Patient Caregiver Policies in the Hospital
Due to the surge in COVID-19 cases in our region and nationally, Seattle Children’s is returning to stricter guidelines regarding visitors in order to protect the health and safety of our patients, families and workforce.
Patients in both our inpatient and ambulatory settings will only be allowed a single caregiver effective Monday, Nov. 30.
Inpatient care visitor policy update:
- All families may identify two caregivers for their child’s inpatient stay.
- Only one caregiver may be at the bedside at a time.
- The two caregivers will remain the primary caregivers for the entirety of the hospitalization.
- The following exceptions will continue to apply:
- Caregivers of patients at the end of life may request an exception
- Patients whose caregivers are receiving discharge teaching
- Siblings who are younger than 12 months of age and who are breastfeeding may remain in a room with the breastfeeding parent if the patient is in standard precautions
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Research shows that COVID-19 is taking the greatest mental health toll on children and teens ages 11 to 17. Demand for counseling and treatment for this age group is high and growing. Washington’s Mental Health Referral Service for Children and Teens receives about 20 calls a day from families needing help, and the wait time to be connected to an available provider in their community is currently about 9 weeks. The service is adding more staff in January and hopes to bring wait times down to the two-week level of this summer.
“We recommend families not be daunted by the current wait and call us right away to start the process,” says Ana Clark, manager of the Partnership Access Line program (PAL). “We provide education over the phone and can get them started on the right track. Some families are able to find providers on their own after our initial guidance and recommendations. And for those families who need a little more help, they will be added to our wait list and helped as soon as we are able. Our goal is to help families as quickly as possible.” Read full post »
Erika Miller is the clinical practice manager of Psychiatry Consult Services and Emergency Department Mental Health, Seattle Children’s. Kashi Arora is the mental and behavioral health project manager with Community Health, Seattle Children’s. Sophie King is the supervisor of program operations for triage and the Crisis Care Clinic, Seattle Children’s.
Q: What mental health services does Seattle Children’s offer?
A: We offer short-term, outpatient mental health services through our Psychiatry and Behavioral Medicine (PBM) team. We start with a diagnostic evaluation to determine the patient’s needs and the evidence-based interventions recommended for these needs. We also discuss with families where it would be most helpful to receive care (either at Seattle Children’s or in the community).
In order to provide equitable and efficient care, many of our treatment programs operate using a stepped care model. They begin with a group or class for patients/caregivers, followed by short-term individual therapy as needed. Capacity for individual therapy is very limited. For youth pursuing medication, we offer a brief consultation model. We do not provide long-term therapy or medication management. Read full post »
An autumn uptick in mental health visits to the ED is normal as school begins and days darken. This year the surge began unexpectedly early at Seattle Children’s, in August, with about 20 more visits to the ED for mental health concerns than in the previous year. September and October ED numbers are holding steady so far compared to prior years. The difference is the acuity. More kids are arriving with mental health concerns who require admission.
“We all feared the effect that isolation, the pandemic and general societal stress would have on kids,” says Russ Migita, MD, clinical director of Emergency Services. “It’s because of the great work PCPs are doing to support kids and their families that we aren’t seeing even higher numbers in the ED yet. But the busy season is just beginning. We all need to work together to advocate for more resources and options for patients and families in the community.” Read full post »
