Prior Out-of-Home Placement and Length of Stay Among Youths Receiving Mental Health Services in the ED

Is history of out-of-home placement (OOHP) associated with length of stay or use of physical or pharmacologic restraints among youths receiving mental health care in the emergency department?In this cross-sectional study of 1572 care encounters among 1119 patients, those with history of OOHP placement (328 encounters) spent approximately 24% more time in the ED vs those without history of OOHP. These patients also had higher odds of receiving physical or pharmacologic restraints for agitation.The findings of this study highlight the need for specialized, culturally sensitive, and trauma-informed services in psychiatric emergency settings for youths with a history of OOHP.

Corresponding Author: Casey K. Kelly, MD, Division of Psychiatry caseygilman@gmail.com).

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