Utilizing cognitive behavioral therapy, token economy technique to positively impact boarding of pediatric psychiatric patients
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Crystal Crider, BSN, RN, CEN; Luna Sanchez Rivera, MD; Beth Beaver, MS, CCLS; Sarah O'Rourke, PhD; GenaLynne C. Mooneyham, MD, MS, FAAP, FABPN; Ann White, MSN, APRN, CCNS, CEN CPEN
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- Non-member
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- Duke University Hospital, Durham, North Carolina, USA
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Recent US data estimates 5% to 7% of pediatric ED visits are related to mental health. The most common mental disorders diagnosed in childhood are Tourette syndrome, attention-deficit/hyperactivity (ADHD), behavior, mood, anxiety, autism spectrum (AS), and substance use disorders (SUD). Between 2011 and 2015, psychiatric ED visits per 1000 youth increased by 28%. Disposition is the major issue; the wait for outpatient psychiatry is long and inpatient psychiatric beds are a limited resource. This negatively impacts patient behavior, overall ED throughput and patient/family/staff satisfaction. This ED sought to develop an evidence based, proactive, consistent approach to improving pediatric patient behavior management during prolonged boarding.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Sigma Repository, unless otherwise noted.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | Clinical Practice Guideline(s) |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Pediatric Mental Health; Emergency Department; Pediatric Patient Care |
Name | EN20X – A Virtual Xperience |
Host | Emergency Nurses Association |
Location | Virtual Event |
Date | 2020 |
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