英国青少年进入成人心理健康病房的影响:国家定性研究。

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-03-17 DOI:10.1192/bjo.2024.850
Anne-Marie Burn, Josephine Holland, James Roe, Elinor Hopkin, Lorna Wild, Michelle Fisher, Tamsin Ford, Saeed Nazir, Bernadka Dubicka, Anthony James, Helena Tuomainen, Nicole Fung, Adam Wagner, Richard Morriss, Kapil Sayal
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引用次数: 0

摘要

背景:英格兰的国家政策建议年轻人入住与年龄相适应的精神卫生病房。尽管如此,仍有年轻人被送进成人病房。目的:从青少年、家长/照顾者和在成人服务机构工作的心理健康专业人员的角度,探讨青少年入住成人病房的影响。方法:采用半结构式访谈法,对29名成人精神卫生病房接受和提供护理的经历进行探讨。参与者是4名年轻人(16-17岁)、4名父母/照顾者和21名来自英格兰成人心理健康服务机构的心理健康专业人员。数据采用框架分析法进行分析。结果:青少年入院成人病房往往发生在非工作时间,在危机的时候,当没有合适的青少年床位可用。入院被定义为短期安全措施,而不是任何治疗投入。人们对成人病房的青少年受到保护、治疗选择有限以及缺乏教育等问题表示关注。然而,对于年龄较大的青少年,成人病房可能在临床上或社会上是合适的。减少成人病房入住的建议包括更好地整合青少年和成人服务,制定更灵活的政策和增加社区提供。结论:我们的研究结果强调了年轻人被送入与年龄相适应的住院设施的重要性。早期干预和增加社区专科护理可以防止青少年入住成人病房。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of young people's admissions to adult mental health wards in England: national qualitative study.

Background: National policy in England recommends that young people be admitted to mental health wards that are age-appropriate. Despite this, young people continue to be admitted to adult wards.

Aims: To explore the impact of young people's admissions to adult wards, from the perspectives of young people, parents/carers and mental health professionals working in adult services.

Method: Semi-structured interviews were conducted with 29 participants to explore experiences of receiving and delivering care in adult mental health wards. Participants were four young people (aged 16-17 years), four parents/carers and 21 mental health professionals from adult mental health services in England. Data were analysed using framework analysis.

Results: Young people's admissions to adult wards tend to occur out of hours, at a time of crisis and when no suitable adolescent bed is available. Admissions were conceptualised as a short-term safety measure rather than for any therapeutic input. Concerns were raised about safeguarding, limited treatment options and a lack of education provision for young people on adult wards. However, exceptionally, for older adolescents, an adult ward might be clinically or socially appropriate. Recommendations to reduce adult ward admissions included better integration of adolescent and adult services, having more flexible policies and increasing community provision.

Conclusions: Our findings emphasise the importance of young people being admitted to age-appropriate in-patient facilities. Earlier intervention and increased provision of specialist care in the community could prevent young people's admissions to adult wards.

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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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