Colville, G
(2023)
Mental Health Provision in PICU: An Analysis of Referrals to an Embedded Psychologist Over 20 Years at a Single Center.
Pediatric Critical Care Medicine, 24 (12).
e592-e601.
ISSN 1529-7535
https://doi.org/10.1097/PCC.0000000000003341
SGUL Authors: Colville, Gillian
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Abstract
Objectives: The main aim of this study was to illustrate the type of mental health provision possible on PICU by describing the nature of referrals of child patients and their parents to an embedded psychologist over a 20-year period, adding to the literature on intervention and service development. Design: Retrospective evaluation of anonymized departmental database. Setting: Twelve-bed PICU at a teaching hospital in a major urban center. Patients: Five hundred forty-five consecutive referrals for support for parent and/or child by PICU staff between 1998 and 2017. Interventions: None. Measurements and Main Results: Referrals increased from seven of 288 (2.4%) in 1998 to 85 of 643 (13.2%) in 2017. The majority were for parent support initially (456/545, 84%). Mean (sd) number of contacts was 4.5 (10.2), range 1 to 143, and mode was 1. Patient gender and age typical of the total PICU population, but referrals were more common where children had an oncology or trauma diagnosis (p < 0.001). Comparisons with other inpatient referrals at the same hospital revealed a higher proportion of requests were made for parent support on PICU (456/545 [84%] vs 789/1,997 [40%]; p < 0.001) and that nurses were more likely to initiate referrals on PICU than on the other wards (437/543 [80%] vs 1,190/1,993 [60%]; p < 0.001). In other respects, the two groups were similar in terms of number of sessions, waiting times, and attendance rates. Conclusions: Growing appreciation of the psychological impact of a child’s admission to PICU has been associated with increasing referral to an embedded psychologist over a 20-year period, at this center. Clinical and service implications are outlined in the context of the latest research on the mitigation of post-intensive care syndrome in this population.
Item Type: | Article | ||||||||
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Additional Information: | This is a non-final version of an article published in final form in Colville, G (2023) Mental Health Provision in PICU: An Analysis of Referrals to an Embedded Psychologist Over 20 Years at a Single Center. Pediatric Critical Care Medicine, 24 (12). e592-e601. | ||||||||
Keywords: | 1110 Nursing, 1114 Paediatrics and Reproductive Medicine, Pediatrics | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Population Health Research Institute (INPH) | ||||||||
Journal or Publication Title: | Pediatric Critical Care Medicine | ||||||||
ISSN: | 1529-7535 | ||||||||
Dates: |
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Publisher License: | Publisher's own licence | ||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/115507 | ||||||||
Publisher's version: | https://doi.org/10.1097/PCC.0000000000003341 |
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