Adolescent admissions to adult psychiatric units: patterns and implications for service provision

Park , Chohye, McDermott, Brett, Loy, Jik, and Dean, Peter (2011) Adolescent admissions to adult psychiatric units: patterns and implications for service provision. Australasian Psychiatry, 19 (4). pp. 345-349.

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Abstract

Objective: The aim of this study was to investigate patterns of child and adolescent admissions to an acute adult psychiatric unit in a rural city. Correlates of admissions were then considered in terms of service reform for this vulnerable, under-resourced group.

Method: The study reviewed consecutive clinical records of children and adolescents who were admitted to an acute general psychiatric inpatient unit over a 6 year period (N = 332).

Results: Patients generally experienced numerous pre-admission psychosocial stressors; there were many abuse histories and/or juvenile justice involvement. The principal diagnosis was varied and comorbidity was common. Maori patients were over-represented. The majority of admissions occurred out of working hours and more than half came from rural areas. There was high usage of the Mental Health Act on admission. Common causes of admission were self-harm and suicidal behaviour. The majority of the admitted adolescents required follow up by child and adolescent mental health services after discharge.

Conclusion: We identified several reform possibilities, including up-skilling emergency and adult mental health staff in child and adolescent mental health, exploration of alternatives to admissions and specialist service coverage.

Item ID: 44556
Item Type: Article (Research - C1)
ISSN: 1440-1665
Keywords: admission, adolescent mental health, adult psychiatric unit
Date Deposited: 19 Jul 2016 05:29
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders @ 100%
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