@article{ref1,
title="Characteristics, disposition, and outcomes of children hospitalized for mental health boarding at a children's hospital",
journal="Journal of hospital medicine",
year="2023",
author="Dalton, Evan M. and Krass, Polina and Bouchelle, Zoe and Fillmore, Adam and Katz, Tanner and Andrade, Gabriela and Camacho, Peter and Candon, Molly and Kane, Emily and Doupnik, Stephanie K.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Increasingly, youth experiencing mental health crises present to acute care medical hospitals and &quot;board&quot; on medical units due to inpatient psychiatric bed shortages. We conducted a retrospective cohort study of children experiencing mental health boarding at a US children's hospital from October 2020 to September 2022. We examined associations between patients' characteristics and their disposition and outcomes. Our cohort included 1891 boarding hospitalizations: 53.9% transferred to an inpatient psychiatric hospital and 46.1% discharged home. Characteristics associated with not being transferred to an inpatient psychiatric hospital included age <13 years (adjusted odds ratio [aOR] 0.6; 95% confidence interval [CI]: 0.4-0.7), disruptive or aggressive behavior (aOR 0.6; 95% CI: 0.4-0.8), psychosis (aOR 0.5; 95% CI: 0.3-0.8), COVID-19 infection (aOR 0.3; 95% CI: 0.2-0.6), or a complex chronic medical condition (aOR 0.8; 95% CI: 0.6-1.0). Our findings suggest that certain populations of children experiencing mental health boarding face disparate access to inpatient psychiatric care.<p /> <p>Language: en</p>",
language="en",
issn="1553-5592",
doi="10.1002/jhm.13228",
url="http://dx.doi.org/10.1002/jhm.13228"
}