title: Clinical and medico-legal aspects of home-based care by nurses as an alternative for inpatient treatment in child and adolescent psychiatry.
abstract: Increasing economic restrictions in the supply of inpatient care require the establishment of alternative treatment modalities also in the field of child and adolescent psychiatry. Therefore, home-treatment offers the possibility of effective interventions in the natural environment of the severely disturbed child and its family. In our study practical implementation of therapy was in the hands of nurses specializing in child and adolescent psychiatry. Various aspects of their therapeutic work with disordered children are focussed. Specific characteristics and problems of home-treatment-including interventions in the patient's psychosocial surroundings--are illuminated from the nurse's point of view.
authors.affiliation: Department of Child and Adolescent Psychiatry, Central Institute of Mental Health, Mannheim, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Göpel
authors.forename: M H
authors.initials: MH
authors.lastname: Schmidt
authors.forename: B
authors.initials: B
authors.lastname: Blanz
authors.forename: B
authors.initials: B
authors.lastname: Lay
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D000296:Adolescent Psychiatry / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D002665:Child Psychiatry / Q000458:organization & administration*; D003152:Community Health Nursing / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D003363:Cost Control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000523:psychology*; D011568:Psychiatric Nursing / Q000458:organization & administration*; D016896:Treatment Outcome