Short Research Article: Opening a new CAMHS day hospital – does it affect inpatient admissions and does it help at all?

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2023-10-25 DOI:10.1111/camh.12680

Sannie John, Dermot Cohen

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引用次数: 0

Abstract

Background

Day hospitals in child and adolescent mental health services are held to be helpful entities in the psychiatric care of young people. However, limited research has been done to look into how day hospitals and similar settings affect referrals, inpatient stays and in which cohort of patients do they show the most impact. This study's primary aims were to examine the impact of a new Child and Adolescent Mental Health Service (CAMHS) day hospital on referrals and admissions to the associated CAMHS in-patient unit. A secondary aim of this study was to examine the demographics and clinical outcomes of the young people attending the day hospital.

Methods

Information was gathered using retrospective reviews of clinical files and databases.

Results

There was a reduction in admissions and in the total bed days from the study area following the opening of the day hospital. There was an improvement in clinical outcomes for young people attending the day hospital.

Conclusion

Day hospital in child and adolescent mental health services can prove to be a useful modality to provide support to young people with a moderate to severe mental illness leading to reduced inpatient admissions and improving lengths of inpatient stay. It also improves clinical outcomes for cohorts of young people where inpatient stay is not warranted but higher levels of support is needed.

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简短的研究文章：开设一家新的CAMHS日间医院——它会影响住院人数吗？它有帮助吗？

背景：儿童和青少年心理健康服务的日间医院被认为是年轻人心理护理的有益实体。然而，对于日间医院和类似环境如何影响转诊、住院时间，以及在哪一组患者中表现出最大的影响，研究有限。这项研究的主要目的是检查一家新的儿童和青少年心理健康服务（CAMHS）日间医院对相关CAMHS住院单位的转诊和入院的影响。这项研究的第二个目的是检查去日间医院的年轻人的人口统计和临床结果。方法：通过对临床档案和数据库的回顾性审查来收集信息。结果：日间医院开业后，研究区域的入院人数和总床位天数都有所减少。在日间医院就诊的年轻人的临床结果有所改善。结论：儿童和青少年心理健康服务的日间医院可以被证明是一种有用的方式，为患有中度至重度精神疾病的年轻人提供支持，从而减少住院人数，缩短住院时间。它还改善了年轻人的临床结果，这些年轻人不需要住院治疗，但需要更高水平的支持。

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

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.