Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Trends and shifting ecologies: Part I.

Lynelle E Thomas1

  • 1Yale University School of Medicine, Child Study Center, 230 South Frontage Road, Post Office Box 207900, New Haven, CT 06520-7900, USA. Lynelle.Thomas@Yale.edu

Child and Adolescent Psychiatric Clinics of North America
|October 29, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The schizophrenia prodrome: a developmentally informed review and update for psychopharmacologic treatment.

Child and adolescent psychiatric clinics of North Americaยท2005
See all related articles

Children's mental health services face de-institutionalization due to reduced hospital stays and facility closures. Pediatric emergency departments need systemic changes to meet rising demands for child psychiatric care.

Area of Science:

  • Child and Adolescent Psychiatry
  • Healthcare Systems Analysis
  • Pediatric Emergency Medicine

Background:

  • Decreased hospital lengths of stay contribute to reduced inpatient psychiatric capacity for children.
  • Shortages of psychiatric beds, long outpatient wait times, and closures of residential facilities strain child mental health services.
  • These factors collectively result in a de-institutionalization of child and adolescent mental health care.

Purpose of the Study:

  • To analyze the impact of systemic changes on pediatric emergency departments' capacity to manage child mental health crises.
  • To identify necessary shifts in philosophy, practice, and financing to address escalating service demands in child psychiatry.

Main Methods:

  • Qualitative analysis of healthcare system trends affecting child and adolescent mental health services.

Related Experiment Videos

  • Review of factors contributing to the 'de-institutionalization' of pediatric psychiatric care.
  • Assessment of the role and demands placed upon hospital-based child and adolescent psychiatric emergency services.

    • Main Results:

    • A significant reduction in available psychiatric beds and community-based treatment facilities has occurred.
    • Pediatric emergency departments are increasingly managing complex child mental health cases without adequate support.
    • Current service demands are accelerating beyond the capacity of existing pediatric psychiatric emergency care models.

    Conclusions:

    • Fundamental changes in the philosophy, practice, and financing of child and adolescent mental health services are imperative.
    • The role of hospital-based psychiatric emergency services requires re-evaluation to meet current and future demands.
    • Systemic shifts are essential for pediatric emergency departments to effectively address the growing child mental health crisis.