Pediatric emergency medicine trisk 4159 4159
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with their depression that they do not focus effectively on the child’s
problem or may blame the child for their own problems. Families that do not
present with organized mental and social functioning may have serious
difficulties resolving crises ( Table 126.4 ).
The goal of a family evaluation for childhood psychiatric emergencies is
to determine the methods they use to help the child when distressed, how
well these work, and gauge the willingness to try new strategies to help with
the current crisis. When the physician approaches parents as partners, the
likelihood of an effective collaboration between parents and medical staff is
maximized.
Using Social Support
Some families come to the ED feeling isolated, overwhelmed, and
exhausted. Often, such families have not used all the family and community
resources available to them. Effective crisis intervention for psychiatric
emergencies involves not only emergency treatment but also effective
disposition planning for the family. The ED staff should determine what
other family members and community resources are available to the family.
