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Introduction: Indigenous communities in the U.S. and Canada have endured generations of historical trauma.

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Background And Objectives: Psychiatric boarding has implications for youth, their families, and hospital systems. We undertook a quality improvement (QI) project to address boarding at our institution. We aimed to stabilize patients who were boarding in our emergency department (ED) observation unit and to decrease the percentage of patients admitted to psychiatric facilities.

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Youth Emergency Department and Inpatient Psychiatric Recidivism After Treatment in a Community-Based Crisis Program.

Psychiatr Serv

December 2024

Department of Psychiatry (Marshall, Ribbers, Freeman, Nguyen, Magers, Maitland) and Department of Emergency Medicine (Sheridan), Oregon Health & Science University, Portland.

Objective: In emergency departments (EDs) nationwide, increasing numbers of youths in psychiatric crisis are "boarding," or awaiting psychiatric care in a nonpsychiatric setting. Community stabilization programs may reduce the prevalence of boarding while supporting behavioral health. This study aimed to evaluate ED and inpatient (IP) psychiatric recidivism of youths receiving Crisis and Transition Services (CATS), a community-based program providing in-home behavioral health crisis services.

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Special Challenges Working with Foster Care Youth in the Inpatient Setting.

Child Adolesc Psychiatr Clin N Am

January 2025

Department of Psychiatry, University of Illinois at Chicago, Neuropsychiatric Institute, 912 South Wood Street, 6th Floor Mailroom, Chicago, IL 60612, USA.

Article Synopsis
  • - The inpatient treatment of youths in foster care facing severe emotional or behavioral issues is complicated by unique challenges like placement shortages and custody relinquishment.
  • - These young individuals often suffer from deeper issues, including prenatal alcohol exposure, domestic violence, neglect, and various forms of abuse, which complicate their treatment.
  • - The authors highlight the prolonged hospital stays and the need for better collaboration with foster and biological families as well as the child welfare system to improve treatment outcomes.
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