Inpatient services

Current Opinion in Psychiatry
Simon Gowers, Laura Rowlands

Abstract

Inpatient services constitute the most highly specialized child and adolescent mental health provision and cater for the most severe disorders in this age group. In view of a number of mapping and audit initiatives in the UK in recent years and changing influences on admission policies worldwide, it is timely to review their function and effectiveness. Recent attention has focused on describing service configurations and auditing against standards. National surveys of cost, referral processes and patient satisfaction are in progress in the UK. There seems to be an international trend toward a more severe, comorbid and aggressive patient group being admitted to inpatient services. There is a shortage of quality research into clinical outcomes of inpatient treatment, but controlled trials comparing hospital treatment with intensive community management are emerging. Inpatient descriptive studies and uncontrolled outcome studies predominate in the literature. Although many children and adolescents benefit from admission to mental health inpatient facilities, the specific advantages of admission over intensive community management are uncertain.

References

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Citations

Sep 8, 2010·European Child & Adolescent Psychiatry·David GyllenbergFredrik Almqvist
Jan 8, 2011·International Journal of Mental Health Systems·Ketil Hanssen-BauerTarje Tinderholt
Sep 29, 2007·Nursing Ethics·Heikki ElliläAndre Sourander
Feb 1, 2016·Child and Adolescent Mental Health·Ka Ho Robin KwokDennis Ougrin
Nov 1, 2010·Child and Adolescent Mental Health·Wendy SimpsonGraham Monteith
Sep 1, 2011·Child and Adolescent Mental Health·Catherine HaynesJon Crossley
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Sasha ShepperdJon Pollock
Apr 17, 2021·BJPsych Open·Rasanat Fatima NawazCharles Vincent

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