An Evaluation of Satisfaction with Emergency Department Care in Children and Adolescents with Mental Health Concerns

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dc.contributor.advisorFreedman, Stephen
dc.contributor.advisorNewton, Amanda S
dc.contributor.authorLategan, Conné
dc.contributor.committeememberArnold, Paul
dc.contributor.committeememberLang, Eddy
dc.date2022-11
dc.date.accessioned2022-05-09T17:42:12Z
dc.date.available2022-05-09T17:42:12Z
dc.date.issued2022-05-06
dc.description.abstractThe emergency department (ED) is a vital safety net for children and adolescents with mental health concerns seeking crisis care. Yet, EDs face significant challenges in managing mental health concerns. Evaluating patient and parent/caregiver satisfaction with care delivery is essential to guide improvements in the quality of mental health services provided. This study involved enrolling participants over a 12-month period to evaluate child/adolescent and parent/caregiver satisfaction with mental health care in two pediatric EDs. Patients <18 years of age presenting with a range of mental health concerns (e.g., anxiety, disruptive behaviours, self- harm, depression, situational crisis) were eligible and enrolled. Discharge diagnoses were grouped by ICD-10-CA codes. Data were collected using the Service Satisfaction Scale. I conducted Pearson’s correlation coefficient tests to report associations of general satisfaction with individual aspects of ED care, multivariable regression analysis to report associations of total satisfaction score with patient and clinical care characteristics, and inductive thematic analysis to identify and describe satisfaction and patient experience themes from qualitative feedback. The study included 646 participants, the majority of whom were Caucasian (71.2%; 460/646), female (56.3%; 364/646). The median age of patients was 13 years (IQR, 11-15 years). The most common diagnoses among participants were anxiety or stress-related disorders (39.5%; 245/620), suicidal ideation (26.0%; 161/620), and mood disorders (25.0%; 155/620). The perception of the amount of help a child received during the visit was most strongly associated with general satisfaction (r=0.85). Clinical care characteristics associated with satisfaction were receipt of an evaluation by a mental health team member (p=0.004) and consultation by a psychiatrist (p=0.05) during the ED visit. Themes that emerged from the thematic analysis included satisfaction with the ED health care team’s attitude and interpersonal skills and dissatisfaction with standards of care expectations, wait time for care, and general access to mental health care. Overall, the results point to the need to improve the satisfaction with ED mental health care delivery with a particular focus on enhancing access to care to mental health providers with expertise (e.g., mental health nurses, counsellors, psychiatrists).en_US
dc.identifier.citationLategan, C. (2022). An Evaluation of Satisfaction with Emergency Department Care in Children and Adolescents with Mental Health Concerns (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/39759
dc.identifier.urihttp://hdl.handle.net/1880/114644
dc.language.isoengen_US
dc.publisher.facultyCumming School of Medicineen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectemergency departmenten_US
dc.subjectmental healthen_US
dc.subjectpaediatricsen_US
dc.subjectchildrenen_US
dc.subjectadolescentsen_US
dc.subjectmental health careen_US
dc.subjectemergency department careen_US
dc.subjectpatient-orienteden_US
dc.subjectsatisfactionen_US
dc.subjectpatient satisfactionen_US
dc.subjectpatient experienceen_US
dc.subject.classificationEducation--Healthen_US
dc.subject.classificationBiophysics--Medicalen_US
dc.subject.classificationEpidemiologyen_US
dc.subject.classificationMental Healthen_US
dc.subject.classificationNursingen_US
dc.subject.classificationPublic Healthen_US
dc.titleAn Evaluation of Satisfaction with Emergency Department Care in Children and Adolescents with Mental Health Concernsen_US
dc.typemaster thesisen_US
thesis.degree.disciplineMedicine – Medical Sciencesen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Science (MSc)en_US
ucalgary.item.requestcopytrueen_US
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