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In this month’s Hospital Pediatrics , Ibeziako et al1 present a clinical pathway for hospital-based management of somatic symptoms and related disorders (SSRDs). SSRDs include psychiatric diagnoses outlined in the Diagnostic and Statistical Manual, Fifth Revision , such as conversion disorder, factitious disorders, and illness anxiety disorder, as well as other medical conditions, such as functional gastrointestinal disorders, amplified pain syndromes, and “psychogenic” conditions such as nonepileptiform seizures and syncope. This new pathway outlines principles of managing SSRDs in hospitalized patients and provides resources to aid hospital teams in effective management.Although mental health conditions are among the most common reasons for pediatric hospitalization2 and are a common comorbidity in medical and surgical hospitalizations,3 few clinical pathways exist to guide hospital management of mental health concerns. The SSRD pathway breaks new ground by providing standards to guide the care of a complex group of disorders requiring collaboration across medical and psychosocial disciplines. Given the complexities of managing SSRDs, hospital teams will likely experience challenges implementing the guidelines provided in the SSRD pathway. We have drawn from our own experiences caring for patients with SSRDs to outline likely difficulties and suggest strategies that might help address each one.How the SSRD pathway is implemented will vary depending on hospital setting and resources. Determining which clinicians have familiarity in treating …

A Novel Pathway for Somatic Symptoms: Strategies for Successful Pathway Implementation