You are the Administrative Director of Emergency

You are the Administrative Director of Emergency Department in a coastal city in Louisiana. You have noticed an increased number of ED visits by children with depression. After a quick search, you found out that your county in fact has 3 times the national average of childhood depression post-Katrina. In general, behavioral health services delivered through the ED require more than twice the time as the average medical protocol offered in the same setting. The negative impact of behavioral health patient overutilization of ED resulted in longer wait times, increased patient frustration, and diminished capacity of clinical staff. Your further research also showed that there is apparent shortage of mental health professionals in the state, lack of community knowledge of available mental health resources, lack of low-income parents’ access to transportation to mental health resources for depressed children, and lack of healthy afterschool activities for children of working parents. Speak on internal hospital solutions and community collaboration solutions. Include the discussion of the roles of community mental health services and patient centered medical homes (PCMH) in the treatment and prevention of mental illness. Consider the use of telemedicine, comprehensive care management, care coordination, health promotion, transitional care, family support, and referral to social support.

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