{"id":"https://openalex.org/W4408999728","doi":"https://doi.org/10.1186/s12913-025-12524-z","title":"Improving transitions in care for children and youth with mental health concerns: implementation and evaluation of an emergency department mental health clinical pathway","display_name":"Improving transitions in care for children and youth with mental health concerns: implementation and evaluation of an emergency department mental health clinical pathway","publication_year":2025,"publication_date":"2025-03-31","ids":{"openalex":"https://openalex.org/W4408999728","doi":"https://doi.org/10.1186/s12913-025-12524-z","pmid":"https://pubmed.ncbi.nlm.nih.gov/40165260","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11956442"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-025-12524-z","doi":"https://doi.org/10.1186/s12913-025-12524-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-025-12524-z","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12913-025-12524-z","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080290481","display_name":"Alexandra Tucci","orcid":"https://orcid.org/0000-0002-3866-6604","observed_orcids":["https://orcid.org/0000-0002-3866-6604"]},"institutions":[{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Alexandra Tucci","raw_affiliation_strings":["Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, ON, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088931935","display_name":"Paula Cloutier","orcid":"https://orcid.org/0000-0003-3095-1942","observed_orcids":["https://orcid.org/0000-0003-3095-1942"]},"institutions":[{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Paula Cloutier","raw_affiliation_strings":["CHEO, Ottawa, ON, Canada","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024923102","display_name":"Christine Polihronis","orcid":"https://orcid.org/0000-0001-8537-0657","observed_orcids":["https://orcid.org/0000-0001-8537-0657"]},"institutions":[{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Christine Polihronis","raw_affiliation_strings":["Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, ON, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Allison Kennedy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Allison Kennedy","raw_affiliation_strings":["CHEO, Ottawa, ON, Canada","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","School of Psychology, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"School of Psychology, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022291276","display_name":"Roger Leonard Zemek","orcid":"https://orcid.org/0000-0001-7807-2459","observed_orcids":["https://orcid.org/0000-0001-7807-2459"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Roger Zemek","raw_affiliation_strings":["CHEO, Ottawa, ON, Canada","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070218987","display_name":"Clare Gray","orcid":"https://orcid.org/0009-0007-5463-2379","observed_orcids":["https://orcid.org/0009-0007-5463-2379"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Clare Gray","raw_affiliation_strings":["CHEO, Ottawa, ON, Canada","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080424594","display_name":"Sarah M. Reid","orcid":"https://orcid.org/0000-0002-2451-5979","observed_orcids":["https://orcid.org/0000-0002-2451-5979"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Sarah Reid","raw_affiliation_strings":["CHEO, Ottawa, ON, Canada","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065190810","display_name":"KATHLEEN A. PAJER","orcid":"https://orcid.org/0000-0002-3699-9966","observed_orcids":["https://orcid.org/0000-0002-3699-9966"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Kathleen Pajer","raw_affiliation_strings":["CHEO, Ottawa, ON, Canada","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101678244","display_name":"William P Gardner","orcid":"https://orcid.org/0000-0003-1918-3540","observed_orcids":["https://orcid.org/0000-0003-1918-3540"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"William Gardner","raw_affiliation_strings":["Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada","School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]},{"raw_affiliation_string":"School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025415047","display_name":"Nicholas James Barrowman","orcid":"https://orcid.org/0000-0002-4704-9595","observed_orcids":["https://orcid.org/0000-0002-4704-9595"]},"institutions":[{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Nicholas Barrowman","raw_affiliation_strings":["Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035010266","display_name":"Mario Cappelli","orcid":"https://orcid.org/0000-0002-6593-4133","observed_orcids":["https://orcid.org/0000-0002-6593-4133"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Mario Cappelli","raw_affiliation_strings":["Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, ON, Canada","School of Psychology, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, ON, Canada","institution_ids":[]},{"raw_affiliation_string":"School of Psychology, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056112893","display_name":"Mona Jabbour","orcid":"https://orcid.org/0000-0002-0031-2026","observed_orcids":["https://orcid.org/0000-0002-0031-2026"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I2799330578","display_name":"Children's Hospital of Eastern Ontario","ror":"https://ror.org/05nsbhw27","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2799330578"]},{"id":"https://openalex.org/I4405281103","display_name":"CHEO