Emergency Presentations to an Inner-City Psychiatric Service for Children and Adolescents

Autor/inn/en	Dil, L. M.; Vuijk, P. J.
Titel	Emergency Presentations to an Inner-City Psychiatric Service for Children and Adolescents
Quelle	In: Child Care in Practice, 18 (2012) 3, S.255-269 (15 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1357-5279
DOI	10.1080/13575279.2012.683774
Schlagwörter	Psychiatric Services; Health Services; Mental Disorders; Mental Health Programs; Behavior Disorders; Adolescents; Urban Areas; Children; Emergency Programs; Parent Influence; Clinical Diagnosis; Interpersonal Relationship; Hospitals; Foreign Countries; Age Differences; Child Rearing; Parent Child Relationship; Psychological Patterns; Gender Differences; Aggression; Child Abuse; Suicide; Homeless People; Runaways; Sexuality; Anxiety; Self Destructive Behavior; Disabilities; Netherlands + Suchen Sie Ihr Suchwort? Psychiatric care; Psychiatrische Versorgung; Health service; Gesundheitsdienst; Gesundheitswesen; Mental illness; Geisteskrankheit; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Urban area; Stadtregion; Child; Kind; Kinder; Hilfsprogramm; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Krankengymnast; Krankenhaus; Ausland; Age; Difference; Age difference; Altersunterschied; Kindererziehung; Parents-child relationship; Parent-child-relation; Parent-child relationship; Eltern-Kind-Beziehung; Geschlechterkonflikt; Abuse of children; Abuse; Children; Kindesmissbrauch; Missbrauch; Selbstmord; Homeless person; Homeless persons; Obdachloser; Ausreißer; Sexualität; Angst; Self destrucive behaviour; Selbstzerstörung; Handicap; Behinderung; Niederlande
Abstract	Psychiatric emergency services for children and adolescents vary in process, structure and outcome. There are few systematic studies on the type and prevalence of psychiatric problems encountered, related circumstances or resulting interventions. Evidence in these areas is important in evaluation of the function of mental health services in the relevant catchment area. This article presents a cohort study of 466 consecutive consultations that took place in the Amsterdam Child Psychiatric Emergency Service in 2008, with data on clinical, demographic and consultation-related characteristics. A majority of the consultations (51.5%) was related to behavioural problems in the context of heavily strained relationships. A total of 23.4% consultations were related to neglect or abuse. Parental mental illness prompted 12% of the consultations. Psychiatric diagnoses in the child as such were limited. The main "Diagnostic and Statistical Manual of Mental Disorders" classification was a relational problem (70%). These crises were serious and often necessitated temporary placement. Hospitalisations on a psychiatric ward and/or pharmacological intervention were rare. Regular mental healthcare providers may specifically need to add psychiatric evaluation and treatment strategies when confronted with disruptive disorders. Additional preventive measures and firmer inter-agency collaboration may ameliorate the containment of problems in these children and their families. (Contains 5 tables.) (As Provided).
Anmerkungen	Routledge. Available from: Taylor & Francis, Ltd. 325 Chestnut Street Suite 800, Philadelphia, PA 19106. Tel: 800-354-1420; Fax: 215-625-2940; Web site: http://www.tandf.co.uk/journals
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10