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Related Experiment Videos

Inpatient services.

Simon G Gowers1, Laura Rowlands

  • 1University of Liverpool, Section of Adolescent Psychiatry, Academic Unit, Chester, UK. simon.gowers@cwpnt.nhs.uk

Current Opinion in Psychiatry
|April 28, 2006
PubMed
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Child and adolescent mental health inpatient services are crucial for severe disorders. However, research on their effectiveness compared to community care is limited, with benefits remaining uncertain.

Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Services Research

Background:

  • Inpatient services represent the most specialized child and adolescent mental health provision.
  • These services cater to the most severe mental health disorders in this age group.

Purpose of the Study:

  • To review the function and effectiveness of child and adolescent mental health inpatient services.
  • To consider recent UK mapping and audit initiatives and global changes in admission policies.

Main Methods:

  • Review of existing literature, focusing on descriptive and uncontrolled outcome studies.
  • Analysis of trends in service configuration, auditing against standards, and emerging controlled trials.

Main Results:

  • A focus on describing service configurations and auditing against standards is evident.

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  • International trend shows admission of more severe, comorbid, and aggressive patient groups.
  • Limited quality research exists on clinical outcomes, but comparative trials are emerging.

    • Conclusions:

    • Descriptive and uncontrolled outcome studies dominate the literature.
    • While many benefit, the specific advantages of inpatient admission over intensive community management are not yet certain.