This presentation is part of the 2022 EMSC Day Webinar "COPE-ing with the Challenges of Pediatric Behavioral and Mental Health Emergencies". In this presentation, Dr. Nicolaus Glomb reviews pediatric behavioral health emergency (BHE) care; describes demographic characteristics and EMS usage in Alameda County, CA; examines the safety outcomes of pediatric patients directly transported to pediatric psychiatric emergency services using an EMS pediatric BHE protocol; and discusses future steps to improve pediatric BHE care.