Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs

Green, Jonathan; Jacobs, Brian; Beecham, Jennifer; Dunn, Graham; Kroll, Leo; Tobias, Catherine; Briskman, Jackie

doi:10.1111/j.1469-7610.2007.01802.x

Cited by 116 publications

(167 citation statements)

References 34 publications

Supporting

Mentioning

150

Contrasting

Unclassified

Order By: Relevance

“…In particular, the length of stay in treatment appears to be a particularly contentious issue, with duration of residential programs ranging from a few months [6], to a few years [5]. There is, however, a noteworthy lack of concern within the literature, regarding the point at which…”

mentioning

confidence: 99%

The Trajectory of Change for Children and Youth in Residential Treatment

Noftle

Cook

Leschied

et al. 2010

Child Psychiatry Hum Dev

View full text Add to dashboard Cite

This study examined the symptom response trajectories for 225 children and youth throughout a period of residential treatment. With the 10-item Conners' Global Index (CGI) as the primary outcome measure, assessments were completed on a bi-weekly basis during the average 4 month stay within the youth's residential treatment. Clients demonstrated an ongoing reduction of symptoms, and the severity of baseline symptoms influenced the trajectory of the symptom reduction. In addition, symptom reduction was characterized as logarithmic, particularly when controlling for the baseline severity of symptoms. Implications of these findings for administrators, practitioners, and researchers of residential treatment are discussed.

show abstract

mentioning

confidence: 99%

The Trajectory of Change for Children and Youth in Residential Treatment

Noftle

Cook

Leschied

et al. 2010

Child Psychiatry Hum Dev

View full text Add to dashboard Cite

show abstract

“…randomised controlled studies) are not always possible and the use of alternative designs should be considered. 228 Modelling exercises are one way of generating evidence in these circumstances, but they rely on good-quality primary data of a type not available to the project team in this synthesis.…”

Section: Economic Analysismentioning

confidence: 99%

An evidence synthesis of risk identification, assessment and management for young people using tier 4 inpatient child and adolescent mental health services

Hannigan

Edwards

Evans

et al. 2015

Health Services and Delivery Research

View full text Add to dashboard Cite

BackgroundInpatient child and adolescent mental health services are one part of a complex system, and exist to meet the needs of young people with the greatest mental health difficulties.ObjectivesThe research question was ‘What is known about the identification, assessment and management of risk (where “risk” is broadly conceived) in young people (aged 11–18 years) with complex mental health needs entering, using and exiting inpatient child and adolescent mental health services in the UK?’Data sourcesThe two-phase Evidence for Policy and Practice Information and Co-ordinating Centre approach was used. In phase 1, scoping searches were made using two databases with an end date of March 2013. Phase 2 centred on the search for citations relating to the risks to young people of ‘dislocation’ and ‘contagion’. Searches were made using 17 databases, with time limits from 1995 to September 2013. Websites were searched, a call for evidence circulated and references of included citations reviewed.Review methodsPriority risk areas for phase 2 were decided in collaboration with stakeholders including through consultations with young people and the mother of a child who had been in hospital. All types of evidence relating to outcomes, views and experiences, costs and cost-effectiveness, policies, and service and practice responses in the areas of ‘dislocation’ and ‘contagion’ for young people (11–18 years) using inpatient mental health services were considered. A staged approach to screening was used. Data were extracted into tables following guidance from the Centre for Reviews and Dissemination or tables developed for the review. Quality was assessed using appraisal checklists from the Effective Public Health Practice Project or the Critical Skills Appraisal Programme or devised by previous reviewers. No papers were excluded on the grounds of quality, and all materials identified were narratively synthesised.ResultsIn phase 1, 4539 citations were found and 124 included. Most were concerned with clinical risks. In phase 2, 15,662 citations were found and 40 addressing the less obvious risks of ‘dislocation’ and ‘contagion’ were included, supplemented by 20 policy and guidance documents. These were synthesised using these categories: Dislocation: Normal Life; Dislocation: Identity; Dislocation: Friends; Dislocation: Stigma; Dislocation: Education; Dislocation: Families; and Contagion. No studies included an economic analysis or economic evaluation. The importance to stakeholders of these less obvious risks contrasted with the limited quantity and quality of research capable of informing policy, services and practice in these areas.LimitationsIncluded studies were of variable quality. Data derived could not be used to inform an economic modelling of NHS costs or to analyse cost-effectiveness. Other limitations were the search for only English-language materials and the use of umbrella concepts (‘dislocation’ and ‘contagion’).ConclusionsThe less obvious risks are important, but little evidence exists to support their identification, assessment and management. This has implications for services, and a programme of research is recommended to generate new knowledge.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

show abstract

“…Billick 7 , estudió la habilidad de los niños para entender sus derechos y concluyó que está asociada a la adquisición de un nivel de lectura equivalente a 5º o 6º grado. La alianza terapéuti-ca con el niño/adolescente y la cooperación de los padres constituyen predictores poderosos independientes de mejoría de salud mental durante la hospitalización 8,9 . En los casos de admisión forzada, se utiliza la legislación respecto de los niños y de la salud mental adulta de la forma más adecuada para la circunstancia particular.…”

Section: El Momento De La Admisiónunclassified

“…Hoagwood encontró que un período corto de tratamiento hospitalizado favorecía el uso efectivo de otros servicios posteriores. La entrega de servicios posteriores es vital, ya que la mayoría de las indicaciones al alta no se cumplían 9 . Efectos indeseados potenciales de la hospitalización 1.…”

Section: T Conductaunclassified

Hospitalización psiquiátrica de niños y adolescentes I: Revisión de la literatura

2009

Rev. chil. neuro-psiquiatr.

View full text Add to dashboard Cite

Introducciónctualmente se enfatiza el manejo de episodios agudos con tratamientos intensivos, en la misma medida que disminuyen las internaciones en hospitales psiquiátricos. Como consecuencia de lo anterior, se implementan nuevos modelos de atención intrahospitalaria. En el contexto del financiamiento de la salud, se busca reducir los tiempos de estadía y se pone énfasis en la estabilización de los síntomas y el cambio mí-nimo necesario para reintegrar al paciente a su familia. El ingreso al hospital se concibe como un episodio breve como parte de un continuo de atención en la trayectoria evolutiva del niño. Hospitalización psiquiátrica de niños y adolescentes I: Revisión de la literatura ARTÍCULO DE REVISIÓN ALos episodios de tratamiento intensivo deben ser considerados en el contexto del ambiente familiar, local y el conocimiento longitudinal de la historia natural de la enfermedad 1 . MetodologíaSe efectuó una búsqueda bibliográfica en PUBMED del tema: inpatient psychiatric treatment of children and adolescents de los últimos 10 años. Después se buscaron los artículos relevantes de fechas anteriores que aparecían en las referencias de los artículos más recientes. Se resumen y sistematizan los hallazgos más importantes.

show abstract

Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs

Cited by 116 publications

References 34 publications

The Trajectory of Change for Children and Youth in Residential Treatment

The Trajectory of Change for Children and Youth in Residential Treatment

An evidence synthesis of risk identification, assessment and management for young people using tier 4 inpatient child and adolescent mental health services

Hospitalización psiquiátrica de niños y adolescentes I: Revisión de la literatura

Contact Info

Product

Resources

About