Citation

McNicholas R, Quirke R, Lynch F, Maunder K, McNicholas F. Ir. Med. J. 2020; 113(2): e22.

Copyright

(Copyright © 2020, Winstone Publishing)

DOI

unavailable

PMID

32401452

Abstract

Aim Examine costs associated with acute mental health presentations (AMHP) to a paediatric emergency department (ED) in 2016 and 2018.

METHODS Case identification and bed costs were calculated.

RESULTS In 2018, 163 youths attended the ED with AMHP, 122 (75%) were admitted (average 8 days), representing a yearly cost to the hospital of €1,028,020, average cost per patient €8,426. This marks an increase of €425,320 or €2,686 per patient compared to 2016. Arriving out of hours, presence of self-harm (SH) and discharge to an inpatient psychiatry bed were all associated with greater costs.

CONCLUSION Despite increasing hospital costs associated with out of hours psychiatric emergencies, dedicated funding is not yet in place. All children should have access to urgent MH assessment. Work force planning and creation of pathways of care for young people with MH needs, including dedicated funding from HSE mental health division must be a priority.

Language: en

Keywords

Humans; Child; Female; Male; Adolescent; Hospitalization; Time Factors; Length of Stay; Self-Injurious Behavior; Mental Health; Emergency Service, Hospital; Acute Disease; Mental Health Services; Mental Disorders; Costs and Cost Analysis; After-Hours Care; Pediatric Emergency Medicine