Innovation Spotlight: New York Hospitals Are Improving Health, Enhancing Quality, and Reducing Costs.

Bellevue Hospital Center Improves Emergency Psychiatric Care for Children

Children in psychiatric crisis need specialized, appropriate care immediately, which requires specialized staff and dedicated physical space. At NYC Health + Hospitals/Bellevue, the Children's Comprehensive Psychiatric Emergency Program (CCPEP) is the only comprehensive psychiatric emergency care environment in the country dedicated solely to the care of children and adolescents. It is also the only place in New York City where children and families can see a child and adolescent psychiatrist and receive effective, individualized treatment any time of day or night.

With its ability to provide immediate outpatient psychiatric care to youth, this program addresses a major gap in the child and adolescent outpatient care continuum, and reduces unnecessary suffering and hospitalizations. Due to the CCPEP's three main components—emergency evaluation area, pediatric extended observation unit, and outpatient acute care services—more than 60% of youth evaluated can be stabilized, connected with NYC Health + Hospitals/Bellevue's outpatient acute care services, and discharged that same day. Additionally, 50% of extended observation admissions were discharged after 1.7 days, avoiding longer inpatient stays, while overall inpatient admission rates were maintained at 20%, one half the national average.