TY - JOUR
AU - S. A. House
AU - M. Arakelyan
AU - S. C. Acquilano
AU - L. Roche
AU - J. K. Leyenaar
A1 - 
AB - The number of children and adolescents presenting to hospitals with mental health conditions has increased markedly over the past decade. A dearth of pediatric mental health resources prevents delivering definitive psychiatric care to this population at many hospitals; thus, children and adolescents must wait at a medical facility until appropriate psychiatric care becomes available (an experience described as psychiatric "boarding"). Clinicians caring for youth experiencing psychiatric boarding report inadequate training and resources to provide high-quality care to this population, and patients and caregivers describe significant frustration with the current standard of care. Recognizing these issues and the unique emotional components associated with psychiatric boarding, we employed human-centered design (HCD) to improve our hospital's approach to caring for youth during this period. HCD is an approach that specifically prioritizes the assessment and integration of human needs, including emotional needs, as a means to inform change. We used an HCD framework encompassing 5 stages: (1) empathize with those affected by the issue at hand, (2) define the problem, (3) ideate potential solutions, (4) prototype potential solutions, and (5) test potential solutions. Through these stages, we elicited broad stakeholder engagement to develop and implement 2 primary interventions: A modular digital health curriculum to teach psychosocial skills to youth experiencing boarding and a comprehensive clinical practice guideline to optimize and standardize care across clinical environments at our hospital. This manuscript describes our experience applying HCD principles to this complex health care challenge.
AD - Department of Pediatrics, Dartmouth Health Children's, Lebanon, New Hampshire.; The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire; and.; The Value Institute, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
AN - 38577744
BT - Hosp Pediatr
C5 - Healthcare Disparities
CP - 5
DA - May 1
DO - 10.1542/hpeds.2023-007688
DP - NLM
IS - 5
JF - Hosp Pediatr
LA - eng
N2 - The number of children and adolescents presenting to hospitals with mental health conditions has increased markedly over the past decade. A dearth of pediatric mental health resources prevents delivering definitive psychiatric care to this population at many hospitals; thus, children and adolescents must wait at a medical facility until appropriate psychiatric care becomes available (an experience described as psychiatric "boarding"). Clinicians caring for youth experiencing psychiatric boarding report inadequate training and resources to provide high-quality care to this population, and patients and caregivers describe significant frustration with the current standard of care. Recognizing these issues and the unique emotional components associated with psychiatric boarding, we employed human-centered design (HCD) to improve our hospital's approach to caring for youth during this period. HCD is an approach that specifically prioritizes the assessment and integration of human needs, including emotional needs, as a means to inform change. We used an HCD framework encompassing 5 stages: (1) empathize with those affected by the issue at hand, (2) define the problem, (3) ideate potential solutions, (4) prototype potential solutions, and (5) test potential solutions. Through these stages, we elicited broad stakeholder engagement to develop and implement 2 primary interventions: A modular digital health curriculum to teach psychosocial skills to youth experiencing boarding and a comprehensive clinical practice guideline to optimize and standardize care across clinical environments at our hospital. This manuscript describes our experience applying HCD principles to this complex health care challenge.
PY - 2024
SN - 2154-1671
SP - 394
EP - 402+
ST - Human-Centered Design to Improve Care for Youths Experiencing Psychiatric Boarding
T1 - Human-Centered Design to Improve Care for Youths Experiencing Psychiatric Boarding
T2 - Hosp Pediatr
TI - Human-Centered Design to Improve Care for Youths Experiencing Psychiatric Boarding
U1 - Healthcare Disparities
U3 - 10.1542/hpeds.2023-007688
VL - 14
VO - 2154-1671
Y1 - 2024
ER -