NUBE 2024

We will walk through the case of a 10 year old child with a psychiatric history of complex PTSD, ADHD and DMDD presenting to the emergency department for “aggression”. The patient spent 20+ days boarding until a residential placement was found. In those days, there were more than 30 workplace violence injuries, 50 violent restraint episodes, and countless brainstorming sessions. When the “going got tough” and the facilities' process, resiliency, and resources were challenged, “the tough got going”. A multi-disciplinary team came together to optimize pharmacotherapy, behavior modification, therapies, and other modalities to remain true to our mission and “do what is right for kids”.

Learning Objectives:

Identify pharmacologic options for agitation.

Self report increase knowledge related to care of complex pediatric patients.

Self report increase in knowledge of non-pharmacologic agents of behavioral change.