Clinical Pediatrics

 

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Clinical Pediatrics, Vol. 10, No. 9, 524-527 (1971)
DOI: 10.1177/000992287101000909

The Pediatric Emergency Department

Locus for Recognition of Psychosocial Disability

Charles G. Solky, M.D.

University of Rochester School of Medicine and Dentistry, Rochester, New York

Robert A. Hoekelman, M.D.

Health Service University of Rochester School of Medicine and Dentistry, Rochester, New York

The prevalence of known psychiatric dis turbance in one or both parents of a 15 per cent sample of children seen over a three month period in the emergency de partment of the University of Rochester Medical Center was 12 per cent. Compari son of this group with a control group of children utilizing the emergency depart ment whose parents did not have a known psychiatric disturbance showed no signifi cant differences for race, age, or sex of the children, in frequency of use of the emer gency department, inappropriate use of the emergency department, or frequency of ap pointment breaking. Parents with charac ter disorders and anxiety reactions were most apt to use the pediatric emergency department inappropriately.

Since the demographic and utilization characteristics reported upon are of no help in identifying emotional illness in par ents of children brought to the emergency department for care, more subtle indicators of psychosocial difficulties in parents are presented and methods of helping the phy sician in training to recognize and respond to them are outlined.


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