Child and Family Unit, Starship Children's Health, Auckland, New Zealand.
Child Adolesc Ment Health. 2021 May;26(2):184-185. doi: 10.1111/camh.12462. Epub 2021 Mar 30.
In child and adolescent mental health care, the evidence base we have is for care in the community. The role of inpatient units is to support that care. Risk can be effectively managed in the context of acute psychotic illness. Some contribution can be made with suicidal adolescents, including sharing risk. Particular aspects of inpatient care can contribute to community care in many scenarios in terms of use of different sorts of assessment information, extended 24/7 contact enabling different opportunities for building rapport and shifting systems and stuck behaviour patterns. To support community teams effectively when such support is needed, inpatient units need to maintain empty beds. Self-determination Theory provides an evidence base showing that when people experience relatedness, autonomy and competence, they experience increased well-being, and intrinsic motivation can guide inpatient care. Interactions with patients and families, staff in the unit and community teams the unit is serving can be focussed to optimise experience of relatedness, autonomy and competence in all these groups. The potential is for every interaction to be a therapeutic interaction.
在儿童和青少年心理健康护理中，我们现有的证据基础是针对社区护理的。住院病房的作用是支持这种护理。在急性精神病发作的情况下，可以有效地管理风险。对于有自杀倾向的青少年，可以通过分享风险做出一些贡献。在许多情况下，住院护理的特定方面可以通过使用不同类型的评估信息、提供 24/7 的扩展联系，为建立融洽关系、改变系统和僵化的行为模式提供不同的机会，从而为社区团队提供支持。为了在需要时有效地支持社区团队，住院病房需要保持空床。自我决定理论提供了一个证据基础，表明当人们体验到相关性、自主性和能力时，他们会体验到更高的幸福感，内在动机可以指导住院护理。可以将与患者和家属、病房内的工作人员以及病房所服务的社区团队的互动重点放在所有这些群体的相关性、自主性和能力的体验上。每个互动都有可能成为一种治疗性的互动。
