The administration of hospital-based services

Woolston, Joseph L.

doi:10.1016/s1056-4993(03)00060-9

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…These child guidance clinics were entirely community based. Since then, there has been a gradual evolution into hospital based inpatient, outpatient and paediatric liaison services, which were facilitated mainly by two other parallel developments [1]. Firstly, improved knowledge has helped us to understand that many child mental health problems are neurodevelopmental and neuropsychiatric in nature.…”

Section: Low Prioritymentioning

confidence: 99%

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Assessment of a child mental health inpatient unit

Perera

2011

Ceylon Med. J.

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Section: Low Prioritymentioning

confidence: 99%

“…Firstly, improved knowledge has helped us to understand that many child mental health problems are neurodevelopmental and neuropsychiatric in nature. Secondly, and more importantly, there is an increasing public demand for better services [1]. Then, why did not Sri Lanka keep pace with developments in other parts of the world?…”

Section: Low Prioritymentioning

confidence: 99%

Assessment of a child mental health inpatient unit

Perera

2011

Ceylon Med. J.

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“…Reimbursements rates from various funding sources often fail to keep pace with operational costs. For numerous reasons, few hospitals, particularly general ones, have been able to make commitments to developing inpatient psychiatric services for children and adolescents let alone outpatient ones [7]. Intermediate levels of care such as partial hospitalization programs are also not always available and problems with insurance coverage issues may exist.…”

Section: Constraints In the Continuum Of Carementioning

confidence: 99%

Administrative Issues in Child Psychiatry

et al. 2007

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Administrative issues related to operating child and adolescent psychiatry programs or child mental health centers are substantially different than their adult counterpart programs. The increasing demands from managed care and other regulatory agencies make these programs difficult to operate. The smaller scale of these programs and the fewer existing programs make managing access to care more complicated. The administrators and clinicians in these programs have to be vigilant of legal responsibilities and reporting mandates that child practitioners and agencies that treat children need to abide by. In order to continue thriving, programs need to be efficient and fiscally viable. Issues such as building the continuum of care and finding the qualified personnel to staff these services are discussed in this article.

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“…This change was brought about by increasing knowledge of neuropsychiatric disorders affecting children, better treatment methods, and growing public expectations / demand for better care 1 . Hospital based services included inpatient and outpatient care and consultation / liaison work offered to other service units.…”

Section: Introductionmentioning

confidence: 99%

“…While most children with mental health problems still receive outpatient rather than inpatient care, benefits of latter have been clearly shown. Psychological function ___________________________________________ 1 Senior Lecturer, Faculty of Medicine Colombo, 2 Medical Officer in Psychiatry, 3 Senior Registrar in Psychiatry, National Hospital, Colombo.…”

Section: Introductionmentioning

confidence: 99%

A clinical study of child mental health inpatient care

Perera¹,

Wanigatunge²,

Gadambanathan³

2009

Sri Lanka J Child Health

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Objectives To explore whether admissions to a child mental health inpatient unit in a tertiary care paediatric hospital were justified and estimate whether inpatient unit provided a beneficial service to patients and their families.Method A retrospective analysis of 191 consecutive admissions to unit over 15 months. Relevant information was obtained from clinical case notes recorded and maintained during hospital stay. Additional data was obtained from standardized assessment schedules used for validation of diagnoses and neuropsychological assessment carried out during admission.Results Ages ranged from 2-12 years. Most patients were referred by paediatricians. Medically unexplained somatic symptoms and disruptive behaviour were the most prevalent presenting features. Multidisciplinary approach to care and objectively supported assessment and intervention strategies were beneficial in over 80% of patients. Average duration of hospitalisation was 6.4 days. None dropped out of treatment. There was a 12% readmission rate and an 18.4% unsatisfactory rating for outcome.

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The administration of hospital-based services

Cited by 4 publications

References 10 publications

Assessment of a child mental health inpatient unit

Assessment of a child mental health inpatient unit

Administrative Issues in Child Psychiatry

A clinical study of child mental health inpatient care

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