A Continuum of Mental Health Care for Children and Adolescents
Abstract
As an alternative to the confusing patchwork that often characterizes child and adolescent mental health care, the mental health program of a children's social welfare agency offers a continuum of inpatient and outpatient services on one campus. The program operates a 36-bed psychiatric hospital, a 38-bed residential treatment program, a partial hospital for ten children and adolescents, and a large outpatient service, and it can draw on the agency's foster care, emergency shelter, and home-based therapy services. Treatment in all the services is provided by multidisciplinary treatment teams, which have primary responsibility for coordinating a patient's transfer with other elements of the continuum and for initiating a patient's discharge. A case study illustrates some of the practical considerations that influence treatment decisions in the continuum.
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