Description
In October 2021 a mental health state of emergency was issued by American Academy of Child and Adolescent Psychiatry, American Academy of Pediatrics, and Children’s Hospital Association for child mental health. Although focusing on children, increases in behavioral health utilization has increased across the lifespan leading to health systems needing to rethink how we address unique populations (1). Indeed, some populations experienced increased hardship via the covid 19 pandemic secondary to difficulty accessing services, differential death rates in different populations, and employment challenges (2). This was in the setting of a national reckoning on race and social constructs with ongoing socio-political issues (3). In addition, neuroatypical children were accessing care at an increased rate, highlighting the need for environmental considerations in this population (4). With social considerations more prevalent, emergency departments must address populations more adequately with recognition of disparities in care (5). Given concerns, there is an importance to skillfully approaching populations in a culturally sensitive and developmentally appropriate manner to improve health outcomes. This presentation focuses on unique considerations in Black and Indigenous People of Color (BIPOC), Lesbian, Gay, Bisexual, Trans, Queer/Questioning (LGBTQ+), and Neuroatypical individuals in crisis care. Dr Schott, Director of Emergency Psychiatry Services, who serves at a primary minority serving children’s hospital will discuss BIPOC considerations including differential treatment in physical/chemical restraints, misdiagnosis (6), carceral responses, and novel preventative community engagement techniques. Mr. Lester Wu, a PhD student in counseling and emergency management graduate, will discuss LGBTQ+ considerations including navigating disclosures/confidentiality unique to the open access era, gender expression, and behavioral health trends including suicidality. Dr. Kalari, a neurodevelopmental specialist and child and adolescent psychiatrist, will discuss considerations in neuroatypical patients and those with intellectual disabilities including environmental/sensory concerns, boarding trends, agitation recommendations, and medical team liaising considerations. The presentations will conclude with discussions on program exemplars and advocacy considerations to improve behavioral health outcomes.
Format
Recorded webinar.
This content was recorded during the APA 2023 Annual Meeting.
Learning Objectives
- Highlight disparities in BIPOC populations in emergency settings
- Explore trauma informed emergency approaches for LGBTQ+ populations
- Discuss neurodivergent youth and special considerations for the emergency department
Target Audience
Medical Students, Residents/Fellows, Psychiatrists, non-psychiatrist Physicians
Estimate Time to Complete
Estimated Duration: 1.5 hours
Program Start Date: May 1, 2025
Program End Date: May 1, 2028
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™ may do so after completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
Continuing Education Credit
In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The APA designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Instructors
- Brandon Newsome, MD
- Kuan-I (Lester) Wu, MS, MSEd, LGPC, LPC
- Vamsi Kalari, MD
- Meghan Schott, MD, DO
Planners
- Vishal Madaan, MD, Chief of Education and Deputy Medical Director at the American Psychiatric Association.
Accessibility for Participants with Disabilities
The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. Please contact the American Psychiatric Association at 202-559-3900, if you require assistance seven (7) business days prior to the start of a live webinar.
Technical Requirements
This internet-based CME activity is best experienced using any of the following:
- The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
- Internet Explorer 11+
This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.
Optimal System Configuration:
- Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
- Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
- Internet Connection: 1 Mbps or higher
Minimum Requirements:
- Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
- Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content
For assistance: Contact educme@psych.org for questions about this activity | Contact learningcenter@psych.org for technical assistance