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US Pediatric Emergency Department Visits for Mental Health Conditions During the COVID-19 Pandemic

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

The mental health (MH) of youth in the United States has been negatively impacted by the COVID-19 global pandemic.1,2 Containment measures, including restrictions and school closures, have been associated with the development and exacerbation of pediatric MH disorders.3 Pediatric emergency departments (EDs) have served an increasing role in assessing and triaging children with MH conditions over the past decade,4 and the COVID-19 pandemic has changed the system of pediatric MH care delivery.5 Therefore, we conducted this cross-sectional study to describe the changes in the demographic characteristics and clinical outcomes of pediatric ED visits for MH conditions during the COVID-19 pandemic.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: March 11, 2021.

Published: April 30, 2021. doi:10.1001/jamanetworkopen.2021.8533

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Krass P et al. JAMA Network Open.

Corresponding Author: Polina Krass, MD, Division of Adolescent Medicine, Department of Pediatrics, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104 (krassp@email.chop.edu).

Author Contributions: Drs Krass and Dalton had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Drs Krass and Dalton contributed equally to this work.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: Krass, Dalton, Doupnik.

Drafting of the manuscript: Krass, Dalton, Doupnik.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Krass, Dalton, Esposito.

Administrative, technical, or material support: Doupnik, Esposito.

Supervision: Doupnik, Esposito.

Conflict of Interest Disclosures: Dr Doupnik reported receiving grant K23MH115162 from the National Institute of Mental Health during the conduct of the study. No other disclosures were reported.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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