title: Milieu management of a child with bipolar illness.
abstract: During inpatient psychiatric treatment, children with bipolar disorder may present particular management issues. They may experience intense periods of affect regulation that can spiral into frenetic, aggressive behaviors that are difficult to interrupt with de-escalation techniques. This case study presents such a child and the behavior patterns that resulted in seclusion and PRN medication. Also presented is the plan that staff derived which eventually helped this young boy regulate his behavior.
authors.affiliation: Children 's Inpatient Unit,Rush University Medical Center, Chicago, IL, USA.
authors.forename: Davena
authors.initials: D
authors.lastname: Beal
authors.forename: Kathleen R
authors.initials: KR
authors.lastname: Delaney
mesh_terms: D000223:Adaptation, Psychological; D000786:Anger; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001288:Attention; D001569:Benzodiazepines / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D002648:Child; D003131:Combined Modality Therapy; D003463:Cues; D006220:Haloperidol / Q000627:therapeutic use; D006760:Hospitalization; D006801:Humans; D008297:Male; D008884:Milieu Therapy / Q000379:methods*; D009042:Motivation; D009723:Nurse-Patient Relations; D000077152:Olanzapine; D010347:Patient Care Planning; D010356:Patient Isolation; D011568:Psychiatric Nursing / Q000379:methods*; D002666:Psychology, Child; D020377:Self Efficacy; D016728:Self-Injurious Behavior / Q000209:etiology / Q000517:prevention & control; D012944:Social Support
chemical_list: D014150:Antipsychotic Agents; D001569:Benzodiazepines; D006220:Haloperidol; D000077152:Olanzapine