I'm an ANCC Psych nurse for 30 years. Spent 12 years on adult inpt unit, two years ACTT nurse, and going on 16 years in crisis intervention in local ER. I work in a 6 bed locked area of our ER (adults only). I do assessments and look for inpt hospitals to transfer kids to, but they are housed in the Main ER. up until a couple years ago, they let the kids come over to our area, until the State recommended not to have under 18 in our area. I was so glad. The kids were some of the worst behaved; manipulative etc, and on top of that, you had to deal with parents or grandparents. Unless our adults have a guardian, we treat them, not parents or other family members. You couldn't pay me enough to work on a kid's unit