Research Institute","ror":"https://ror.org/03vvyr229","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Mona Jabbour","raw_affiliation_strings":["CHEO, Ottawa, ON, Canada. jabbour@cheo.on.ca","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada. jabbour@cheo.on.ca","Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada. jabbour@cheo.on.ca","CHEO, Ottawa, ON, Canada","Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada. jabbour@cheo.on.ca","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada. jabbour@cheo.on.ca","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada. jabbour@cheo.on.ca","institution_ids":["https://openalex.org/I153718931"]},{"raw_affiliation_string":"CHEO, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578"]},{"raw_affiliation_string":"Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I2799330578","https://openalex.org/I4405281103"]},{"raw_affiliation_string":"Department of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada","institution_ids":["https://openalex.org/I153718931"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5056112893"],"corresponding_institution_ids":["https://openalex.org/I153718931","https://openalex.org/I2799330578","https://openalex.org/I4405281103"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":0.8,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.64346955,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"25","issue":"1","first_page":"475","last_page":"475"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.6615999937057495,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.6615999937057495,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.2639000117778778,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12823","display_name":"Adolescent and Pediatric Healthcare","score":0.014999999664723873,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-pathway-implementation","display_name":"clinical pathway implementation","score":0.6470000147819519},{"id":"https://openalex.org/keywords/child-mental-health","display_name":"child mental health","score":0.7760000228881836},{"id":"https://openalex.org/keywords/youth-mental-health","display_name":"youth mental health","score":0.8650000095367432},{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.671999990940094},{"id":"https://openalex.org/keywords/risk-assessment","display_name":"risk assessment","score":0.7879999876022339},{"id":"https://openalex.org/keywords/emergency-department-length-of-stay","display_name":"emergency department length of stay","score":0.8870000243186951},{"id":"https://openalex.org/keywords/emergency-department-revisits","display_name":"emergency department revisits","score":0.6100000143051147},{"id":"https://openalex.org/keywords/theoretical-domains-framework","display_name":"Theoretical Domains Framework","score":0.8830000162124634},{"id":"https://openalex.org/keywords/addiction-treatment-services","display_name":"addiction services","score":0.6010000109672546}],"concepts":[{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7600297331809998},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7433760166168213},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.71128910779953},{"id":"https://openalex.org/C2778373050","wikidata":"https://www.wikidata.org/wiki/Q1774706","display_name":"Clinical pathway","level":2,"score":0.5853296518325806},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.5299274325370789},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4883846640586853},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.46815255284309387},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3984661102294922},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.382193922996521},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34635841846466064},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.33183741569519043}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019091","descriptor_name":"Critical Pathways","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1186/s12913-025-12524-z","doi":"https://doi.org/10.1186/s12913-025-12524-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-025-12524-z","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11956442","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11956442/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11956442/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:10770300","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11956442","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:40165260","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40165260","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Clinical Trial"},{"id":"pmh:oai:doaj.org/article:13ccffe1b99844b1b3afd4ea0530cafa","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/13ccffe1b99844b1b3afd4ea0530cafa","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 25, Iss 1, Pp 1-14 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12913-025-12524-z","doi":"https://doi.org/10.1186/s12913-025-12524-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-025-12524-z","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[{"id":"https://openalex.org/G5314410095","display_name":null,"funder_award_id":"337794","funder_id":"https://openalex.org/F4320334506","funder_display_name":"Canadian Institutes of Health Research"}],"funders":[{"id":"https://openalex.org/F4320334506","display_name":"Canadian Institutes of Health Research","ror":"https://ror.org/01gavpb45"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4408999728.pdf","grobid_xml":"https://content.openalex.org/works/W4408999728.