Skip to main content
×
×
Home

Adolescent units: a need for change?

  • Tim Calton (a1) and Jon Arcelus (a1)
Abstract
Aims and Method

To describe the characteristics and diagnoses of patients admitted to a general adolescent psychiatric in-patient unit. We describe the age, gender and psychiatric diagnosis of the patient, as well as whether the patient exhibited violent behaviour in the ward, whether he/she needed to be transferred to a different service and whether he/she was admitted under a section of the Mental Health Act 1983.

Results

Patients were evenly distributed in terms of gender, with most being 14–16 years old. Diagnoses were varied with adjustment disorder predominating, but could be separated into four main groups. Levels of violence were high, being associated with detention under the Mental Health Act 1983, and often resulted in transfer to another service.

Clinical Implications

The needs of certain adolescents admitted to a general-purpose adolescent unit may not be best met in this environment. Current services must change to meet the needs of their patients. There may be a need for greater specialisation.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Adolescent units: a need for change?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Adolescent units: a need for change?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Adolescent units: a need for change?
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Ambrosini, P., Metz, C., Prabucki, K., et al (1989) Videotape reliability of the third revised edition of the K-SADS. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 723728.
Colgan, S. M. (2002) Who wants to be a general psychiatrist? Psychiatric Bulletin, 26, 34.
Cotgrove, A. J., Gowers, S. J. (1999) Use of an adolescent in-patient unit. Advances in Psychiatric Treatment, 5, 192201.
Goodman, R. (1997) The Strengths and Difficulties Questionnaire: a research note. Journal of Child Psychology and Psychiatry, 36, 581586.
Hollis, C. (2000) Adolescent schizophrenia. Advances in Psychiatric Treatment, 6, 8392.
Jaffa, T. (1995) Adolescent psychiatric services. British Journal of Psychiatry, 166, 306310.
O'Herlihy, A., Worrall, A., Banerjee, S., et al. (2003) The distribution and key characteristics of in-patients child and adolescent mental health services in England and Wales. In Press.
Offord, D. R., Boyle, M. H., Szatmari, P., et al (1987) Ontario Child Health Study II: six month prevalence of disorder and rates of service utilisation. Archives of General Psychiatry, 44, 832834.
Parry-JONES, W. L. (1995) The future of adolescent psychiatry. British Journal of Psychiatry, 166, 299305.
Treasure, J. (2002) Treatment of anorexia nervosa. Psychiatry, 1:2, 912.
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.
Worrall, A., O'Herlihy, A., Banerjee, S., et al. (2003) Admissions of young people with psychiatric disorders to adult psychiatric and paediatric wards. In Press.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 12 *
Loading metrics...

Abstract views

Total abstract views: 21 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 22nd July 2018. This data will be updated every 24 hours.

Adolescent units: a need for change?

  • Tim Calton (a1) and Jon Arcelus (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *