Behavioral Health Issues Clinical Pathway — Emergency Department

Admission Location, Process

  • Evaluation completed by ED Team
  • Local review of child recommendations with the ED Psychiatry, Social Work and ED team, considering co-morbidities and behavioral risks, as per usual process
  • ED Psychiatry makes the recommendation regarding admission location EDECU vs. inpatient unit based on the child-specific characteristics/needs
  • If Escalation Call is required:
    • PEM Attending/ED Psychiatry discusses with NOL
    • POL can join if any concerns
  • If there are no EDECU beds:
    • Child in ED can be admitted to appropriate inpatient bed, or if EDECU eligible, child in the EDECU can be admitted inpatient to make room