This study examined factors that could be used in the prediction of nursing care needs of the child or adolescent requesting admission into an inpatient psychiatric unit. Using a time sampling observer methodology, nursing care activities provided to 40 child/adolescent inpatients were recorded and used as estimates of nursing care needs. Results indicated a great deal of variability in the nursing care needs of the inpatients. An encouraging finding of this study was that with relatively little difficulty, information can be obtained that is predictive of the child's or adolescent's nursing care needs. Significant predictive contributions were particularly noted for information pertaining to the sex of the childladolescent, ratings of intellectual functioning, and history of possible abuse and/or neglect. This is the age of escalating medical costs, Diagnosis Related Groups (DRGs), and a shortage of child and adolescent psychiatric inpatient facilities (Adams, 1977). The authors, as inpatient staff members, have been faced periodically with the dilemma of open beds but too few nursing staff to cover admissions because of the patient mix on the ward. The question was asked: How can one predict if a ward can handle a certain type of admission with the present patient mix? In other words, will an admission be precluded because it requires more nursing staff than an unit can provide? This question is central to the issue of maximizing existing bed space in child and adolescent psychiaric inpatient units around the country.