A survey of the psychiatric care provided for children and young people in general hospital settings in New Zealand.

IF 1.2 4区医学 Q4 PSYCHIATRY

Australasian Psychiatry Pub Date : 2024-09-19 DOI:10.1177/10398562241282743

John Hopkins, Ella Skudder, Frederick Sundram, Paul Vroegop

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引用次数: 0

Abstract

Objective: The aim of this study was to conduct an in-depth survey of psychiatric care provided for children and young people (CYP) in general hospital settings in New Zealand (NZ).

Method: As part of a larger national survey of Consultation-Liaison Psychiatry (CLP) services across the lifespan, a 44-question survey was emailed to clinicians who were involved in providing psychiatric care for CYP at each of the 24 public general hospitals with specialist paediatric services.

Results: Responses were obtained from all four paediatric CLP teams that cover the four specialist children's hospitals, and 16 of the 23 child and adolescent community mental health services that provide hospital inreach. These services were found to be under-resourced, utilise variable service models, and rely heavily on inreach.

Conclusion: Escalating presentation rates for young people and increasingly complex paediatric presentations pose major challenges for the psychiatric care of CYP in general hospital settings. Utilising international staffing standards and service models, proposals are made to evolve more consistent and effective paediatric CLP services in NZ.

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新西兰综合医院为儿童和青少年提供的精神病治疗调查。

研究目的本研究旨在对新西兰（NZ）综合医院为儿童和青少年（CYP）提供的精神科治疗进行深入调查：方法：作为一项针对整个生命周期的咨询联络精神病学（CLP）服务的大型全国性调查的一部分，我们通过电子邮件向 24 家提供儿科专科服务的公立综合医院中参与为儿童和青少年提供精神病治疗的临床医生发送了一份包含 44 个问题的调查问卷：所有四家儿童专科医院的儿科 CLP 小组，以及 23 家提供医院内联服务的儿童和青少年社区精神健康服务机构中的 16 家都提供了回复。调查发现，这些服务机构资源不足，采用的服务模式各不相同，并严重依赖内联服务：结论：青少年发病率的不断攀升和儿科病症的日益复杂，给综合医院的青少年精神病治疗带来了重大挑战。利用国际人员配备标准和服务模式，我们提出了在新西兰发展更一致、更有效的儿科 CLP 服务的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Psychiatry 医学-精神病学

CiteScore

2.80

自引率

5.60%

发文量

159

审稿时长

6-12 weeks

期刊介绍： Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.