{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:36:27Z","timestamp":1785407787972,"version":"3.56.0"},"reference-count":38,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVES:<\/jats:title>\n                  <jats:p>Patients with a primary mental health condition account for nearly 10% of pediatric hospitalizations nationally, but little is known about the quality of care provided for them in hospital settings. Our objective was to develop and test medical record\u2013based measures used to assess quality of pediatric mental health care in the emergency department (ED) and inpatient settings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>We drafted an evidence-based set of pediatric mental health care quality measures for the ED and inpatient settings. We used the modified Delphi method to prioritize measures; 2 ED and 6 inpatient measures were operationalized and field-tested in 2 community and 3 children\u2019s hospitals. Eligible patients were 5 to 19 years old and diagnosed with psychosis, suicidality, or substance use from January 2012 to December 2013. We used bivariate and multivariate models to examine measure performance by patient characteristics and by hospital.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Eight hundred and seventeen records were abstracted with primary diagnoses of suicidality (n = 446), psychosis (n = 321), and substance use (n = 50). Performance varied across measures. Among patients with suicidality, male patients (adjusted odds ratio: 0.27, P &amp;lt; .001) and African American patients (adjusted odds ratio: 0.31, P = .02) were less likely to have documentation of caregiver counseling on lethal means restriction. Among admitted suicidal patients, 27% had documentation of communication with an outside provider, with variation across hospitals (0%\u201338%; P &amp;lt; .001). There was low overall performance on screening for comorbid substance abuse in ED patients with psychosis (mean: 30.3).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>These new pediatric mental health care quality measures were used to identify sex and race disparities and substantial hospital variation. These measures may be useful for assessing and improving hospital-based pediatric mental health care quality.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2017-3554","type":"journal-article","created":{"date-parts":[[2018,5,31]],"date-time":"2018-05-31T07:25:10Z","timestamp":1527751510000},"source":"Crossref","is-referenced-by-count":33,"title":["Hospital-Based Quality Measures for Pediatric Mental Health Care"],"prefix":"10.1542","volume":"141","author":[{"given":"Naomi S.","family":"Bardach","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of California San Francisco, San Francisco, California\u037e"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Q","family":"Burkhart","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, California\u037e"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura P.","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington, Seattle, Washington\u037e"},{"name":"Center for Child Health, Behavior and Development, Seattle Children\u2019s Research Institute, Seattle, Washington;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol P.","family":"Roth","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, California\u037e"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Michael","family":"Murphy","sequence":"additional","affiliation":[{"name":"Division of Child and Adolescent Psychiatry, Massachusetts General Hospital, Boston, Massachusetts;"},{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Layla","family":"Parast","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, California\u037e"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney A.","family":"Gidengil","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Harvard University, Boston, Massachusetts;"},{"name":"RAND Corporation, Boston, Massachusetts\u037e"},{"name":"Division of Infectious Diseases, Boston Children\u2019s Hospital, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Marmet","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria T.","family":"Britto","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Cincinnati Children\u2019s Hospital, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Mangione-Smith","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington, Seattle, Washington\u037e"},{"name":"Center for Child Health, Behavior and Development, Seattle Children\u2019s Research Institute, Seattle, Washington;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2018,6,1]]},"reference":[{"issue":"7","key":"2021120916291689400_B1","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1097\/00004583-199607000-00012","article-title":"The NIMH Diagnostic Interview Schedule for Children version 2.3 (DISC-2.3): description, acceptability, prevalence rates, and performance in the MECA study. 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