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Models of case management for working with young children: implications for mental health nurses
Graeme Browne1, Andrew Cashin, Iain Graham
1School of Health and Human Sciences Health, Southern Cross University, Lismore, New South Wales, Australia. Graeme.Browne@scu.edu.au
Insights
Mental health nurses play a key role in caring for children with behavioral disorders. Evidence suggests a holistic approach, including parents and social networks, is most effective for pediatric mental health care.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Nursing Practice
Background:
- Pediatric mental health care is an emerging field for mental health nurses.
- Limited evidence exists to guide nursing practice for children with behavioral disorders.
- Children require specialized mental health care due to developmental stages and family dependence.
Purpose of the Study:
- To explore the role of mental health nurses in caring for children with behavioral disorders.
- To identify evidence-based practices for pediatric mental health care.
- To highlight the importance of a holistic approach in child mental health.
Main Methods:
- Literature review of existing evidence on pediatric mental health care.
- Analysis of case management models in adult and child mental health.
- Examination of the unique skills of mental health nurses in providing holistic care.
Main Results:
- Effective pediatric mental health care requires focus on the child, parents, and social/school networks.
- Case management models offering comprehensive services, including therapy, are most effective.
- Mental health nurses are well-suited for holistic, service-rich care delivery.
Conclusions:
- Mental health nurses can provide essential, holistic care for children with behavioral disorders.
- Further articulation of nursing roles and contributions is needed for professional recognition.
- Evidence-based practice is crucial for advancing pediatric mental health nursing.
Abstract:
The care of children with behavioural disorders/mental illnesses is an important and emerging role for mental health nurses. Unfortunately, there is little evidence on which to base their practice. Children, because of their rapid emotional, physical, and cognitive development, and their dependence on their families, need special consideration in their mental health care. The limited evidence available indicates that this special consideration should include a focus, not only on the child, but also on the parents and social and school networks of the child. Evidence from the adult literature indicates the most effective case management models are the ones in which the case manager offers as many services as possible, including talking therapies. This also seems to be true when working with children. Mental health nurses, because of their background and commitment to holistic care, are ideally suited to offer this type of service. However, mental health nurses have not been good at articulating what they do. This can limit the recognition of the contribution they make and their opportunities.
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