Furthermore, admission screening questionnaires should be routinely used, including a children's depression inventory, a trauma assessment inventory, a substance abuse screen, and an incomplete-sentence form. Children may be willing to disclose their concerns on written forms rather than to an unknown professional. Screening for medical illnesses must also be routine and under the direction of a pediatrician who works closely with the child psychiatrist to identify chronic conditions, such as hepatitis, anemia, hyperglycemia, and obesity. In addition, a structured collaborative teaching and treatment environment should be created for the delivery of care. "A CBT Approach to Inpatient Psychiatric Hospitalization" (5) describes an effort developed to achieve these goals. Designed for stays of five to 12 days, the program is compatible with managed care treatment limits.