Review: Alternatives to inpatient care for children and adolescents with mental health disorders

Child and Adolescent Mental Health
Ka Ho Robin KwokDennis Ougrin

Abstract

Intensive community services may provide an alternative to inpatient care but there is little systematic evidence of their efficacy. This article provides a systematic review of randomized controlled trials (RCTs) reporting efficacy of intensive community services versus inpatient care in youth. Data sources were identified by searching Medline, PsychINFO and EMBASE databases as of December 2014. RCTs comparing intensive community services versus inpatient care in children and adolescents (through age 18) were included. Six unique RCTs including 569 youth were identified. The RCTs examined the efficacy of specialist outpatient treatment, multisystemic therapy, day patient treatment, intensive home treatment and supported discharge services versus inpatient care. Using intensive community services was associated with clinical improvements similar to inpatient care in most studies. Where differences in clinical outcomes existed, they tended to favour intensive community treatment. Using intensive community services was associated with shorter hospitalizations, lower costs and greater patient satisfaction. There were no independent replications of the results. Few studies investigated the use of intensive community treatment as an...Continue Reading

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Citations

Feb 27, 2020·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Isabel BoegeJörg M Fegert
Feb 26, 2020·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Isabel BoegeJörg M Fegert
Feb 1, 2018·Child and Adolescent Mental Health·Andy Cotgrove
Feb 12, 2019·European Child & Adolescent Psychiatry·Kim KronströmAndre Sourander
Nov 29, 2017·London Journal of Primary Care·Jia Xuan Tan, Maria Lourdes Restrepo Fajardo
Dec 21, 2019·BMC Psychiatry·Jet B MuskensWouter G Staal
Jul 18, 2020·Child and Adolescent Mental Health·Dennis Ougrin
Jul 29, 2020·European Child & Adolescent Psychiatry·Gurpreet K ReenCharles Vincent
May 23, 2020·European Child & Adolescent Psychiatry·Pety SoCornelis L Mulder
Apr 9, 2021·Child and Adolescent Mental Health·Andy Cotgrove, Guy Northover
Apr 27, 2021·The Journal of Pediatrics·Jennifer L Vande Voort, Paul E Croarkin
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Sep 1, 2021·Archives of Disease in Childhood·Daniel HayesMarinos Kyriakopoulos
Oct 27, 2021·Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater·Ingrid Zechmeister-KossSarah Wolf

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