A Model of Inpatient Child and Adolescent Care Using a Consulting Psychiatrist
Abstract
Since 1976 a child and adolescent unit in a public psychiatric hospital has used a part-time child and adolescent psychiatrist to improve inpatient treatment. In this model the consultant is directly responsible for all admission and discharge decisions. The consultant provides only essential medical treatment, which includes assessing, monitoring, and evaluating patients and prescribing medications, and directs patient care through nonmedical primary clinicians. A senior nurse coordinates on-site scheduling, confirms orders, documents treatment changes, and routinely phones the consultant with clinical updates. The consultant enhances the skills and performance of hospital staff and local physicians through case consultation and other interchanges. The authors recommend the model for the public sector because it increases the possibility of recruiting private-sector psychiatrists into the public system.
Access content
To read the fulltext, please use one of the options below to sign in or purchase access.- Personal login
- Institutional Login
- Sign in via OpenAthens
- Register for access
-
Please login/register if you wish to pair your device and check access availability.
Not a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).