Mental and substance use disorders behavioral disorders affect 13 20 of children and adolescents in the united states 1studies indicate that 3 10 of hospital discharges are for children with a primary diagnosis of a behavioral disorder and that these conditions were among the top five most costly conditions for children ages 17 or younger in 2012 2 4. Psychiatric inpatient unit for school age children a total of 755 children were hospitalized for a total of 998 admissions from fiscal years 2003 to 2007 median age11 years 64 boys data were collected for three years before and 15 years after the six month implementation of the cps model of care results there were 559 restraint and . Behavior that threatens the physical safety of the patient staff or others 1 the hospital uses restraint or seclusion only to protect the immediate physical safety of the patient staff or others 2 the hospital does not use restraint documentation of restraint and seclusion in the medical record includes. Sullivan am rivera j profile of a comprehensive psychiatric emergency program in a new york city municipal hospital psychiatric q 200071123 138 6 american academy of child and adolescent psychiatry practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. Background agitation and aggression in children and adolescents in the emergency department ed can be dangerous and distressing for patients families and staff 1 agitation and aggression can disrupt care cause injury or necessitate use of physical restraint of youth presenting to the ed for psychiatric care 6 10 require restraint 2 3 at least 30 children in the united states
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