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Objectives
Mental Illness in the Emergency Department:
World Health Organization
Disease burden (DALYs) 1990
Overview
Definitions
Definitions
Report of the Surgeon General on Mental Health
Why Mental Illness in Children
Mental Illness in Children
Maternal Depression
Epidemiology of Maternal Depression
Impact of Maternal Depression on Children
Why the ED
Graph
Graph
Mental Disorders in Children Presenting for Care at US Emergency Departments
Epidemiology in the ED
Visits to US Emergency Departments
Maternal Depression in a Pediatric Emergency Department
Purpose of Study
Methods
Methods- Screen
Methods- Descriptive Data
Demographics
Prevalence of Mood Disorders
Anxiety Disorders and Somatic Complaints
Total Prevalence of Mood Disorders, Anxiety Disorders and Somatic Complaints
Maternal Depression Effect on Life
Maternal Depression Effect on Taking Care of Children
Summary
Implications
Mental Illness Prevalence in a Pediatric Emergency Department
Mental Illness and the Maternal-Child Dyad
Specific Aims
Measurement Tools
Pediatric Mental Illnesses Screened
Results: Demographics
Positive Child Mental Health Screen by Disorder
Results: Percent of Children and Mothers with a Positive Screen
Association of Maternal and Pediatric Mental Illness
Relationship of Maternal and Child Mental Health Symptoms
Acceptability
Conclusions
Conclusions
Implications
Preventive Care in the Emergency Department
Unique Position of ED
Rationale for ED Mental Health Screening
Reasons Not to Provide Mental Health Screening
Not Missing the Opportunity
Overcoming the Hurdles
Overcoming the Hurdles
Questions?

Jacqueline Grupp-Phelan, M.D., MPH

Mental Illness in the Emergency Department: It's a Family Affair