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Management of High Acuity Patients in Pediatric Medical Settings: The Role of Consultation/Liaison Psychologists During the Growing Mental Health Crisis
Journal of Clinical Psychology in Medical Settings ( IF 1.6 ) Pub Date : 2024-04-14 , DOI: 10.1007/s10880-024-10010-y
Marissa A Feldman 1 , Anna Monica Agoston 2 , Amanda N Burnside 3 , Natacha D Emerson 4 , Emily Mudd 5 , Kate Z Koehn 6 , Lauren E Gallanis 7
Affiliation  

Since the onset of the COVID-19 pandemic, consultation/liaison (C/L) psychologists had to drastically shift their practices to care for psychiatrically acute pediatric patients admitted to medical settings. The aim of the current study was to provide an updated state of the field surrounding these changes and their implications for clinical practice. Psychologists and psychology post-doctoral fellows completed an anonymous, 51-item survey distributed via a national professional organization listserv. The results review responses, by percentages, about C/L team composition and practice patterns, as they relate to suicide risk assessments, transfers to inpatient psychiatric and other levels of care, intervention for boarding patients, and disposition and safety planning. Thematically coded qualitative responses regarding impact and management of high acuity patients are also summarized. The state of the field outlined by this survey suggests an increase in C/L assessments and interventions delivered to pediatric patients with acute psychiatric needs, as well as a reverberating effects on provider wellness. Ensuring providers establish competency for this subset of patients is vital to the continued provision of optimal patient care and to sustained provider wellness. Considerations for the field are explored.



中文翻译:


儿科医疗环境中高敏度患者的管理:咨询/联络心理学家在日益严重的心理健康危机中的作用



自 COVID-19 大流行爆发以来,咨询/联络 (C/L) 心理学家必须彻底改变他们的做法,以照顾入院的精神科急性儿科患者。当前研究的目的是提供围绕这些变化的领域的最新状态及其对临床实践的影响。心理学家和心理学博士后研究员完成了一项通过国家专业组织 listserv 分发的匿名调查,包含 51 项调查。结果按百分比审查了有关 C/L 团队组成和实践模式的答复,因为它们涉及自杀风险评估、转移到住院精神科和其他级别的护理、对寄宿患者的干预以及处置和安全规划。还总结了关于高危患者的影响和管理的主题编码的定性反应。本次调查概述的领域状况表明,向有急性精神需求的儿科患者提供的 C/L 评估和干预措施有所增加,并对提供者的健康产生了深远影响。确保提供者建立针对这部分患​​者的能力对于持续提供最佳的患者护理和持续的提供者健康至关重要。探讨了该领域的考虑因素。

更新日期:2024-04-14
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