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2022: Two-year Impact Factor: 4.4
Scopus Journal Metrics
CiteScore (2022): 5.3
SNIP(2022):1.389
SJR(2022): 0.78
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Health Promot Perspect. 2023;13(1): 36-39.
doi: 10.34172/hpp.2023.04
PMID: 37309436
PMCID: PMC10257568
Scopus ID: 85160097929
  Abstract View: 336
  PDF Download: 335
  Full Text View: 87

Perspective

The perils of boarding: A call to achieve parity in the delivery of acute psychiatric services for children with COVID-19

Aysha Jawed 1* ORCID logo, Rachel Boro-Hernandez 1

1 Johns Hopkins Children’s Center, Department of Pediatric Social Work, Baltimore, MD, USA
*Corresponding Author: Aysha Jawed, Email: ajawed1@jhmi.edu

Abstract

Boarding across pediatric healthcare systems is on the rise during the pandemic. Children with positive COVID-19 test results awaiting psychiatric placements in the emergency department or medical unit settings are at increased risk for decompensation with unmet psychiatric needs during a time of crisis marked by vulnerability. There is scant literature unveiling best practices on delivery of care for these patients to achieve acute crisis stabilization. Recent studies have uncovered substantial increases in mental health disorders among children during the pandemic compared to previous incidence and prevalence rates prior to the pandemic. From the published literature, two healthcare systems have initiated long-term planning, development, and implementation of biodome psychiatric units for patients with COVID-19 in need of acute crisis stabilization services. We sampled 100 acute inpatient child and adolescent psychiatric programs to discern their post-COVID positive clearance policies for admission. Findings were mixed among days of quarantine required, symptomology, covid-designated spaces vs. self-isolated rooms for psychiatric treatment, number of COVID negative retests, and additional considerations. We also review a range of considerations and recommendations for clinical practice and the health system in achieving parity in mental health care for these patients which in turn could contribute towards mitigating the rising global mental health crisis. Furthermore, increasing access to acute psychiatric services for these patients will also contribute towards the larger goal of the World Health Organization, Sustainable Developmental Goals of the United Nations, and Healthy People 2030 in increasing accessibility, quality and equity of mental health care for individuals on both global and national frontiers.
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Submitted: 22 Mar 2023
Accepted: 23 Mar 2023
ePublished: 30 Apr 2023
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