There is a clearly established and alarming increase in the prevalence of mental health disorders impacting our children and adolescents with a corresponding increase in the number of youth presenting with mental health crises to emergency departments (EDs) in need of hospitalization.1–4  Coupled with a lack of pediatric and adolescent inpatient psychiatry beds and providers, these trends have resulted in an increase in boarding in EDs and inpatient medical or surgical units.5–7  The coronavirus disease 2019 (COVID-19) pandemic has exacerbated and potentiated these concerns, leading to a joint statement by the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and Children’s Hospital Association declaring a national emergency in child and adolescent mental health in October 2021.8–10  Shortly after this declaration, in December of 2021, the US Surgeon General issued an advisory entitled “Protecting Youth Mental Health” further defining...

You do not currently have access to this content.