2017
DOI: 10.1177/1049732316689782
|View full text |Cite
|
Sign up to set email alerts
|

Referral to an Acute Child and Adolescent Inpatient Unit: The Experiences and Views of Community Mental Health Referrers

Abstract: Admission to an acute mental health inpatient unit is a significant event for a young person. The interface between inpatient and community teams negotiating the admission and later discharge can be fraught. To understand how to improve the transition between inpatient and community care, we interviewed 48 community clinicians about their experiences of engaging with an acute child and adolescent mental health inpatient unit. Through thematic analysis, we identified management of risk was a central issue. Part… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
9
0

Year Published

2018
2018
2024
2024

Publication Types

Select...
6

Relationship

2
4

Authors

Journals

citations
Cited by 9 publications
(9 citation statements)
references
References 73 publications
0
9
0
Order By: Relevance
“…Some of the descriptions the young people make of their experience question simplistic notions of containment providing safety. Containment and management of risk are frequently requested [17]. However, there is no evidence for the effectiveness of inpatient containment as a strategy for managing suicidal risk [48].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Some of the descriptions the young people make of their experience question simplistic notions of containment providing safety. Containment and management of risk are frequently requested [17]. However, there is no evidence for the effectiveness of inpatient containment as a strategy for managing suicidal risk [48].…”
Section: Discussionmentioning
confidence: 99%
“…They expect the unit to meet the needs for admission as defined by the local community teams for assessment and treatment of mental disorders. Respite is provided locally as part of the community treatment package [17]. There are 350 to 400 admissions annually, mostly adolescents with para-suicidal behaviour or psychosis.…”
Section: Introductionmentioning
confidence: 99%
“…This suggests that the role of the inpatient unit in mental health care is continuing to change to meet individual, policy, and practice demands (Stanton et al . ). Such changes have direct implications for mental health nursing.…”
Section: Introductionmentioning
confidence: 97%
“…Furthermore, more alternatives are now available within community settings, such as short-term prevention and recovery centres. This suggests that the role of the inpatient unit in mental health care is continuing to change to meet individual, policy, and practice demands (Stanton et al 2017). Such changes have direct implications for mental health nursing.…”
Section: Introductionmentioning
confidence: 99%
“…7 Typically, decisions on who to admit to inpatient child and adolescent mental health services (CAMHS) in the UK take place within limited bed capacity, with perceptions of 'risk' uppermost but can vary upon external triggering factors and context for example suicidal attempts. Negotiating access to inpatient beds for adolescents can be fraught with difficulties 8 and with the development of effective community based interventions for common mental health presentations in adolescents, the focus and function of inpatient care is changing. 9 Inpatient care is often currently selected because the round-the-clock availability of nursing staff makes it possible to keep adolescents safe while assessments and interventions of their mental health is addressed.…”
Section: Introductionmentioning
confidence: 99%