Child and Adolescent Psychiatric Inpatient Care: Contemporary Practices and Introduction of the 5S Model

Calhoun, Casey D.; Nick, Elizabeth A.; Gurtovenko, Kyrill; Vaughn, Aaron J.; Simmons, Shannon; Taylor, Rebecca A.; Twohy, Eileen; Flannery, Jessica; Thompson, Alysha D.

doi:10.1080/23794925.2022.2034551

Cited by 4 publications

(1 citation statement)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such a typology has potential benefits to researchers, service planners and clinicians in increasing the extent to which alternatives may be systematically introduced in contexts where they are appropriate, evaluated and implemented. Including alternatives to inpatient care for children and young people (CYP) and in longer-term settings is also an advance on the focus of much previous literature focusing solely on alternatives to acute adult mental health care: very significant clinical, ethical and economic disadvantages have been identified both for hospital admissions for under 18s (21,22) and for longer inpatient stays (23), so these are also valuable targets for the development, implementation of alternatives to standard inpatient care.…”

Section: Introductionmentioning

confidence: 99%

Alternative approaches to standard inpatient mental health care: development of a typology of service models

Griffiths,

Baldwin,

Vasikaran

et al. 2023

Preprint

View full text Add to dashboard Cite

BackgroundInpatient mental health care is a challenging component of the mental health services system, with frequent reports of negative and coercive experiences and doubts about its therapeutic value. As such, alternative approaches for individuals experiencing a mental health crisis are highly desirable. This research aimed to identify models which offer an alternative to standard inpatient mental health care across all age groups, both nationally and internationally, and to develop a typology for these alternative models.MethodsA dual literature search and expert consultation research methodology was adopted to identify relevant models. Three typologies of models were developed according to age group and acuity, including: alternatives to standard acute inpatient services for adults; alternatives to longer-stay inpatient services for adults, including rehabilitation and forensic inpatient services; and alternatives to standard inpatient services for children and young people.ResultsWe identified an array of service models in each typology, some in community settings, some hospital-based and some working across settings. Models varied greatly in characteristics, extent of implementation and supporting evidence.ConclusionsThrough this mapping exercise, we have developed three novel typologies of alternatives to standard inpatient care. A range of community-based, hospital-based and cross-setting approaches were identified. The identification of services providing inpatient care in a substantially different way to the standard suggests that some improvements could be provided within existing structures. Potential inequities in access to alternatives were identified for certain groups, such as people who are compulsorily detained, younger children and young people transitioning between children’s and adult services. These typologies can inform future description, evaluation and comparison of different service models. This research also yields some key considerations for the design, development and implementation of alternative mental health service models and service arrays.

show abstract

Section: Introductionmentioning

confidence: 99%