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Abstract
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Part I of this clinical report (http://www.pediatrics.org/cgi/doi/10.1542/peds.2016-1570) discusses the common clinical issues that may be encountered in caring for children and adolescents presenting to the emergency department (ED) or primary care setting with a mental health condition or emergency and includes the following:
Medical clearance of pediatric psychiatric patients
Suicidal ideation and suicide attempts
Involuntary hospitalization
Restraint of the agitated patient
Verbal restraint
Chemical restraint
Physical restraint
Coordination with the medical home
Part II discusses the challenges a pediatric clinician may face when evaluating patients with a mental health condition, which may be contributing to or a complicating factor for a medical or indeterminate clinical presentation. Topics covered include the following:
Somatic symptom and related disorders
Adverse effects of psychiatric medications
Antipsychotic adverse effects
Neuroleptic malignant syndrome
Serotonin syndrome
Children with special needs (autism spectrum disorders [ASDs] and developmental disorders [DDs])
Mental health screening
The report is written primarily from the perspective of ED clinicians, but it is intended for all clinicians who care for children and adolescents with acute mental health and behavioral problems. An executive summary of this clinical report can be found at http://www.pediatrics.org/cgi/doi/10.1542/peds.2016-1574.
Copyright (c) 2016 by American Academy of Pediatrics
Language: en |