Engaging Psychiatrically Hospitalized Teens with Their Parents Through a Parent-Adolescent Activity Group

Olson, Laurette

doi:10.1300/j004v22v03_08

Cited by 2 publications

(7 citation statements)

References 12 publications

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“…Eight studies (reported in 10 items) used a qualitative approach, 175-184 four used an experimental design 127,173,174 and 15 a non-experimental design. 128,142,[185][186][187][188][189][190][191][192][193][194][195][196][197] Four (reported in five items) were reports of large-scale projects that used a variety of methods, 11,15,[198][199][200] two were published journal articles describing local initiatives and practice 143,220 and five were clinical case reports [221][222][223][224][225] of young people's journeys into, through and out of the system where the less obvious risks were considered.…”

Section: Methodsmentioning

confidence: 99%

“…127,142,143,173,174,177,178,182,[185][186][187][188][189][190][191][193][194][195][196]220,223,224 Ten studies reported in 12 items were conducted in the UK. 11,15,175,176,[179][180][181]183,[198][199][200]221 Two studies were conducted in Finland 95,184 and two in Canada.…”

Section: Country Of Researchmentioning

confidence: 99%

“…The majority of studies (n = 34) were conducted in inpatient settings 11,15,127,128,142,143,173,[175][176][177][178][179][180][181][182][183][184][185][186][187][188][190][191][192][195][196][197][198][199][200][220][221][222][223][224][225] and four were conducted within RTCs in the USA. 174,189,193,194 Length of stay…”

Section: Settingmentioning

confidence: 99%

“…143,[173][174][175][176][183][184][185]188,190,191,[198][199][200][220][221][222][223][224][225] Of the remaining studies, short inpatient stays (< 1 month) were recorded in six (and reported in seven) studies: median 6 days; 186 mean 5. …”

Section: Settingmentioning

confidence: 99%

“…127,128,142,143,174,175,[179][180][181][182]185,[188][189][190]192,193,195,197,200,[220][221][222][223][224][225] Four of these studies reported on the care of one young person only, the ages of the young people participating being 13, 221 15, 222 15 223 and 16 years.…”

Section: Participant Characteristicsmentioning

confidence: 99%

See 4 more Smart Citations

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

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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.

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Section: Methodsmentioning

confidence: 99%

Section: Country Of Researchmentioning

confidence: 99%

Section: Settingmentioning

confidence: 99%

Section: Settingmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

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

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What do we know about the risks for young people moving into, through and out of inpatient mental health care? Findings from an evidence synthesis

Edwards

Evans

Gillen

et al. 2015

Child Adolesc Psychiatry Ment Health

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BackgroundYoung people with complex or severe mental health needs sometimes require care and treatment in inpatient settings. There are risks for young people in this care context, and this study addressed the question: ‘What is known about the identification, assessment and management of risk in young people (aged 11–18) with complex mental health needs entering, using and exiting inpatient child and adolescent mental health services in the UK?’MethodsIn phase 1 a scoping search of two electronic databases (MEDLINE and PsychINFO) was undertaken. Items included were themed and presented to members of a stakeholder advisory group, who were asked to help prioritise the focus for phase 2. In phase 2, 17 electronic databases (EconLit; ASSIA; BNI; Cochrane Library; CINAHL; ERIC; EMBASE; HMIC; MEDLINE; PsycINFO; Scopus; Social Care Online; Social Services Abstracts; Sociological Abstracts; OpenGrey; TRiP; and Web of Science) were searched. Websites were explored and a call for evidence was circulated to locate items related to the risks to young people in mental health hospitals relating to ‘dislocation’ and ‘contagion’. All types of evidence including research, policies and service and practice responses relating to outcomes, views and experiences, costs and cost-effectiveness were considered. Materials identified were narratively synthesised.ResultsIn phase 1, 4539 citations were found and 124 items included. Most were concerned with clinical risks. In phase 2, 15,662 citations were found, and 40 addressing the risks of ‘dislocation’ and ‘contagion’ were included supplemented by 20 policy and guidance documents. The quality of studies varied. Materials were synthesised using the categories: Dislocation: Normal Life; Dislocation: Identity; Dislocation: Friends; Dislocation: Stigma; Dislocation: Education; Dislocation: Families; and Contagion. No studies included an economic analysis. Although we found evidence of consideration of risk to young people in these areas we found little evidence to improve practice and services.ConclusionsThe importance to stakeholders of the risks of ‘dislocation’ and ‘contagion’ contrasted with the limited quantity and quality of evidence to inform policy, services and practice. The risks of dislocation and contagion are important, but new research is needed to inform how staff might identify, assess and manage them.

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Engaging Psychiatrically Hospitalized Teens with Their Parents Through a Parent-Adolescent Activity Group

Cited by 2 publications

References 12 publications

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

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

What do we know about the risks for young people moving into, through and out of inpatient mental health care? Findings from an evidence synthesis

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