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W78677904","https://openalex.org/W1979187768","https://openalex.org/W2014836419","https://openalex.org/W2029454898","https://openalex.org/W2077109464","https://openalex.org/W2078393634","https://openalex.org/W2084638583","https://openalex.org/W2085784641","https://openalex.org/W2091283601","https://openalex.org/W2093274439","https://openalex.org/W2157154897","https://openalex.org/W2159394644","https://openalex.org/W2167464099","https://openalex.org/W2184163318","https://openalex.org/W2186856620","https://openalex.org/W2286778172","https://openalex.org/W2326561897","https://openalex.org/W2466225003","https://openalex.org/W2472313440","https://openalex.org/W2593494228","https://openalex.org/W2808344006","https://openalex.org/W2809996320","https://openalex.org/W2901051634","https://openalex.org/W2972523503","https://openalex.org/W2983575872","https://openalex.org/W3008507422","https://openalex.org/W3090974285","https://openalex.org/W3138693945","https://openalex.org/W3175508248","https://openalex.org/W3211394805","https://openalex.org/W3211845177"],"related_works":["https://openalex.org/W2466225003","https://openalex.org/W3008507422","https://openalex.org/W2980139695","https://openalex.org/W3090101997","https://openalex.org/W2809996320","https://openalex.org/W2766934486","https://openalex.org/W2947664269","https://openalex.org/W2775265098","https://openalex.org/W7074245813","https://openalex.org/W3203069830"],"abstract_inverted_index":{"BACKGROUND:":[0],"Emergency":[1,56],"departments":[2],"(EDs)":[3],"are":[4,24],"often":[5],"the":[6,36,48,69,83,132,143,176,195,215,240,274,291],"first":[7],"access":[8],"point":[9],"for":[10,50,63],"children":[11,64],"and":[12,18,65,114,127,163,221,245,256,259,281],"youth":[13,45,66],"seeking":[14],"mental":[15],"health":[16],"(MH)":[17],"addiction":[19],"care.":[20],"However,":[21],"many":[22],"EDs":[23],"unprepared":[25],"to":[26,68,76,87,140,147,192,202,219,284],"manage":[27],"large":[28],"volumes":[29],"of":[30,82,123,293],"pediatric":[31],"MH":[32,39,72,102,105,204,233,286],"patients.":[33],"In":[34],"addition,":[35],"fragmented":[37],"Canadian":[38],"system":[40],"is":[41],"challenged":[42],"in":[43,47,117,160,165,172,296],"connecting":[44],"seen":[46],"ED":[49,70,121,136,298],"follow-up":[51],"community":[52,203,285],"services.":[53],"A":[54],"provincial":[55],"Department":[57],"Mental":[58],"Health":[59],"Clinical":[60],"Pathway":[61,180],"(EDMHCP)":[62],"presenting":[67],"with":[71,101,110,232],"concerns":[73],"was":[74,86,270],"developed":[75],"address":[77],"these":[78],"challenges.":[79],"The":[80],"objective":[81],"current":[84],"study":[85],"determine":[88],"if":[89],"EDMHCP":[90],"implementation":[91,177,301],"resulted":[92],"in:":[93],"(1)":[94],"pathway":[95,133,279],"use,":[96],"(2)":[97],"more":[98],"patients":[99],"discharged":[100],"recommendations,":[103],"(3)":[104],"service":[106,118,173,234],"recommendations":[107],"that":[108],"aligned":[109,231],"patients'":[111],"risk":[112,229],"assessments,":[113],"(4)":[115],"changes":[116],"outcomes,":[119],"including":[120],"length":[122],"stay":[124],"(LOS),":[125],"revisits,":[126],"admissions/transfers.":[128],"METHODS:":[129],"We":[130,155],"implemented":[131],"at":[134,152,189,194,210,214,239,265,273],"four":[135],"sites":[137,247],"from":[138,187],"2018":[139],"2019":[141],"using":[142],"Theoretical":[144],"Domains":[145],"Framework":[146],"develop":[148],"a":[149],"tailored":[150],"strategy":[151],"each":[153],"site.":[154,267],"conducted":[156],"chart":[157],"reviews":[158],"retrospectively":[159],"2017-2018":[161],"(pre-implementation)":[162],"prospectively":[164],"2019-2020":[166],"(post-implementation).":[167],"Non-parametric":[168],"tests":[169],"examined":[170],"differences":[171],"outcomes":[174],"between":[175,254],"periods.":[178],"RESULTS:":[179],"use":[181,280],"varied":[182],"widely":[183],"across":[184],"sites,":[185],"ranging":[186],"3.1%":[188],"site":[190,197,217,242],"4":[191],"83.0%":[193],"lead":[196,216,241,275],"(site":[198],"2).":[199],"More":[200],"referrals":[201,283],"agencies":[205],"(p":[206,243],"<.001)":[207,244],"were":[208,224],"made":[209],"discharge":[211],"during":[212],"post-implementation":[213],"compared":[218],"pre-implementation,":[220],"mixed":[222],"results":[223],"obtained":[225],"regarding":[226],"whether":[227],"clinicians'":[228],"assessments":[230],"recommendations.":[235],"LOS":[236],"significantly":[237,264],"increased":[238],"non-lead":[246],"(sites":[248],"1,":[249],"3,":[250],"4;":[251],"p":[252],"=.02)":[253],"pre-":[255],"post-implementation.":[257],"Revisits":[258],"admissions/transfers":[260],"did":[261],"not":[262],"change":[263],"any":[266],"CONCLUSION:":[268],"Implementation":[269],"partially":[271],"successful":[272],"site,":[276],"showing":[277],"high":[278],"greater":[282],"agencies.":[287],"These":[288],"findings":[289],"emphasize":[290],"complexity":[292],"implementing":[294],"pathways":[295],"various":[297],"settings.":[299],"Successful":[300],"requires":[302],"integration":[303],"into":[304],"existing":[305],"workflows.":[306],"TRIAL":[307],"REGISTRATION:":[308],"ClinicalTrials.gov":[309],"(NCT02590302).":[310],"Registered":[311],"on":[312],"29":[313],"October":[314],"2015.":[315]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2025-03-31T00:00:00"}