Aligning Clinical Action with Risk Level
- 10 minutes

This section provides PMHCAs with practical tools, guidance, and frameworks to assist ED teams in managing patients from initial screening to final disposition.
By utilizing these resources, PMHCAs can support ED providers in applying severity-based tiers that align with clinical assessments, legal protocols, and available follow-up care options. Real-world examples demonstrate how these tools can influence workflow decisions, improve communication among care teams, and ensure that each child receives safe, timely, and family-centered care. Keep these tools in mind as you engage with EDs and consider the support your team can offer.
A visual decision pathway to guide safe, appropriate intervention based on suicide risk.
See how pediatric behavioral health protocols work in real ED scenarios. These sample workflows highlight step-by-step actions, practical tools, and strategies that help teams provide safe, family-centered care for diverse patients.
The following best practices offer evidence-based approaches for assessing and addressing mental health concerns, along with protocols to ensure coordinated, family-centered care across providers and systems.
EDs, pediatrician offices, and mental healthcare providers each play crucial roles in supporting youth in crisis, but often lack opportunities to connect. PMHCA-led peer networks and office hours create intentional time for collaboration through informal, recurring virtual sessions. These gatherings offer space for case-based learning, system coordination, and direct access to PMHCA expertise.
Early identification relies on the use of standardized screening tools tailored to a child’s developmental stage and presenting concerns. Tools should be administered in private, developmentally appropriate settings and reviewed by trained staff. Investigate which tools are being utilized by the EDs you are working with.
Effective, consistent communication following a mental health-related ED visit is essential to ensure timely follow-up and reduce the risk of repeat crises. These templates help ED teams share clear, relevant information with primary care providers and families to support a smooth transition and continued care coordination. These templates can be used with your ED team members to identify which elements already exist and which may need to be added/adjusted.