Doherty M B, Manderson M, Carter-Ake L
Hosp Community Psychiatry. 1987 Jun;38(6):643-7. doi: 10.1176/ps.38.6.643.
Current emphasis on reducing length of hospital stay has stimulated a review of the philosophical, clinical, and administrative approaches to brief psychiatric hospitalization of children. A model of time-limited hospitalization on an eight-bed children's unit was designed to stabilize the patients and triage them back to appropriate levels of community aftercare within 28 days. Clinical and administrative strategies used to facilitate this process included a community-based case manager for each patient, focused clinical intervention, and strong parent involvement. The treatment model was generally successful in meeting the goals of hospitalization. Of 212 admissions over three years, 37 percent of the patients at discharge continued to need complex, multi-modal treatments, and 63 percent were referred for less intensive outpatient care.
当前对缩短住院时间的重视促使人们对儿童短期精神科住院治疗的理念、临床及管理方法进行审视。在一个设有8张床位的儿童病房设计了限时住院模式，目的是使患者病情稳定，并在28天内将他们分流至适当级别的社区后续照护。为推动这一过程所采用的临床及管理策略包括为每位患者配备一名社区个案管理员、有针对性的临床干预以及家长的积极参与。该治疗模式总体上成功实现了住院目标。在三年里收治的212名患者中，37%的患者出院后仍需复杂的多模式治疗，63%的患者被转至强度较低的门诊护理。
