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Article   |    
Time-Limited Psychiatric Hospitalization of Children: A Model and Three-Year Outcome
Mairin B. Doherty; Meg Manderson; Linda Carter-Ake
Psychiatric Services 1987; doi:
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Department of Psychiatry of the Brown University Program in Medicine, Day hospital service at Emma Pendleton Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, Rhode Island 02915

Center for Technology and Policy of Boston University

C. G. Jung Institute in Boston

American Psychiatric Association

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Abstract

Current emphasis on reducing length of hospital stay has stimulated a review of the philosophical, clinical, and administrative approaches to brief psychiatric hospitalization of children. A model of time-limited hospitalization on an eight-bed children's unit was designed to stabilize the patients and triage them back to appropriate levels of community aftercare within 28 days. Clinical and administrative strategies used to facilitate this process included a community-based case managerm for each patient, focused clinical intervention, and strong parent involvement. The treatment model was generally successful in meeting the goals of hospitalization. Of 212 admissions over three years, 37 percent of the patients at discharge continued to need complex, multimodal treatments, and 63 percent were referred for less intensive outpatient care.

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