Adolescents' perspectives about brief psychiatric hospitalization: what is helpful and what is not?
Significant numbers of adolescents receive inpatient psychiatric services, yet we know little about their experiences: what about hospitalization is perceived as helpful and what is counter-productive or even harmful? In this study, eighty adolescents hospitalized for the first time in a psychiatric program were interviewed within a week of discharge (using a semi-structured interview format), and asked to describe what did and did not help them. Multiple themes emerged relating to helpful experiences and these were grouped in three categories: interpersonal support, therapy and psycho-education, and environment; Unhelpful/harmful experiences were classified in four categories: rigidity and confinement, lack of treatment responsiveness, frightening/anxiety-provoking experiences, and other. Participants provided rich feedback that both reinforces existing practices and offers ways for programs to change practices to better meet adolescents' developmental needs. Some factors noted as key therapeutic ingredients, especially the helpful role of peers, have not previously been included in hospital satisfaction surveys.
Moses
Tally
T
University of Wisconsin-Madison School of Social Work, 1350 University Ave, Madison, WI 53706, USA. moses@wisc.edu
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001294:Attitude to Health; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D001523:Mental Disorders / Q000523:psychology*
Gen Hosp Psychiatry. 2001 Sep-Oct;23(5):278-84
11600170
Eval Program Plann. 2007 Feb;30(1):45-54
17689312
Hosp Community Psychiatry. 1987 Jun;38(6):643-7
3036683
Can J Psychiatry. 2001 Dec;46(10):969-75
11816320
Psychiatr Serv. 1995 Mar;46(3):287-9
7796221
Psychiatr Serv. 2006 Apr;57(4):487-92
16603743
Psychiatr Serv. 2003 Nov;54(11):1544-6
14600318
J Child Adolesc Psychiatr Nurs. 2006 Feb;19(1):29-40
16464214
Adm Policy Ment Health. 2003 May;30(5):453-60
12940686
Int J Ment Health Nurs. 2002 Sep;11(3):174-85
12510595
J Adolesc. 2007 Aug;30(4):639-53
16867305
Int J Adolesc Med Health. 2008 Oct-Dec;20(4):405-18
19230441
Psychiatr Serv. 2005 Sep;56(9):1123-33
16148328
Child Psychiatry Hum Dev. 1989 Summer;19(4):231-44
2663382
Am J Psychiatry. 2003 Apr;160(4):757-64
12668366
J Child Adolesc Psychiatr Nurs. 1998 Oct-Dec;11(4):135-45
10067477
Arch Psychiatr Nurs. 1994 Apr;8(2):78-81
8042870
J Psychosoc Nurs Ment Health Serv. 2008 Feb;46(2):21-4
18293780
Australas Psychiatry. 2007 Dec;15(6):504-8
17852063
Curr Opin Psychiatry. 2005 Jul;18(4):370-3
16639127
Epidemiol Psichiatr Soc. 2005 Jan-Mar;14(1):22-31
15792291
J Psychiatr Ment Health Nurs. 2010 Feb;17(1):65-72
20100307
Psychiatr Serv. 2001 Feb;52(2):202-6
11157119
J Child Psychol Psychiatry. 2007 Dec;48(12):1259-67
18093032
Arch Gen Psychiatry. 2007 Jan;64(1):89-96
17199058