise in pediatric mental health visits to emergency departments that started in the 1990s continues, reflecting an ongoing youth mental health crisis. There is an urgent need for a comprehensive care continuum with accessible outpatient services capable of identifying and supporting the mental health needs of children regardless of acuity, payor, and geographic setting. A fully realized child mental health continuum of care meets children where they are; adequately funds services from the outpatient clinic to the inpatient unit; delivers evidence-based treatments targeted to reduce mental health symptoms; and supports the development of a skilled behavioral health workforce.

Indexed as

Continuity of Patient CareEmergency Service, HospitalMental DisordersMental Health ServicesAdolescentChildEmergency Room VisitsHumansChild and adolescentContinuum of careSuicideWorkforceYouth mental health crisis

Identifiers

PMID42297544

DOI10.1016/j.chc.2026.03.002

PMCPMC13374531

What OpenQuestion holds

Textmetadata

LicenceTDM

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.