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Standard Emergency Process
A standard emergency process should be developed and implemented with input from clinicians, nurses, office staff members, and ideally a mental health professional. At a minimum, an emergency process should include the following:

  • Shared definition of what constitutes an emergency
  • How emergencies present in different settings (eg, telephone triage, in-person appointment, virtual visit)
  • A practice wide understanding of how privacy and confidentiality rules apply in emergency situations
  • A triage process to identify the level of risk, disposition, and transportation plan (if applicable)
  • Resources tailored to the child’s disposition
  • Follow-up plan (even if the patient is sent to the emergency department or admitted)
  • Information about local and national resources and emergency lines, such as the 988 Suicide and CrisisLifeline
  • Safety planning and lethal means counseling