Staff Experience, Knowledge and Attitudes Regarding the Management of Adolescent Patients in Adult Mental Health Units

Curran, Genevieve; Walter, Garry; Soh, Nerissa; Herman, Michael; Baker, Martin; Paton, Michael; Newton, Lesley; Byrne, Simon

doi:10.3109/10398562.2011.602079

Cited by 10 publications

(21 citation statements)

References 9 publications

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“…At least one study showed that some young patients reported feeling unsatisfactory during their time on adult psychiatric wards [35]. It is a general consensus that adult wards are inappropriate for child and adolescent patients with mental illness [16].…”

Section: Youth Patients Admitted In General Unitsmentioning

confidence: 99%

“…Due to their unique developmental features, it is a consensus that youth patients requiring in-patient care for mental health problems should be managed in age-appropriate facilities [15,16]. In its policy statement, the American Academy of Child and Adolescent Psychiatry states clearly that "Unless Although child psychiatry has always been an important subspecialty of psychiatry in China, the overall development is rather slow and much improvement is urgently needed, including the scarcity of trained professionals, limited availability of treatment facilities and lack of funding and policy support [3,19].…”

Section: Introductionmentioning

confidence: 99%

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Psychiatric inpatient beds for youths in China: data from a nation-wide survey

Geng

Jiang

Rakofsky

et al. 2020

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Background The development of child psychiatry in China is slow and very limited resources have been allocated to it. To investigate the current resources of inpatient psychiatric facilities for youth in top-tier psychiatric hospitals in China and the characteristics of youth patients hospitalized in an adult unit. Method As part of a official national survey, 29 most representative provincial tertiary psychiatric hospitals in China were selected. Data of 1975 inpatients discharged from these hospitals from March 19 to 31, 2019 were retrieved and analyzed. Results The mean number of youth psychiatric bed was 27.7±22.9 in these hospitals and 6/29 hospitals had zero youth beds. There were significantly more youth beds in developed regions than in less developed regions (P<0.05). Most of discharged youth patients were teenagers with severe mental illnesses, including schizophrenia, depressive disorder and bipolar disorder. 7.5% (149) of 1975 discharged patients were youth while youth beds only accounted for 3.2% (804/25136) of all psychiatric beds. 45.6% (68) of youth patients hospitalized in adult units. Conclusion Our findings highlight a dire situation of youth inpatient service in China, especially in less developed regions. There is an urgent need to change the policy and develop mental health services, including inpatient services for child and adolescent patients.

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Section: Youth Patients Admitted In General Unitsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

Geng

Jiang

Rakofsky

et al. 2020

Preprint

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“…Ellilӓ et al (2005) and Gearing and Mian (2005) argue that children and adolescents cannot be treated according to the same principles and protocols that govern adult psychiatric inpatient programmes. For example, adolescents need different support and guidance in the ward than adult patients (Curran et al 2011). Inpatient therapy programmes should be designed with the age, emotional, social and developmental level of adolescents in mind (Sadock and Sadock 2007).…”

Section: Introductionmentioning

confidence: 98%

“…Adapting adult inpatient treatment programmes to suit the specific needs of adolescents is problematic owing to the nature of the environment and the different therapeutic approaches utilised in adult wards (Curran et al 2011). Research pertaining to adolescent programmes in South Africa is limited (Ackerman and Le Roux 2003).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of mental healthcare professionals regarding inpatient therapy programmes for adolescents in the Eastern Cape, South Africa

Smith

Strümpher

Morton

2015

Journal of Child & Adolescent Mental Health

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The findings showed that inter-professional collaboration is an important aspect of successful inpatient adolescent therapy programmes. Such programmes benefit from the involvement of a wide variety of professionals. However, professionals who are part of a multi-professional team need to be suitably skilled and prepared to meet the needs of the adolescent. Professionals working in therapy programmes for adolescents should have certain personal attributes that make them suitable for working with adolescents. An adolescent inpatient therapy programme requires a team leader or a coordinator to lead the programme to ensure its success. Continuous assessment of each adolescent is essential. Therapy should take place in an adolescent-friendly environment and should be structured yet flexible. The involvement of the adolescents' families is critical, and the programme should be designed with the family in mind. Group therapy is a major component of an adolescent therapy programme and individual therapy is also an important aspect of the programme. Finally, adolescents should only take part in the programme for a short time to avoid institutionalisation.

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“…Several concerns have been raised about this practice: First, youth patients often do not feel comfortable among adults with mental disorders[31,32]. Second, an adult psychiatric unit often has different physical features and designs that may not be appropriate for younger patients[33,34].Third, staff on adult wards often lack necessary experience or training and they do not feel confident working with young patients[18]. At least one study showed that some young patients reported feeling dissatisfied during their time on adult psychiatric wards[35].…”

mentioning

confidence: 99%

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

Geng

Jiang

Rakofsky

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The development of child psychiatric services in China has been slow and very limited resources have been allocated to support its growth. This study set out to investigate the child and adolescent inpatient psychiatric resources currently available in top-tier psychiatric hospitals in China and the characteristics of youth patients hospitalized on an adult unit. Method As part of a official national survey, 29 most representative provincial tertiary psychiatric hospitals in China were selected. Data of 1975 inpatients discharged from these hospitals from March 19 to 31, 2019 were retrieved and analyzed. Results The mean number of youth psychiatric beds was 27.7±22.9 in these hospitals and 6/29 hospitals had zero youth beds. There were significantly more youth beds in developed regions than in less developed regions (P<0.05). Most of discharged youth patients were teenagers with severe mental illnesses, including schizophrenia, depressive disorder and bipolar disorder. 7.5% (149) of 1975 discharged patients were youth while youth beds only accounted for 3.2% (804/25136) of all psychiatric beds. 45.6% (68) of youth patients were discharged from adult psychiatric units. Conclusion Our findings highlight the lack of adequate youth psychiatric inpatient services for children and adolescents living in China, especially in less developed regions. There is an urgent need to build more child and adolescent psychiatric units in provinces where there are none, and to increase the number of beds within the units that exist presently.

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Staff Experience, Knowledge and Attitudes Regarding the Management of Adolescent Patients in Adult Mental Health Units

Abstract: Generally, staff were not in favour of admitting adolescent patients to adult mental health units apart from in exceptional circumstances. Staff harboured concerns about several aspects of care for adolescents in adult wards.

Cited by 10 publications

References 9 publications

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

Perceptions of mental healthcare professionals regarding inpatient therapy programmes for adolescents in the Eastern Cape, South Africa

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

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