Psychiatric Treatment Of Children Research Articles

76.1 The Best Medicine: Evidence and Strategies for Using Humor in the Psychiatric Treatment of Children and Adolescents

76.1 The Best Medicine: Evidence and Strategies for Using Humor in the Psychiatric Treatment of Children and Adolescents

Bibliography: Psychiatric Treatment of Children and Adolescents.

Bibliography: Psychiatric Treatment of Children and Adolescents.

Abstracts: Psychiatric Treatment of Children and Adolescents

Abstracts: Psychiatric Treatment of Children and Adolescents

Pilot Project in NY State Reduces Use of Seclusion, Restraint in Facilities Serving Children

Pilot Project in NY State Reduces Use of Seclusion, Restraint in Facilities Serving Children

Psychiatric Treatment of Children and Adolescents in Rural Communities: Myths and Realities

Rural child and adolescent psychiatry offers many challenges, a varied and interesting practice, and the satisfaction of performing needed and important work in an environment in which one's presence is valued. The successful psychiatrist can expect to be an integrated and appreciated member of the community. The fit is not a good one for every practitioner, however. Not only are incomes lower, although the cost of living is low as well, but practitioners may find they have only exchanged urban stresses for rural pressures. The characteristics important for the child and adolescent psychiatrist are the same for rural and urban settings: flexibility, creativity and innovation, competence, self confidence, a good sense of boundaries, a good balance between personal and private life, supportive personal relationships, and a sense of humor. One must be a child advocate, have a willingness to give of one's self and one's time, and be down to earth, comfortable with oneself, and capable of self entertainment. Training programs with access to rural populations can introduce residents to rural child and adolescent psychiatry while supporting those who are already in practice. The authors hope that this article will promote a dialogue with psychiatrists considering relocation to a rural area and encourage training programs to prepare residents for rural practice.

A National Survey on the Use of Seclusion in the Psychiatric Treatment of Children

Officials in 36 states responded to a survey of state policies, procedures, and regulations for the use of seclusion in the psychiatric treatment of children. Thirty-five of the states permit its use in emergencies, and 18 allow its use as part of a therapeutic treatment program. Only six states responding have regulations specifically addressing the use of seclusion with children. The authors summarize state regulations, including duration and frequency of seclusion episodes; orders required to implement seclusion and who may authorize it; rules about observation, documentation, and termination of episodes and breaks during episodes; design of seclusion rooms; and staff training. The authors present a model policy and procedure statement based on clinical and developmental considerations.

Neuroleptics in Pediatric Psychiatry

At the present time, neuroleptics are indicated for the treatment of acute psychotic states as well as Tourette's syndrome in children and adults. Neuroleptics may have a useful role in the attenuation of problem behaviors, such as stereotypies, hyperactivity, self-injury, and aggressive outbursts in infantile autism, pervasive developmental disorder NOS, and mental retardation, but they do not improve the underlying condition. Neuroleptics are not the agents of first choice for treatment of hyperactivity or aggression in children who do not have major developmental handicaps. Common and troublesome side effects associated with neuroleptic use in children and adolescents include sedation, extrapyramidal symptoms, and withdrawal dyskinesias; therefore, close monitoring is required. Neuroleptics should be used cautiously and only as an adjunct to other nonpharmacologic interventions.

Changes in Psychiatric Inpatient Treatment of Children and Youth in General Hospitals: 1980-1985

Changes in the prevalence of inpatient psychiatric treatment of children and youth in short-term general hospitals between 1980 and 1985 were investigated. During that period, the locus of treatment of mental illness among children and youth shifted dramatically away from specialized facilities to general hospitals without psychiatric units. Among general hospitals without psychiatric units, the number of inpatient psychiatric episodes treated increased dramatically, patients' average length of stay almost doubled, and the total days of care provided more than tripled. The increased care was paid for primarily by Medicaid and commercial insurance. Total days of care for drug and alcohol problems among children and youth in general hospitals decreased substantially. The results suggest that general hospitals may be relying on psychiatric treatment to supplement revenues that were limited by Medicare's prospective payment system, which became effective during the period under study.

Hospitalization in the Psychiatric Treatment of Children and Adolescents—winter 1990 issue of theBulletin of the Menninger Clinic

<b>Hospitalization in the Psychiatric Treatment of Children and Adolescents</b>—winter 1990 issue of the<i>Bulletin of the Menninger Clinic</i>

The developmental-clinical rationale for the use of seclusion in the psychiatric treatment of children.

The use of seclusion as an element in a therapeutic management model for ego-deficient children is presented, based on what is known about the normal socialization process and the ego deficits of some psychiatrically hospitalized children. A distinction is made between retaliatory punishment and supportive control techniques. Specific recommendations for the implementation of seclusion in a nurturing environment are made.

Graduate collegiate education in nursing in child psychiatry.

This paper presents the historical development, philosophy, aims, and methods of graduate collegiate education in the Nursing in Child Psychiatry program at the Boston University School of Nursing. Course offerings and field instruction are considered in terms of their relationship to the evaluation and improvement of nursing care.

Dynamics of staff interaction in hospital psychiatric treatment of children.

Dynamics of staff interaction in hospital psychiatric treatment of children.

Resident psychiatric treatment of children.

Resident psychiatric treatment of children.

CRITERIA FOR RECOGNITION OF NEUROSES IN CHILDREN

RECOGNITION of the value of psychiatric treatment of children is spreading rapidly, but the selection of cases for psychiatric care is still determined more often by the complaints of parents than by objective criteria. This paper presents a developmental approach to the recognition of neurotic disorders in childhood. Thanks to the contributions of the psychometric and developmental branches of psychology, the well read pediatrician, equipped with books by Buhler,1Gesell,2Kulmann3and others, can detect a child who is subnormal in mental development. But what appears like mental subnormality may be a symptom of disturbed instinctual development. To recognize this symptom for what it is and to recognize other neurotic symptoms that may be present, it is necessary to know the normal progression of instinctual life. The recognized sequence of instinctual development is from the oral level to the anal level, the phallic level, the latency period

The child's history as an aid in the psychiatric treatment of children

The child's history as an aid in the psychiatric treatment of children