Abstract
This study describes the use of emergency mental health services by children over a 4-year period. Analysis of a statewide database revealed 51,861 or 15% of all involuntary examinations were conducted on children. These youth were on average a little over 14 years of age and law enforcement officials initiated the majority of examinations. The majority of examinations were initiated due to the children demonstrating harmful behaviors to themselves or others. One-fifth of the children (21%) experienced more than one examination over the 4-year period. Areas of future research on this topic are discussed. The implications of the nature of examinations and patterns of repeated examinations are discussed.
Similar content being viewed by others
References
2004 Baker Act Handbook (The Florida Mental Health Act): User Reference Guide. (2004). Mental Health Program Office, Florida Department of Children and Families, State of Florida. Available at http://www.myflorida.com/cf_web/myflorida2/healthhuman/ substanceabusementalhealth/laws/index.html or via http://www.bakeract.fmhi.usf.edu
Burns, B. J., Hoagwood, K., & Mrazek, P. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review, 2, 199–254.
Christy, A., Stiles, P. G., & Shanmugam, S. (2003, November). The Florida Mental Health Act (The Baker Act): 2002 Annual Report. Prepared for the Florida Agency for Health care Administration. Louis de la Parte Florida Mental Heath Institute, Department of Mental Health Law & Policy, Policy and Services Research Data Center. Report available at: http://www.bakeract.fmhi.usf.edu
Edelsohn, G. A., Braitman, L. E., Rabinovich H., Sheves, P., & Melendez, A. (2003). Predictors of urgency in a pediatric psychiatric emergency service. Journal of the American Academy of Child and Adolescent Psychiatry, 42(10), 1197–1202.
Florida Statutes (2004). section 394.
Foster, E. M., Qaseem, A., & Connor, T. (2004). Can better mental health services reduce the risk of juvenile justice system involvement? American Journal of Public Health, 94, 859–865.
Hillard, J. R. (1994). The past and future of psychiatry emergency services in the US. Hospital and Community Psychiatry, 45, 541–543.
Hoyle, J. D., Jr., & White, L. J. (2003). Treatment of pediatric and adolescent mental health emergencies in the United States: Current practices, models, barriers, and potential solutions. Prehospital Emergency Care, 7, 66–73.
Kutash, K., & Rivera, V. R. (1996). What works in children’s mental health services?. Baltimore: Paul H. Brookes.
McGaha, A., Stiles, P. G., & Petrila, J. (2002). Emergency involuntary psychiatric examinations in Florida. Psychiatric Services, 53, 1171–1172.
National Center for Education Statistics (2005). Urban/rural classification systems. Retrieved March 31, 2005, from http://www.nces.ed.gov/surveys/ruraled/definitions.asp
Ringel, J. S., & Sturm, R. (2001). National estimates of mental health utilization and expenditures for children in 1998. Journal of Behavioral Health Services and Research, 28(3), 319–332.
U.S. Census (2000). Florida quick facts. Retrieved October 12, 2004, from http://www.quickfacts.census.gov/qfd/states/12000.html
U.S. Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: U.S. Public Health Service.
Acknowledgements
Portions of the Baker Act data entry were funded by a grant from the National Institute of Mental Health (R01MH060217) and a contract with the Florida Agency for Health Care Administration (#MO308), with the remainder of data entry paid for by the Department of Mental Health Law and Policy at the Louis de la Parte Florida Mental Health Institute.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Christy, A., Kutash, K. & Stiles, P. Short Term Involuntary Psychiatric Examination of Children in Florida. Adm Policy Ment Health 33, 578–584 (2006). https://doi.org/10.1007/s10488-006-0064-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10488-006-0064-0