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辩论:在虚假的世界中寻求理解——探讨儿童和青少年精神健康住院病房的作用。

Debate: Feeling understood in a fake world - the place of inpatient mental health units in the care of children and adolescents.

机构信息

National and Specialist Snowsfields Adolescent Unit, South London and Maudsley NHS Foundation Trust, London, UK.

Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

出版信息

Child Adolesc Ment Health. 2021 May;26(2):180-181. doi: 10.1111/camh.12464. Epub 2021 Mar 28.

DOI:10.1111/camh.12464
PMID:33779039
Abstract

Inpatient units are a significant element of mental healthcare for children and adolescents with the most severe and challenging clinical presentations. Inpatient input has been associated with substantive and sustained health gains across a range of diagnoses and cannot be fully replaced by intensive community treatment options. The potential benefits and risks associated with an admission should be carefully weighed in all referred individuals and may differ depending on several parameters including the type of unit and aims of admission. Although every effort should be made for admissions to be as efficient and short as possible, access to inpatient care and its extent should continue to be determined by clinical need.

摘要

住院病房是儿童和青少年精神卫生保健的重要组成部分,对于最严重和最具挑战性的临床病症尤其如此。住院治疗可以带来实质性的、可持续的健康收益,涵盖了一系列诊断,而且这种治疗无法完全被强化社区治疗方案所取代。在所有转介的个体中,都应仔细权衡入院的潜在益处和风险,其可能因包括病房类型和入院目的在内的多个参数而有所不同。尽管应尽一切努力使住院治疗尽可能高效和短暂,但住院护理的获得途径及其程度应继续由临床需求决定。

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