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“Day Hospital in Child and Adolescent Psychiatry: Is It Effective for Whom?” Effectiveness of Infant Psychiatric Day Hospital
Abstract
The infant day hospital is a therapeutic option to patients with high complexity neuropsychiatric disorders. It is essential to evaluate its effectiveness and the patients’ profile that better respond to this type of intervention so the national resources are better invested
... This high percentage might reflect the cultural tendency to give attention to behavioural problems more in males rather than in females. Although the percentage of children living with both parents is less in our admitted than in outpatient group, this percentage among admitted young people is still less than reported in other cultures (Mendonca et al., 2017), a finding that might reflect the conservative nature of Egyptian but might also reflect the need to reach out to more troubled families and residential homes in our community. Unsurprisingly, we report a clear association between physical and sexual abuse of children and admission, readmission, and longer duration of admission among our inpatient sample of young individuals, a finding previously reported in several studies (Bobier & Warwick, 2005;Mendonca et al., 2017). ...
... Although the percentage of children living with both parents is less in our admitted than in outpatient group, this percentage among admitted young people is still less than reported in other cultures (Mendonca et al., 2017), a finding that might reflect the conservative nature of Egyptian but might also reflect the need to reach out to more troubled families and residential homes in our community. Unsurprisingly, we report a clear association between physical and sexual abuse of children and admission, readmission, and longer duration of admission among our inpatient sample of young individuals, a finding previously reported in several studies (Bobier & Warwick, 2005;Mendonca et al., 2017). ...
Background: To our knowledge, this is the first study that aims to investigate the demographic and clinical correlates of admission into a specialized inpatient psychiatric unit for children and adolescents in Egypt and the Arab world.
Methods: The files of all service users who presented for care in the outpatient service for children and adolescents in Tanta University between July 2017 and December 2019 were reviewed. Of the 1,195 files reviewed, 100 patients were admitted to the inpatient unit for 133 admission episodes with an average duration of 18.5 days per episode.
Results: The most common diagnosis among admitted children and adolescents was disruptive behaviour disorder. Having a diagnosis of bipolar disorder, eating disorder, or trauma-related disorders powerfully predicted admission. Both physical and
sexual abuse also predicted admission, readmission and longer duration of admission.
Conclusions: The need for admission into specialized psychiatric inpatient units for children and adolescents is comparable to that in other parts of the world. There is an urgent necessity to develop such therapeutic units across the entire Arab world with subsequent need to establish suitable training programs for mental health workers to deal with children and adolescents diagnosed with sever psychiatric disorders in inpatient setting.
... This high percentage might reflect the cultural tendency to give attention to behavioral problems more in males rather than in females. Although the percentage of children living with both parents is less in our admitted than in outpatient group, this percentage among admitted young people is still less than reported in other cultures (Mendonca, Pantano, Casella, & Scivoletto, 2017), a finding that might reflect the conservative nature of Egyptian but might also reflect the need ...
... Unsurprisingly, we report a clear association between physical and sexual abuse of children and admission, readmission, and longer duration of admission among our inpatient sample of young individuals, a finding previously reported in several studies (Bobier & Warwick, 2005;Mendonca et al., 2017). ...
Background
To our knowledge, this is the first study that aims to investigate the demographic and clinical correlates of admission into a specialized inpatient psychiatric unit for children and adolescents in Egypt and the Arab world.
Methods
The files of all service users who presented for care in the outpatient service for children and adolescents in xxxx University between July 2017 and December 2019 were reviewed. Of the 1195 files reviewed, 100 patients were admitted to the inpatient unit for 133 admission episodes with an average duration of 18.5 days per episode.
Results
The most common diagnosis among admitted children and adolescents was disruptive behavior disorder. Having a diagnosis of bipolar disorder, eating disorder, or trauma related disorders powerfully predicted admission. Both physical and sexual abuse also predicted admission, readmission and longer duration of admission.
Conclusions
The need for admission into specialized psychiatric inpatient units for children and adolescents is comparable to that in other parts of the world. There is an urgent necessity to develop such therapeutic units across the entire Arab world with subsequent need to establish suitable training programs for mental health workers to deal with children and adolescents diagnosed with sever psychiatric disorders in inpatient setting.
... To the best of the authors' knowledge, this is the first study looking at the impact of the development of a CAMHS day hospital on admissions to an inpatient unit. A previous study published by Mendonca, Pantano, Borba Casella, & Scivoletto (2017) concluded that day hospital admission was 'effective in promoting clinical stabilization of severe psychiatric disorders in children and adolescents'. This study showed no difference among different presentations in the clinical improvement. ...
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.
... In order to test the application in a real-world context, three focus-group interviews were conducted with two clinical psychologists working at a day hospital in Paris. A day hospital is a clinical institute for children with neurodevelopmental conditions and severe learning disabilities [25]. The objective was twofold: validate the suitability of the application for a day hospital setting, and adapt the design with respect to requirements for this specific setting. ...
... This high percentage might re ect the cultural tendency to give attention to behavioral problems more in males rather than in females. Although the percentage of children living with both parents is less in our admitted than in outpatient group, this percentage among admitted youth is still less than reported in other cultures(Mendonca, Pantano, Casella, & Scivoletto, 2017), a nding that might re ect the conservative nature of Egyptian but might also re ect the need to reach out to more troubled families and residential homes in our community. Unsurprisingly, we report a clear association between physical and sexual abuse of children and admission, readmission, and longer duration of admission among our inpatient sample of youth, a ning previously reported in several studies(Bobier & Warwick, 2005; Mendonca et al., 2017). ...
Background: To our knowledge, this is the first study that aims to investigate the demographic and clinical correlates of admission into a specialized inpatient psychiatric unit for children and adolescents in Egypt and the Arab world.
Methods: The files of all new cases who presented for care in the outpatient service for children and adolescents in Tanta University between July 2017 and December 2019 were reviewed. Of the 1195 files reviewed, 100 patients were admitted to the inpatient unit for 133 admission episodes with an average duration of 18.5 days per episode.
Results: The most common diagnosis among admitted youth was disruptive behavior disorder but having a diagnosis of bipolar disorder, eating disorder, or trauma related disorders predicted admission more powerfully than did the diagnosis of disruptive behavior disorder. Physical and sexual abuse were both associated with higher rates of admission, readmission and longer duration of admission.
Conclusions: Except for having more percentage of youth with disruptive behavior disorders, and less percentage of those with eating disorders, the characteristics of youth in need for admission into psychiatric inpatient unit is comparable to those reported in other parts of the world.
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