The State of Emergency Child and Adolescent Psychiatry: Raising the Bar

Child Adolesc Psychiatr Clin N Am. 2018 Jul;27(3):357-365. doi: 10.1016/j.chc.2018.02.001. Epub 2018 Apr 12.


The current state of emergency child and adolescent psychiatry includes common historical challenges to safe and effective care as well as recent innovations in multiple settings that increase the quality of that care. These include (1) enhancements within pediatric emergency departments (EDs), (2) specialized and dedicated child psychiatry emergency programs that are hospital based, (3) telepsychiatry programs that spread access to child psychiatric evaluation and treatment planning, and (4) community-based mobile programs diverting youth from EDs. Together, these highlight the work in North America over the past 5 years to improve the care of youth in psychiatric crisis.

Keywords: Child psychiatric evaluation and treatment planning; Emergency child and adolescent psychiatry; Pediatric emergency departments; Systems of care; Telepsychiatry programs.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adolescent Psychiatry*
  • Child
  • Child Psychiatry*
  • Emergency Medicine*
  • Emergency Service, Hospital*
  • Emergency Services, Psychiatric*
  • Humans
  • Mental Health Services*