Practitioner Review: Preconditions and Outcome of Inpatient Treatment in Child and Adolescent Psychiatry / B. BLANZ in Journal of Child Psychology and Psychiatry, 41-6 (September 2000)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 41-6 (September 2000) . - p.703-712 Titre : Practitioner Review: Preconditions and Outcome of Inpatient Treatment in Child and Adolescent Psychiatry Type de document : Texte imprimé et/ou numérique Auteurs : B. BLANZ, Auteur ; Martin H. SCHMIDT, Auteur Année de publication : 2000 Article en page(s) : p.703-712 Langues : Anglais (eng) Mots-clés : Evaluation  hospitalisation  therapy  continuum of care Index. décimale : PER Périodiques Résumé : Inpatient care is expensive and should ideally be provided for children and adolescents with the most serious psychiatric disorders. However, only little is known about inpatient treatment, e.g. the factors influencing hospital admission, the content of care in the hospital, the appropriate norms for the duration of inpatient stays, the inpatient arrangements that result in the best outcomes, or connection with necessary aftercare services. There are many methodological problems with existing research. However, it can cautiously be concluded that psychiatric hospitalisation of children and adolescents is often beneficial, particularly if special aspects of treatment are fulfilled (e.g. good therapeutic alliance, treatment with a cognitive-based problem-solving skills training package, or planned discharge) and aftercare services are available. The continuum-of-care model is promising because it provides opportunities to achieve better integration between inpatient interventions and aftercare services. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125 [article] Practitioner Review: Preconditions and Outcome of Inpatient Treatment in Child and Adolescent Psychiatry [Texte imprimé et/ou numérique] / B. BLANZ, Auteur ; Martin H. SCHMIDT, Auteur . - 2000 . - p.703-712. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 41-6 (September 2000) . - p.703-712 Mots-clés : Evaluation  hospitalisation  therapy  continuum of care Index. décimale : PER Périodiques Résumé : Inpatient care is expensive and should ideally be provided for children and adolescents with the most serious psychiatric disorders. However, only little is known about inpatient treatment, e.g. the factors influencing hospital admission, the content of care in the hospital, the appropriate norms for the duration of inpatient stays, the inpatient arrangements that result in the best outcomes, or connection with necessary aftercare services. There are many methodological problems with existing research. However, it can cautiously be concluded that psychiatric hospitalisation of children and adolescents is often beneficial, particularly if special aspects of treatment are fulfilled (e.g. good therapeutic alliance, treatment with a cognitive-based problem-solving skills training package, or planned discharge) and aftercare services are available. The continuum-of-care model is promising because it provides opportunities to achieve better integration between inpatient interventions and aftercare services. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125

Psychosocial Adversities Underestimated in Hyperkinetic Children / S. OVERMEYER in Journal of Child Psychology and Psychiatry, 40-2 (February 1999)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 40-2 (February 1999) . - p.259-263 Titre : Psychosocial Adversities Underestimated in Hyperkinetic Children Type de document : Texte imprimé et/ou numérique Auteurs : S. OVERMEYER, Auteur ; E. TAYLOR, Auteur ; B. BLANZ, Auteur ; Martin H. SCHMIDT, Auteur Année de publication : 1999 Article en page(s) : p.259-263 Langues : Anglais (eng) Mots-clés : Hyperkinetic disorder  conduct disorder  attention deficit hyperactivity disorder  family factors  assessment Index. décimale : PER Périodiques Résumé : Abnormal psychosocial factors, assessed both clinically and by raters blind to clinical presentation, were examined in 21 hyperkinetic and 26 conduct disordered children. Blind raters found the frequency of psychosocial adversities to be similar in the two disorders. By contrast the clinical rater, who did know the diagnosis of patients, rated adverse psychosocial situations as much lower in hyperkinetic children than in children with conduct disorder. Logistic regression showed, particularly in the category of abnormal intrafamilial relationships (Lack of warmth in parent child relationship, Hostility or scapegoating of the child, Intrafamilial discord among adults), effects of the interaction between rater and knowledge of diagnosis. Clinical raters should be aware of abnormal psychosocial situations in hyperkinetic children and assess possible adverse effects on parents and children. Researchers should be aware of a possible bias in research interviews. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124 [article] Psychosocial Adversities Underestimated in Hyperkinetic Children [Texte imprimé et/ou numérique] / S. OVERMEYER, Auteur ; E. TAYLOR, Auteur ; B. BLANZ, Auteur ; Martin H. SCHMIDT, Auteur . - 1999 . - p.259-263. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 40-2 (February 1999) . - p.259-263 Mots-clés : Hyperkinetic disorder  conduct disorder  attention deficit hyperactivity disorder  family factors  assessment Index. décimale : PER Périodiques Résumé : Abnormal psychosocial factors, assessed both clinically and by raters blind to clinical presentation, were examined in 21 hyperkinetic and 26 conduct disordered children. Blind raters found the frequency of psychosocial adversities to be similar in the two disorders. By contrast the clinical rater, who did know the diagnosis of patients, rated adverse psychosocial situations as much lower in hyperkinetic children than in children with conduct disorder. Logistic regression showed, particularly in the category of abnormal intrafamilial relationships (Lack of warmth in parent child relationship, Hostility or scapegoating of the child, Intrafamilial discord among adults), effects of the interaction between rater and knowledge of diagnosis. Clinical raters should be aware of abnormal psychosocial situations in hyperkinetic children and assess possible adverse effects on parents and children. Researchers should be aware of a possible bias in research interviews. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124

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