Beruflich Dokumente
Kultur Dokumente
Ana Shimeall
Senior at Centennial High
School
Mentor: Dr. Mallemat/Sean
Naron
Internship: UMMC ED &
Baltimore City Health
Department
Jessica Jiang
Centennial High School senior
Mentor: Dr. Sam Hsu
Internship: Mercy Medical
Center
Baltimore, MD
Andrew Tsai
Internship: Howard County General Hospital
Mentor: Dr. Meng Choo, Pediatric Emergency
School: Centennial High School, Senior
Introduction
Ana- Reducing Emergency Room Overuse: The
Problem, Methods, and Target Population
Jessica- Combating the Frequency of Substance
Abuse Related ER Cases: Specialized Treatment
Procedures
Andrew- Psychotherapy: Do We Have Enough
People Invested?
Case Management
Individualized rehabilitation program for patients
who use emergency services frequently for urgent
reasons
Identification
Assessment
Planning
Implementation
Evaluation &
Monitoring
Primary Care:
Refer patients suffering from chronic
conditions to primary care
physicians
Prevents the need for future ER use
Research: Methods of
Reduction
Individualized Care Plans
SBIRT
Development of CREDO
Developed to effectively manage these
frequenters
Results
33 annual visits to 11.6
Results
Combination
treatment: 75+%
in a treatment
program
Referral only:
37%
Counseling and
referral: 45%
SBIRT
Screening
Brief Intervention
Referral
Treatment
Psychotherapy: Overview of
Why We Need It
Increasing problem in society, especially for youth
Depression and anxiety lead
Suicide #3 for death
people to experience depression
64% doctors say improvement needed
From experience at my internship
Almost always psych patients in the ER
Many for 70+ hours, several for 100+
Ped ER is widespread, busy
Often transferred
Goal
Decrease excessive ER
time
Unspecialized
Increase psychotherapists
Specialized
Psychotherapy
Psychotherapists
Counter population growth
Respond to community problems